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

Are you an Architect? :

Yes   No

Other Building Professional?:

Are you currently a practitioner of Feng Shui?:

Yes   No

Please list your reasons for wanting to take this Vasati Course:

Tuition Costs:

Application Fee:
(mandatory for all students)

$60.00

Entrance Examination:
(if required)

$75.00

Retake of Final Exam:
(if needed)

$50.00

Associates Degree:

$1600.00

Bachelor Dgree:

$3200.00

Master Degree:

$4800.00

Doctorate Degree:

$6999.00

Only the application fee must be submitted with this application however you may pre-pay if you so choose. I understand that if my application is accepted an invoice will be sent for 30% of my total tuition, which will be immediately due Florida Vedic College. The remaining portion of my tuition must be paid PRIOR to the commencement of the course.

                          Amount Paid        

Payment Method:

Please Select Personal Check Business Check Mastercard American Express VISA

For Credit Card Payment Only

Account Holder Name:

Account Number:

Expiration Date:

Address on Card:

If paying by personal or business check please use the following diagram as a guide:

Bank Information:

Bank Name:

Address:

City, State & Zip Code

Phone Number

Check Information:

Account Holder Name:

Account Number:

Check Date:

Check Number:

Check Amount:

Transit Code:

Routing Number:

By choosing "Submit Application" you authorize Florida Vedic College to draft your bank account for the amount shown on this form. You acknowledge that you are the owner or authorized signer on the account information entered in this form. Your order will be processed through your local bank as a normal check, and your account will never be accessed electronically. After you have entered the information, there is no need to send the check. Simply write the ordering information in your checkbook, just as if you had sent it in.

NOTE: All NSF returned checks will be subject to a $25.00 processing fee.

To Authorize Please Type "I Agree" Here: