Registration Update Non-degree/ISW

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When all of your application materials have been received, you will be notified in writing.

Once your file is complete, our review process will begin. If Richmont is unable to accept your application, we will notify you as soon as possible. Please call 888.924.6774, with any questions regarding your application and its status.

A Non-degree or ISW student who has not taken a course with Richmont for a period of one year or more must submit the “Non-Degree/Institute for Sexual Wholeness Registration Update” form. The Admissions Office will review this form and notify the student when they are cleared to register for classes with the Registrar’s Office.

FED School Code G33554

Applicant Information

First Name (Legal)

Middle

Last

Social Security Number Enter as: 123-11-1234 or 123111234

Birth Date Enter in mm/dd/yyyy format

Gender FemaleMale

Program Information

Starting Time: FallSpringSummer

Starting Year

Date Enter in mm/dd/yyyy format

Degree Institute for Sexual Wholeness
Non-Degree

Mailing Address

Street Address

Address continued

City

State

Zip

Telephone

( )

Daytime Telephone

( )

Educational Information (list all)

Please list all schools you have attended since the last term you took a class at Richmont.

NOTE: Please have one official transcript from each of the schools you have attended or took classes at, since the last time you took a course with Richmont, directly to the Admissions Office. This includes credits taken and then transferred to another institution.

School Name

City

State

Country

Major

Hours Earned

Grade Point Average

Dates of Attendance

Start Date

End Date

Date Degree Expected / Earned

Date

I hereby certify that the information in this application is true and complete without evasion or misrepresentation. I understand that if it is found to be otherwise, it is sufficient cause for rejection or dismissal.

Applicant's Signature

Date

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