Do Not Submit This Form - Time Has Expired

This Form will not be considered received if it is incomplete in any way.

Graduation Deadlines:

June Graduation application must be received no later than March 13, 2017

April 10, 2017 - All dissertations, ministry projects and assignments are due (If mailing, allow time for delivery by April 10, 2017.)  Anything received after this date will delay your graduation until at least December 2017.

April 10, 2017 - Tuition and any outstanding fees must be paid in full.  Tuition or fees received after this date will delay your graduation until at least December 2017.

Graduation Fees are non-transferrable and non-refundable


Graduation dates:   June 9 Banquet/Worship Service

June 10 Commencement (10:00 AM) 

Holiday Inn Airport Convention Center, Evansville, Indiana

* Required fields
Name *
E-mail Address *
Telephone Number *
Cell Telephone Number *
Address *
City *
State *
Zip Code *
Country *
Will You Attend Graduation?
Complete mailing address *
Name As It Should Appear On The Degree *
Identify The Exact Degree Program Completed *
List All Courses You Have Completed For This Degree *
Provide The Title of Your Dissertation or D.Min. Project (If Applicable) *
I am not attending the graduation ceremony, please ship my degree to me. The Cost is: $130 within the USA; $165 outside the USA - Enter the amount. *
Graduation/Regalia Fee for attending the graduation ceremony: (1) Bachelor's - $325.00; (2) Master's - $350.00; (3) Doctoral - $375.00 - Enter the correct amount. (If this degree was previously shipped to you, the cost is $100 less.)
Cap/Gown/Hood Information: Insert your height in feet and inches and weight in pounds. *
Banquet Reservations - Friday, June 9, 2017 - Enter Total number of banquet reservations ($35.00 each). Please indicate if you require a vegetarian meal. *
Credit/Debit Card Number (If Mailing the Form, A check or Money Order must be attached) *
Credit/Debit Card Expiration. *

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