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ICMT Full Three-Degree Program Application Form

Full Name (as it should appear on your degree)

Primary Email Address:

Street Address

City

State

Postal Code

Country

Work Phone (if applicable)

Home Phone

Best time to call

Please be brief when entering your information in the text boxes below. If more detail or clairification is required in order to process your application, the Admissions Office will contact you.

Family

Education

Work Experience

Company

Position(s)

Duties

Hobbies

Religious Preference (only answer if you choose to do so)

Other Interests

Volunteer Experience

Any Questions?

Comments

TERMS AND CONDITIONS (By checking this box, you certify that you have read, understand and agree to the ICMT Terms and Conditions of Enrollment - Your electronic signature below constitutes a legally binding enrollment contract):

Electronic Signature:

Resource Code (only if applicable, enter below)

** IMPORTANT: This online form is for degree program applications ONLY - and should not be used for any other purpose. In accordance with the ELECTRONIC SIGNATURES IN GLOBAL AND NATIONAL COMMERCE ACT of 2000 (E-Sign), your electronic signature (or mark) on this application constitutes a legal and binding agreement with the college. By digitally signing your name to this form, you certifiy that you have read and agree to the Terms and Conditions as set forth by college. Do not use this form to submit program inquiries.

For questions, please e-mail: admissions@metaphysicscollege.com

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