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Bernelli University Application -  and Susan Maher, PhD;  Vice President of Academic Affairs will call you to discuss your application as soon as possible.

Applications are now being accepted for 2010 and 2011 enrollment for the trimesters  in January, April, and September.

Get started today on a life changing experience at Bernelli University.  Simply complete the form below and submit.  Our student services coordinator will then contact you about the next steps regarding your transcripts, references, and a personal interview.

Apply early since only fifty new students will be accepted each year.
Part I
Date
Last Name First Name Middle Name
Email Address
Home Phone Mobile Phone  
Address 1
Address 2
City State Zip Country
Closest Major City
Business Organization Work Phone
Title Fax
Date of Birth Birthplace Citizenship
Social Security Number or National Identification Number

Marital Status Married Single

Sex Male Female

Have you ever been convicted of a crime? Yes No

If yes, explain.

Have you ever been suspended or dismissed from an academic institution for non-academic reasons? Yes No

If yes, explain.

 

Part II

Area of Study
Business Education Social Science
Concentration
Double Concentration
Prior Education Experience (list from most recent)
University Attended Major Year Graduated Degree
All applicants must have the registrar of each college attended send an official transcript of applicants work to Bernelli University. Your application will not be presented to the Admissions Review Committee until we have received "Official Transcripts."
 
Work Experience (list from most recent)
Organization Position Dates of Employment  
 
 
 
 
 
Honors or Awards
Volunteer Experience
References
Name Organization Title Email Phone
 
Part III A
Please indicate how you learned about Bernelli and please note the specific name.
Web site
Alumnus/Alumna
Friend
Conference
Advertisement
 
Part III B
I would like to be considered for a partial scholarship based on financial need:
Annual Household Income
Number of People in Household
 
I would like to be considered for an Entrepreneurship and Innovation scholorship based on merit. State what you would like to research in terms of Entrepreneurship, Innovation and Change and why you are deserving of a merit scholorship.
 
Part IV
Personal Statement

Answer the following questions in three pages or less.

1. Describe your childhood, family life, and early educational experiences outside of the classroom.

2. Describe your current status in terms of career and life situation and why graduate school is the right choice for you at this time.

3. Describe your future goals and how a Bernelli University degree will help you to attain them.

 
Part V
Bernelli University Agreement
I have thoroughly read and understand as indicated by checking the following boxes:
the course requirements for the program of study I selected
the schedule of tuition and fees for the program
that I must be continually
enrolled from initiation through the semester of graduation (unless
excused due to emergency)
refund and cancellation policy
the policies and procedures of Bernelli University
withholding information requested in this application or giving false information will make me ineligible for admission and therefore I certify that the above statements are true and correct
I authorize Bernelli University to charge the credit card listed below for the full application fee of $100 for North American students and $150 for those outside of North America
Credit Card Type
Credit Card Number
Credit Card Expiration Date (Format: MMYY, example: 0205 = February 2005)
Name On Card
I hereby further agree that as a student, my likeness, image, and photo may be taken and used in all forms of media presentations for the purposes of promoting Bernelli University and associated projects and programs during my enrollment and following thereafter.

Copyright © 2005-2010 Bernelli University