UCI- University Consulting, Inc.









Please complete all of the following fields for the degree program.

You must agree to the Terms of use Agreement to be evaluated: I Agree
Click here to read our Terms of Use Agreement  
                        I do not Agree

E-mail address:     Date of Birth:  

(Please provide a complete mailing address)

City: State/Territory:   Postal Code: Country/Region:   Telephone:

Occupation:   Gender:Male Female

I would like to be evaluated for the following degree:
                                                                                                  (You will be required to specify the concentration below)

Degree Information

In what Discipline do you seek your degree? Arts
(Please check one box only) Science
  Discipline most common to my Concentration

What is the degree Concentration that you seek? (I.e.: Business Administration)

Your Life Experience

Please do not email your resume. Cut and paste sections as applicable to our form.  

Educational Background
(Degrees and Diplomas)

High School Yes No Grad Year: School Name:
Associate Yes No Grad Year: School Name:      
Bachelor Yes No Grad Year: School Name:   
Master Yes No Grad Year: School Name:    
Doctorate Yes No Grad Year: School Name:    

Educational Experience: Please describe all that qualifies you for the degree(s) you seek.
Please include dates, subject, major and dates of prior degrees or certificates of training.

Employment History: Please describe the professional, or on-the-job experience that qualifies you for the degree you seek. Please include dates and duties involved in each position

Military and Volunteer experience: Please describe any other information you feel may qualify you for the degree you seek. Please include dates and duties involved in each position

Additional Comments: Please include any other experience, hobbies, etc that you feel qualifies you.

You must read and un-check each incorrect box before submitting.

By checking this box I certify that I am the person whose name appears on this application and that all the information I have provided is complete and accurate to the best of my knowledge. If approved, I agree to observe all the rules, regulations and conditions set forth by University Consulting (UCI).  

I understand that withholding information requested or providing false information may make me ineligible for institutional registration and enrollment. I understand that I may be held liable to the point of prosecution and that any degree awarded may be revoked by the institution granting said degree including all rights and privileges thereof. I further understand that should such occur I will have no recourse nor any entitlement to any portion of a refund.

I understand University Consulting (UCI) evaluates and recommends students of any race, religion, age, sex, color, handicap, sexual orientation and national or ethic origin to all the rights and privileges, programs, and activities generally accorded or made available to students at the University. It does not discriminate on the basis of race, religion, age, sex, color, handicap, sexual orientation or national or ethnic origin in administering its educational policies, admission policies, or other University-administered programs.

I authorize University Consulting (UCI) to utilize any and all public means available to verify the information contained herein. I UNDERSTAND University Consulting (UCI) WILL NOT CONTACT MY EMPLOYER OR ANY PREVIOUS EMPLOYER WITHOUT MY DIRECT CONSENT.

If approved for my requested degree(s) I will be ready to process in:

My 1st Choice of the institutions you offer is: 

My 2nd Choice of the institutions you offer is:


Signature       E-mail   
                 (Type your name here)

In accordance with the Electronic Signatures in Global and National Commerce Act (E-Sign), your type written signature constitutes a legal and binding application agreement.

UCI. will advise you of the results of your evaluation in 1 - 3 days


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