1. PLEASE RETURN APPLICATION TO THE ADDRESS BELOW FOR AN INTERVIEW WITH THE REQUISITE APPLICATION FEES OF $150
2. FOUR MOST RECENT PASSPORT SIZE PHOTOGRAPHS
3. A TWO PAGE HANDWRITTEN ESSAY NARRATING WHY YOU WISH TO BE A STUDENT OF UA.
4. INCLUDE ALL OFFICIAL ACADEMIC RECORDS, RESULTS, CERTIFICATES, DIPLOMAS OR DEGREES OF ALL PREVIOUS SCHOOLS ATTENDED.
   ALL THE QUESTIONS IN THE APPLICATION MUST BE THOROUGHLY FILLED WITH A LEGIBLE HAND WRITING OR IT WILL BE REJECTED.

Email a completed application to us at info@ua-edu.us and send your hard copies to The registrar
THE UNIVERSITY OF AMERICA
41707 Winchester Road #301
Temecula CA 92590 - 4832
United States

TO MAKE EVERY PAYMENT TO THE UNIVERSITY

To make wire transfer, present the bank information below to your bank. This is the information you need for the wire transfer, after you have done the wire transfer, reply this email attaching the copies of the bank teller issued to you by your bank to enable us trace and confirm the payment

THE UNIVERSITY OF AMERICA BANKING INFORMATION
BANK NAME; BANK OF AMERICA . BANK ADDRESS MURRIRETA BRANCH CALIFORNIA USA 92563-3500 ACCOUNT NAME; THE UNIVERSITY OF AMERICA UNIVERSITY SYS. ROUTING NUMBER; 121000358 SWIFT CODE; BOFAUS3N ACCOUNT NUMBER; 325056042179

OFFICE USE ONLY :

Cert./Degree Admitted

School year:

session.

STUDENT S/No

The University of America

Admission Application Form

DATE

CERTIFICATE/DEGREE PROGRAM WHICH YOU ARE APPLYING;

MAJOR

MINOR

YOUR FULL LEGAL NAME (LAST)

(first )

middle

OTHER

Social Security Number

INTERNATIONAL PASSPORT NUMBER

A

COUNTRY

EXPIRES

RELIGION;

DENOMINATION

CAMPUS APPLYING FROM;  USA

ONLINE

OTHER

DATE OF BIRTH_

AGE

TRIBE

RACE

Gender ; Male

Female

MARRIED ; Yes

No

PLACE OF BIRTH

US CITIZEN ? Yes

No

ON VISA? YES

No

VISA TYPE

VISA EXPIRE DATE

COUNTRY OF BIRTH

CURRENTADDRESS

PERMENENTADDRESS

CONTACT TELEPHONE-@-HOME

CELL

EMAIL;

Students 25 years old and below must provide the university with their parents information below;

PARENTS FULL NAME ;FATHER

PARENTS FULL NAME;MOTHER

PARENTS OCCUPATION

PARENTS PHONE NUMBERS; HOME

WORK

PARENTS CELL

PARENTS ADDRESS

PARENTS E-MAIL ADDRESS

ANY DISABILITY OR HEALTH CONDITION ,

DESCRIBE

SPEECH PROBLEM OR LEARNING DISABILITY

IN THE CASE OF AN EMERGENCY WHO DO YOU WANT THE SCHOOL TO CONTACT: FULL NAME:

ADDRESS

RELATIONSHIP TO YOU

TELEPHONE

CELL

LANGUAGES YOU READ AND WRITE IN

EDUCATION AND TRAINNING

NAME OF THE PRIMARY/ ELEMENTARY SCHOOL YOU ATTENDED;

FROM

TO

NAME AND FULL ADDRESS OF SCHOOL;

CERTIFICATE RECEIVED

DATE

HIGH SCHOOL/SECONDARY SCHOOL , FROM

TO

FULL NAME AND ADDRESS OF THE SECONDARY SCHOOL YOU ATTENDED ; SCHOOL

CERTIFICATE/ DIPLOMA AWARDED

DATE

COLLEGE/ UNIVERSITIES ATTENDED

NAME AND FULL ADDRESS OF THE COLLEGE

FROM

TO

MAJOR SUBJECT

DEGREE /DIPLOMA AWARDED

GRADUATUION DATE

COLLEGE/UNIVERSITY

FROM

TO

MAJOR subject

MINOR

DEGREE/ DIPLOMA AWARDED

GRADUATION DATE

COLLEGE/UNIVERSITY

FROM

TO

MAJOR subject

MINOR

DEGREE/DIPLOMA AWARDED

GRADUATION DATE

I by signing below, have acknowledged that i have personally obtained and read the UoA’s brochure containing all its programs and have all my questions answered before i proceeded with this application, i have read and understand the refund policy, students admission and academic policies, and i also understand that belonging to a gang, cult ,exam malpratice,late to class, un excused absenteeism ,tardiness, rioting, fight, disrespecting a lecturer or any UoA personnel ,disrupting the class, or being caught or arrested in any vices of any moral turpitude e.g. theft, armed robbery, prostitution, murder, tribalism, arson and terrorism, falsification of academic records, fraudulent certificate et cetera, will result in immediate termination, cancellation and withdrawal of my admission and my being a student of UoA without any refund.

I have read the catalogue of the UNIVERSITY OF AMERICA in its entirety, the return policy and student`s policy have been explained to me, I understand that university of America`s program is not designed for any particular employer, examination/certification boards, local licensing authority in mind, and is specifically designed for the international students without affiliation to any particular state or country in mind. I understand

that anyone wishing to transfer to other schools or studying for certification at a particular region and for employment , should first ,inquire about their acceptability of our program before applying. signing underneath signify that I have checked about all these and have made up my mind to apply without coercion or duress or manipulation from any UA official either in person by email or UA`s literature.

APPLICANT SIGNATURE

DATE

YOUR FULL NAME

WITNESS: FULL NAME

DATE

SIGNATURE

OFFICE USE ONLY

THE UA’s REGISRAR

REGISTRATION, PAID

NOT PAID

ATTACH PROOF

SIGNATURE

UA STAMP OR SEALFULL HERE

NAME

Return this application with 4 most current passport color pictures (2)all certificates , diplomas and ordination cert, high school diploma, or GED/GCE (3) write a letter explaining why you wish to study at the UoA (4) $150 non-refundable processing fees to : Office of the Registrar Admissions : The University of America. 41707 Winchester Road #301. Temecula CA 92590. USA. Email: registrar@ua-edu.us. Tele: +1951-239-3084 . PAGE 4 OF 5 . END OF APPLICATION DOCUMENT.

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The University of America

The Student’s Semester Registration Application

Date of Application

CANDIDATE’S FULL NAME

ADRESS

TEL

CELLPHONE

EMAIL ADRESS

SEMESTER REGISTERED   To   200   SESSION

HOW MANY SEMESTER UNITS

Subjects registered

LEVEL;- JUNIOR, SOPHPMORE, SENIOR

REGISTERED DEGREE/DIPLOMA/CERTIFICATE DESCRIPTION

MAJOR

MINOR

I have read the catalogue of the UNIVERSITY OF AMERICA in its entirety, the return policy and student`s policy have been explained to me, I understand that university of America`s program is not designed for any particular employer, examination/certification boards, local licensing authority in mind, and is specifically designed for the international students without affiliation to any particular state or country in mind. I understand that anyone wishing to transfer to other schools or studying for certification at a particular region and for employment , should first , inquire about their acceptability of our program before applying. signing underneath signify that I have checked about all these and have made up my mind to apply without coercion or duress or manipulation from any UA official either in person by email or UA`s literature.

STUDENT’S NAME

STUDENT’S SIGNATURE

DATE

OFFICE OF THE REGISTRAR USE ONLY;

DATE STUDENT REGISTERED

STU. REGISTRATION #

ALL REGISTRATION PAYMENTS MADE IN FULL;

Yes

No

AMOUNT PAID $

THE AMOUNT OF DEPOSIT PAID $

WITH BANK-TELLER EVIDENCE? Yes

No

METHODS OF PAYMENTS WHICH THE STUDENT USED, MONEY GRAM,MONEY ORDER, WESTERN UNION, BANK CHEQUE, CREDIT CARD PAYMENTS

THE REGISTRAR OR BURSAR HAS CHECKED THE UA BANK AND THE STUDENT’S RECEIPT OF PAYMENTS IS VARIFIED AND THE ACCOUNT HAS CLEARED?,

YES

NO

IF THE ANSWERS ARE YES, STUDENT IS REGISTERED ISSUED A RECEIPT, A STUDENT ID CARD, ACCETANCE LETTER WITH ALL THE INFORMATION ABOUT THE SCHOOL’S SEMESTER CALENDAR .

Payment arrangements ;

Payment arrangements Between the UoA and

I have accepted the total cost of $usdmaterial fees required to complete the subject (s) which I have herein registered to study and agreed to be responsible for the repayment of the same at the rate USD$ per month for months until finish. I also understands that ,this payment arrangement once signed, I am under obligation to complete the payment even if the class is not attended or completed. Failure to pay it off may result in the university initiating debt collection action against me and refusal to offer services like honoring my request to obtain copies of my diploma, transcripts etc, until I have paid all dues herein delineated . I waited for three days before personally signing this registration and payment arrangement portion

Sign name Date

Last four digit of DL/SSN STATE OF ISSUE COUNTRY

OFFICE USE ONLY

REGISTRATION COMPLETED ; Yes , NO

ADMITTED BY FULL NAME , POSITION UAPID #

SIGNATURE , DATE

REGISTRAR

FOR THE RGISTRAR PLACE STAMP HERE

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