Apply Questions? Apply2 NOTE: All information you provide will be transmitted to us encrypted and will be handled by us in complete confidentiality and in accordance with the Family Educational Rights and Privacy Act ("FERPA") of the United States of America. Re-type your email to continue * Educational Experience List all the schools that you have attended (regardless of whether you earned a degree or credits). For each school, provide (1) the name of the school, (2) the city, state/province and country where the school is located, (3) when you attended the school, (4) degree received, if any, (5) date you received the degree, and (6) GPA (Grade Point Average). If you need space to insert more schools, click the "⊕ Add" button. Schools Name of School * City * State/Province * Country * When attended * From (month/year) * To * To (month/year) * Degree Type * Type N/A if no degree received Degree Date (month/year) * Type N/A if no degree received GPA (Grade Point Average) * Type N/A if unknown Add Remove Have you listed every college/university you have attended whether you earned a degree or credits? * Yes No Have you ever received disciplinary action from any colleges/universities attended? * Yes No If yes, explain below Professional Counselor Experience Do you have a government issued professional counseling license? * Yes No If yes, please list all government issued professional counseling licenses that you have. How many clients have you counseled in the past (approximately)? * None 1 - 10 11 - 50 More than 50 Are you currently counseling clients? * Yes No If yes, where do you counsel clients? Employment History List your employment history. Begin with your current or most recent employers. For each employer, provide (1) the name of the employer, (2) the city, province/state and country where you worked, (3) your date of employment, and (4) your position in the company. If you need space to insert more employers, click the "⊕ Add" button. Employers Name of Employer * City * State/Province * Country * Date of employment * From (month/year) * To * To (month/year) * Your job * Add Remove Additional Information Have you been convicted of a crime other than a traffic violation? * Yes No If yes, explain below Do you have any concerns about the use of technology for online learning? * Yes No Do you have any other concerns (e.g., time constraints) that you would like to discuss? * Yes No Financial Aid As a private institution, Biola University has limited resources for financial assistance. Do you plan to apply for limited scholarship funds available for this program? * Yes No If yes, enter the potential amounts of funds (in United States Dollars) available to you for the whole program from each source listed below: Personal Savings Family Support Gifts and Loans Your Job Other (specify) Professional Standards and Conduct The academic programs at Rosemead seek to promote the highest standards of ethical and legal professional standards of counselor conduct. Students who do not meet the professional and ethical standards of Rosemead’s programs are subject to dismissal from the program. I will maintain these professional standards. * Yes No Articles of Faith Please read the Biola University Articles of Faith and Theological Distinctives (www.biola.edu/about/doctrinal-statement). In making application to become a student at Biola University a student must affirm the following seven core theological components of Biola's Articles of Faith: Belief in the Trinity Belief in the full deity and humanity of Christ Belief in the spiritual lostness of the human race Belief in the substitutionary atonement and bodily resurrection of Christ Belief in salvation by faith in Christ alone Believe in the physical return of Christ Belief in the authority and inerrancy of Scripture Do you affirm these seven core theological components? * Yes No Each student must affirm that he or she has read the above document, and desires to study in and be spiritually informed in an environment where these positions are embraced and taught. Do you affirm this? * Yes No Community Standards for Graduate Students Biola reserves the right to dismiss a student who, in its judgment, does not conform either to the stated regulations governing student conduct or the expressed principles, policies, and programs of the University. I pledge myself to abide by the regulations of the administration and faculty; to protect the good name of the school; to preserve and protect the physical properties of the University; and to cooperate with all members of the University family in maintaining a spirit of Christian fellowship. Biola University has a long recognized value in maintaining certain behavioral standards that contribute to the atmosphere on campus, foster fellowship with a wide range of Christians and, in many instances, assist in strengthening our Christian testimony to our community. In this light, Biola asks its students to be supportive of this standard. Please read the Community Standards for Graduate Students (studenthub.biola.edu/biola-community-standards) and indicate your intent to abide by these agreements. Will you abide by these Community Standards while enrolled at Biola University? * Yes No Certification Please affirm the following before you submit your application. Do you certify the following? I understand that once my application has been submitted it may NOT be altered in any way. * Yes No Do you certify the following? I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false. * Yes No The electronic signature consists simply of your name, typed by you on your keyboard. The signature is your confirmation that the application you have filled out is your own work and the information is factually true. Once you type in your name, this will count as your electronic signature. Signature * Signature Date *
