Last Name:

First Name:

Middle Initial:

Social Security Number:
(if applicable)

Date of Birth:

(Day/Month/Year)

Time of Birth:

AM or PM:

Place of Birth:

(City, State, Country)

Address:

Apt #:

City:

State:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Country:

Zip/Postal Code

Country Code:

(if outside of USA)

Telephone:

Email:

Current Education Level:

High School Graduate:

Yes No

Bachelor's Degree:

Master's Degree:

Doctorate Degree:

Colleges Attended:

List the school, city, state, major, degree and dates.

Official transcripts from each of the above schools are to be sent directly to Florida Vedic College and must be on file prior to start of classes. High School transcripts are not necessary for those applying to the Masters or Doctoral programs.

Please list any previous training or education in Indian Religions & Vedic Philosophy:

Are you an Astrologer?

Yes  No

A Psychic Counselor:

Yes   No

Other?:

Are you currently a practitioner of Western Astrology?:

Yes   No

Please list your reasons for wanting to take this Vedic Astrology Course:

I have carefully read the "Financial Information" in the college catalog, and I agree to abide by all the policies set forth therein.

Application Fee:

In order to complete your application to Florida Vedic College you need to send in your application fee of $60.00. This can be paid by Paypal; by posting the following web address into your browser.

https://www.paypal.com/xclick/business=mbuddhi%40cs.com&no_note=1&tax=0&currency_code=USD

If copying the form to send by fax or mail, Please include your check for $60.00 for the application fee.

All applications without application fee will not be reviewed for entrance to our College

By choosing "Submit Application" you authorize Florida Vedic College to draft your credit card for the amount shown on this form. You acknowledge that you are the owner or authorized signer on the credit card information entered in this form. Your order will be processed through electronic credit card deposit.. Please make sure you remember to write down that you paid by credit card the application fees..

NOTE: If you send application fee by check/mail : All NSF returned checks will be subject to a $25.00 processing fee.

I agree to abide by my best character if accepted as a student in Florida Vedic College..

I do here certify to the best of my knowledge, all of the above answers and statements in this application are true, and give an accurate and adequate account of my background and beliefs.

To Authorize Please Type "I Agree" Here: