APPLICATION FOR ADMISSION
SUMMIT THEOLOGICAL SEMINARY
2766 Airport Road (765) 472-4111 Peru, IN 46970

Please fill this form and return it:

Name:___________________________________________________

Soc.Sec.# ______________________ County: ___________________

Address: __________________________________________________

City: _____________________________________________________

State: _____ Zip Code: _________________ Date: _______________

Phone: Home: ___________________ Work: ____________________

Date of Birth: ____________ Date of H.S. Graduation:____________

Colleges attended ......... Degree received ......... Date ......... Credits

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Area of desired study:_______________________________________

Degree: I will be working toward: (Circle One)

Send in your $30.00 enrollment fee with your completed resume:

This application will not be accepted unless the reverse side is completed.

By the signing of my name below, I will be agreeing to the following:

  1. The $30.00 enrollment fee is non-refundable.

  2. I will pay for the courses or program I am taking, regardless of whether I finish, unless I return the materials within 10 days.

  3. If I am enrolled in a degree program, I will pay tuition for no less than 30 credit hours and the materials received regardless of my completing the program or not.

  4. I will pay a penalty fee of $10.00 for every month I do not send in the minimum payment on my bill. Minimum payment is $50.00 a month for bills totaling $500.00 and more, and $25.00 a month for bills totaling less than $500.00.

  5. I will contact the school in writing concerning any discontentment I have about the courses, or my inability to pay a particular month. I will attempt to handle this account as a faithful Christian steward.

Signed: _________________________________

Date: ____________________