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First name

Last name

Date of Birth

Phone (Including Area Code)

Email

Mailing Address

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General Information

First Name

Last Name

Date of Birth

Phone (Including Area Code)

Email

Mailing Address

High School Education

Name of Last High School Attended

Year Graduated

School Street Address

For Transfers Only

Name of Last College Attended

Academic Year Last Attended

Emergency Contact

First Name

Relationship

Last Name

Phone (Including Area Code)

Street Address

Financial Information

Degree Programs

TCTI offers monthly payment plans to students for our degree programs over the course of 12 or 24 months.

Certificate Programs

Certificate fees can be paid through a 4 or 6 month payment plan.

IMPORTANT: Please read before submitting application

All payment plans include the technology & book fee and are non-refundable. An initial installment payment and the $50 Application fee is due approximately 7 business days prior to the start of class. All late payments will receive a $25 late fee. There is no registration fee.

Please see the Course Catalog or contact us at theoschrisma1@gmail.com for more information.

Certification of Signature

I certify that the information provided above is true to the best of my knowledge without any malice or any intention to commit acts of misrepresentation.

I am aware that any false, misleading, or deceptive information provided may lead to withdrawal, expulsion, or any disciplinary action which may be dealt with by the school’s authorities.

Applicant First Name

Applicant Last Name

Applicant Signature*

Today's Date

Thank you for applying to Theos Chrisma Theological Institute!
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Virginia Human Rights/Discrimination Act Clause

Theos Chrisma Theological Institute agrees to safeguard all individuals within the Commonwealth from unlawful discrimination because of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, sexual orientation, gender identity, military status, or disability in places of public accommodation, including educational institutions.