Apply – Impact University

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The following is required for your application to be considered completed. If you do not have one or several of these items, please do not hesitate to contact us and we will see what we can do for you!

A copy of your high school diploma or G.E.D. via mail to our offices.
Transcripts from institutions previously attended (if applicable).
$35.00 NON-REFUNDABLE application fee.

This application is designed for those residing in the U.S. If you are currently residing outside of the U.S., please contact us at [email protected]

Impact University Application

First Name

Last Name

Phone

Gender

Marital Status

Birth Date

Are you a permanent U.S. resident?

Are you a U.S. Veteran?

Street Address

Address Line 2

City

State

Zip Code

Area of Interest

Will you be attending in person?

How did you hear about us?

High School Name

Did you graduate?

Have you attended college or university?

If "Yes"

Dates Attended

Diploma/Degree Earned (If Applicable)

College 2

Dates Attended

Diploma/Degree Earned (If Applicable)

College 3

Dates Attended

Diploma/Degree Earned (If Applicable)

Home Church

Denomination

How long have you attended?

Church Address

City

State

Zip Code

Have you accepted Jesus Christ as your personal Lord & Savior?

Yes No

If yes, how long have you been saved?

Have you recieved the baptism of the Holy Spirit?

Yes No

In as much detail as you would like, please share your salvation testimony.

In as much detail as you would like, please share your educational and ministerial goals. Why are you applying for Impact University? If you are unsure, please share where you would like to be at the end of the program.

Statement of Truth

By typing my name and checking in the box I, the undersigned, hereby state that the information contained in the application is true and correct. I understand that if Impact University is notified of any information contained in this application is false, it will be grounds for either denial of admission or immediate dismissal from Impact University.

Full Name

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Impact University Application

THANK YOU FOR SUBMITTING YOUR APPLICATION TO IMPACT UNIVERSITY!

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