Last Name:

_______________________________________________________

First Name:

_______________________________________________________

Middle Initial:

_______________________________________________________

Social Security Number:
(if applicable)

_______________________________________________________

Date of Birth:

 _____________________________ (Month/Day/Year)

Ethnic Origin:

_____________________________ (HEW Statistics Only)

Address:

_______________________________________________________

Apt #:

_____________

City:

_______________________________________________________

State:

_______________________________________________________

Country:

_______________________________________________________

Zip/Postal Code

_______________________________________________________

Country Code:

____________________ (if outside of USA)

Telephone:

_______________________________________________________

E-mail:

_______________________________________________________

Schools Attended:

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

High School:

_______________________________________________________

College:

_______________________________________________________

University:

_______________________________________________________

Other:

_______________________________________________________

Please submit official transcripts from each of the above schools to be sent directly to Florida Vedic College. High School transcripts are not necessary for those applying to the Masters or Doctoral programs.

Check the Degree Program for which you are applying:

    Associates Degree in Vedic Arts

    Bachelors Degree Program in Vaishnava Philosophy

   Master Degree Program in Vedic Arts

   Doctorate of Holistic Health Program

    Associates Degree Program in Dhanvantari Ayurveda

  Doctorate Degree Program in Dhanvantari Ayurveda

   Bhaktisastri Degree

   Bhaktivaibhava Degree

   Masters Degree Program in Vedic Philosophy

   Masters Degree Program in Vedic Administration & Non Profit Management

   Vedic Astrology Bachelors Degree Program

   Doctorate of Divinity Degree Program in Vaishnavism

   Not interested in pursuing a degree only wish to take independent classes for personal development.

Are you a member of a Vedic Denomination? If so, which one?

If you belong to an independent or non-denominational fellowship, which denomination best represents your beliefs?

______________________________________________________________________________________________

What are your beliefs about the Vedic Scriptures?

_______________________________________________________________________________________________

Why do you wish to take classes or pursue a degree with FVC?

_______________________________________________________________________________________________

Comments:

_______________________________________________________________________________________________
_______________________________________________________________________________________________

Financial Understanding:

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

Yes No

Application Fee:

There is an application fee of $60 US Dollars to cover the cost of processing that must be submitted with this application.

Payment Method:

  Check  Credit card     
Make check payable to Florida Vedic College, payable in US Dollars only.

For Credit Card Payment Only

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 submitting this 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 Pay Pal.. 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 understand that the Holistic Health or Ayurveda degree I receive from Florida Vedic College does not qualify me to practice medicine, nor does it guarantee employment for my behalf. I agree to use my knowledge and Degree according to the applicable laws in the state where I reside.  These degrees are for education purposes only, and not meant to be a substitute for regular  medical care, nor are they intended to provide treatment or prescription for any disease.  By agreeing to the statement below, I certify that I have read ,understand and agree to this statement.

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.

_______________________________________________________