UFCI COURSE APPLICATION

United Faith Christian Institute & Bible College

1Westbrook, Corporate Center

Westchester, IL 60154

COURSE APPLICATION
DATE:*

MonthDayYear
Date
SELECT SITE*
PLEASE INDICATE ENROLLMENT STATUS*

NEW STUDENT?REPEAT STUDENT?
PLEASE SELECT QUARTER*
PLEASE SELECT YOUR CERTIFICATE PROGRAM
STUDENT FULL NAME:*
DATE OF BIRTH:*

MonthDayYear
Date
PLEASE PROVIDE COURSE NAME (SEE CURRICULUM)*
PLEASE PROVIDE COURSE NUMBER (SEE CURRICULUM)*
FOUR LAST DIGIT SS#*
STREET ADDRESS:*
CITY:*
STATE:*
ZIP CODE:*
EMAIL ADDRESS:*
PHONE NUMBER:*
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Onsite Certificate Program Per Course $428.00

Onsite Certificate Program Per Course(Alumni)$355.00

Independent Study Certificate Program Per Course$392.00

Independent Study Certificate Program Per Course(Alumni)$356.00

Seminar Per Course$450.00

Paid by Check (Invoice will follow)$ Free

Total $0.00
**Tuition Refund Policy from registration date: wk. 1 = 100%; wk. 2 = 80%; wk. 3 = 50%; 0%

Please Note: (ONSITE CLASSES WILL BE TAUGHT VIA ZOOM.) However Indepent Study Classes meets only 3 times per quarter!!
I understand that I must be an official student of UFCI prior to submitting this form. Also, the evidence of Christian Service must be submitted and filed with United Faith Christian Institute"s Registrar within the prescribed time frame as outlined in the Admissions Application. Also, this document serves as an official registration for a specific course that is currently offered at UFCI.
I consent to the terms of this form.*

YES

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