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    Online Evaluation Form

 


 

 

      Provide Details

 

 

 

You have currently chosen to be evaluated for our ‘Doctorate Degree Package’ . To continue with the evaluation process, kindly provide the required information in the fields given below.

 

 

 

 

Select a major for your Doctorate Degree package:*

If your major is not listed above, please enter it here:

 

 

Briefly type the work or life experience that qualifies you for this degree.*

or

You may type/copy-paste your resume here which will help our evaluation committee understand your work/life experience better.

Alternatively, you can browse and attach your resume from below.

 

 

Browse and attach your resume.

 

 

 

 

 

  •Preferred Year of Graduation

 

 

 

Please select your preferred date of graduation from below. If approved, your selected date of graduation will appear on your degree, transcript and other documents included in the package. Currently, March 6, 2006 has already been selected as the date of your graduation. If you wish to select any other year of graduation, kindly select from below .

 

 

 

     Doctorate Degree Package

 

Pre-Selected Graduation Date: March 6, 2006

 

 

 

Your Preferred Graduation Date:      ,

 

 

 

 

 

  •Grade Point Average (GPA)

 

 


Please select your preferred GPA/Grade Status from below. Your selected GPA/Grade Status will be displayed on your Degree and Transcript. A GPA/Grade Status of 3.00 has already been selected for your Doctorate Degree . If you wish to select any other GPA/Grade Status , kindly select from below.

 

 

GPA 3.00

 

 

 

GPA 3.4 – 3.6 (Cum Laude)

 

 

 

GPA 3.61 – 3.89 (Magna Cum Laude)

 

 

 

GPA 3.9 – 4.00 (Summa Cum Laude)

 

 

 

 

  Personal Information

 

  (* indicates the required fields)

Name:*
(Provide the name you want to appear on your Degree and Certificates)

Date of Birth: *
(example: January 14, 1976)

,

E-mail:*
(To make sure that you get timely evaluation result from us, just add our e-mail to your
address book or allowed sender list.

Click here to read the instructions for adding care@belforduniversity.org to your address book)

Alternate E-mail: (Optional)
(Provide an alternate e-mail address where we can contact you. This address should be different from the one given above.)

 

 

  Shipping Information

 

Street Address:*

City:*

State / Province:*


If other than above then Type

Zip / Postal Code:*

Country:*

Telephone Number:*

(Your permanent telephone number)

Ext:  

Telephone Number: (Optional)

(The telephone number of the location where you are currently available, if different from above.)

Ext:  

Fax:

 

 

You may now click 'Submit' button to preview your evaluation details.

 

 

 

 

 

 

 

 

 

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