The International University

of Ministry & Education

12110 Grandview Road · Grandview,  Missouri,   64030

816.765-5551 · Fax:  816.765.1777  International:  888.567.6621

E-mail: admissions@internationaluniversity.edu Website:  www.internationaluniversity.edu

Please type and then print form.  Complete all information

1.NAME:    SS#:

2. ADDRESS:

3. PHONE: BUSINESS PHONE: EXT:

4. DATE of BIRTH:// Total Years Ministry / Business / Technical / Other  Experience (if any)

5. HIGH SCHOOL GED     Graduation Year: Employer:

6. High School Location (City & State):

STUDENT EVALUATION

The Faculty Review Committee will evaluate all submitted material and transfer the earned credits to the College of Security Technology and Management. A minimum of one academic semester must be completed to graduate.

7. Please attach your resume with a brief summary of your security experience indicating places, dates, and duties or responsibilities.

8. Please list all colleges, universities, and vocation/trade schools attended.

Degree

Name of School

Location of School (City, State)

Date

9. Please send copies of transcripts to the Director of Admissions.

10. Please include a check in the amount of $75.00 to cover the registration fee ($25.00) and the evaluation fee ($50.00). make checks payable to the Administrators Office, college of ST & M. (Applied to overall tuition)

Your evaluation will be processed by the Faculty Review Committee. They will ascertain the number of transfer credits from your academic and work/job related experiences and thereby determine the academic level of your program and its corresponding tuition amount. Please indicate the degree level to which you are applying below.

                                                                                                                                                                Director of Admissions,     TIU / CSTM

Certificate    Associate     Bachelors     Masters                             12110 Grandview Road

Doctoral       Ministerial                                                                          Grandview, MO 64030

_________________________________                                             ____________________________________

Applicant's Signature                                                                               Director of Admissions