Application for Readmission
When there is a break in continuous enrollment the student must apply for readmission through the Admissions Office. The student applying for readmission must fill out and sign an Application for Readmission.

1. The completed application form, including additional explanations where required. 
2. Pastor's reference.
3. If you wish to be considered for financial aid, please submit a
     Free Application for Federal Student Aid (FAFSA). http://www.fafsa.ed.gov


All documents should be in the Admissions Office four weeks before classes begin. Your application can only be processed by the Admissions Committee when we have received your readmission application and also a new recommendation from your pastor. Once these two items are received, your application will be processed by the Admissions Committee. If you have any questions about your application, please call toll-free at 1-800-933-3828.

 

 Personal Information
   

 First Name:

 
 Last Name:  
Middle Name:  
  Gender: Male
Female
Address:
City:  
State:  
 Zip Code:  
Home Phone:     
Cell Phone:  
Date of Birth:                        
E-mail Address:
Last Date of Attendance at AIC                        
Marital Status: Married
  Widowed
  Single
  Separated
If married, have you or your spouse been divorced?

Yes  (see Admissions Policy Manual)
No   

If yes, please briefly
explain below:
Name of spouse::
Names and ages of your dependent children
(one per line, please):
Are you a veteran? Yes
No
Are you eligible for
VA benefits?		 Yes
No

Address of parent or nearest relative (other than spouse) that AIC may notify in case of emergency:

First Name:
Last Name:
Middle Name:
Home Phone:
Cell Phone:
Address:
City:
State:
Zip:
   
 Application Information
Application for:

Fall 20
Spring 20

I plan to attend AIC:

Full-time
Part-time

Which degree are you interested in earning?

Bachelor of Arts in Elementary Ed
Associate of Arts in Business
Bachelor of Arts in Christian Ministry

Associate of Arts in Christian Ministry

Have you applied for funding from your tribe? Yes
No
Have you contacted the Financial Aid Office at AIC? Yes
No
If you wish to be considered for financial aid, please submit a
Free Application for Federal Student Aid (FAFSA). http://www.fafsa.ed.gov
I have/will submit a FAFSA on (Date):

This must be done as soon as you decide to return to AIC.

CALL AIC AND ASK FOR THE FINANCIAL AID OFFICE (Ext. 223 )

 Educational Background

Have you attended other Colleges or Universities during the time you were gone from AIC?

Yes
No

If you answered yes, please request an official transcript to be sent to AIC immediately. We cannot give you credit without the official transcripts.

 Church Information

What is the name of the Church you are currently attending?:

Church Phone:

Who is the pastor?

 What church activities are you currently involved with?

 Please write a short summary of your activities since your last date of attendance at AIC. (ie., home, school, community, employment, etc.)

 

 Special Consideration

   

Since leaving AIC have you  been convicted of a crime?           see "Admissions Policy Manual"

Yes
No

Since leaving AIC have you been in jail?    see "Admissions Policy Manual"

Yes
No

 

 

If you checked "yes" to any of the above, please explain below, including dates.

 

 Personal Statement

Statement: My initials below affirm that I am in agreement with the mission and purposes of the American Indian College of the Assemblies of God. I certify that the answers in this application are correct to the best of my knowledge and belief. I understand that any failure to fully disclose all required information may void my application. I further understand that any subsequent determination of dishonesty in the application will be grounds for dismissal from the college.

Date:            Initials:

If you would like a copy of this application, please print before submitting.

        

10020 N. 15th Ave., Phoenix, AZ 85021-2199 | (602) 944-3335 | Fax (602) 943-8299