Application for Admission

To apply now, please complete the application below.

Sending credit card information here is as safe or safer than using it at any store.

If you do not want to submit your application via Internet simply print this page and Fax it to:
University of Berkley @ (312) 924-0710or mail it to the address below.

* Remember! The better we understand your needs, the closer we can come to satisfying them.*

Feel free to enclose an extra note if you have special needs.

(*) Marked Items are required to obtain Additional Information
Name:*
Address1:
Address2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:		(Include Area Code)
Email:
Social Security Number:		( This will be your student identification number)
Date of Application:
What type of degree are you seeking? Bachelor Master Doctorate Bachelor/Master Master/Doctorate Bachelor/Master/Doctorate
Field of Study:		Choose from the catalog or designate your own.
Tell us about your employment status:
Employers Name:
Position or Title:
I work:		Part time Full Time
Amount to be charged: (Fees subject to change without notice, The University reserves the right to modify fee structure on an individual basis.)
$50.00 Application Fee: (Locks in current tuition rates and entitles applicant to receive initial assessment and assigning of life credit) In addition to the application fee, please indicate how you wish to pay for your tuition: (If you are not accepted by the U of B, all monies, except the Application Fee, will be refunded promptly!) $100.00 Initial Tuition Payment (to become a fully enrolled student with all benefits) Payment in full (Receive a 10% discount off the total tuition of your degree program) I only wish to pay the Application Fee at this time, in order to lock in the current tuition rates. I will decide how to pay my tuition later.
Total to be charged to your Credit Card:		$ e.g., $150.00 ($100.00 initial tuition fee plus $50.00 Application Fee
Note: Regardless of your method of payment, you must include your $50.00 application fee in order for us to begin processing your documentation.
For those requiring a student loan:
Monthly tuition payment of:		$
(amount will be billed to your account automatically each month--to participate your must pay a minimum of $125.00 per month.)
A tuition statement reflecting all tuition payments will be sent on a monthly basis.
Credit Card Information:
VISA Master Card
Credit Card No:
Expiration Date:
Please mail a resume/vita or a brief note telling us about yourself. Remember, by applying with your credit card, you lock in our current tuition fee even if you don't begin your program yet.
Comments: Please allow 2 weeks for processing until you receive notification of acceptance, which will be in the form of our L.E.A.P. booklet.

Toll Free 1-312-924-0710 9AM - 5PM EST Monday - Friday Email registrar@berkely-u.edu

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The University of Berkley (originally founded in BERKLEY MI ) has no affiliation or connection whatsoever with the University of California at Berkeley campus!