Student Enrollment Form of Mind-Body Medical University (MBMU), International, Psychology Degrees Online, Mind-Body Medicine, Degrees

Student Enrollment Form

Secured Student Enrollment Form

Non Secured Student Enrollment Form

You are welcome to enroll any Online Degree program, certificate program, or continuing education program at the Mind-Body Medical University. The following form is the only form you need to fill out in order to enroll MBMU. No matter you are a new student, transfer student or individual who wants to take classes at MBMU, please fill out this enrollment form first. Our student admission officer will get contact with you to further assist you.

Mind-Body Medical University
Online Program Enrollment Form

Carefully fill in the following form, then click Submit button to submit

Type of Enrollment

Enroll as or for:

New Student
Transfer
Continuing Education
Programs for Certificate, Training or Health Education

Educational Information

Highest education:

Date/Expected Date of Graduation:

School/institution graduated:

School/Institution name, city, country where you graduated from

Major/minor/fields (if any):

Self-estimated school score

(previous school score, A-D) Leave blank if not apply

National college test score

if apply

TOEFL test score

if apply

USA SAT test score

if apply

Highest Education GPA:
if apply

List all schools or educational institutions' name, location, date graduated, fields learned including and beyond high school

Personal Information

First name:

Last name:

Middle Initial:

Birth Date:

US Citizen:

yes no ( if not US citizen, fill in next two boxes)

US visa :

N/A if no US visa

Citizen of country:

Languages:

',' as separator; most preferred first

Home address:

City:

State:

Zip code:

Country:

Phone

Home:

Mobile:

Valid email:

Skype ID:

Application and Support Documents

Online Degree program, certificate program or other programs to enroll:

Upload supporting documents:

If you have support documents such as Copies of diploma, transcript of previous school, score report, etc., you can zip them into one single zip file and upload it by clicking on the button.

If you do not have them, simply skip this. A student adviser will contact you if additional documents are needed.

Upload Photo:

(.jpg; used for student profile) separate window will be opened. After done, close it and back to continue this form.

How have you heard about MBMU

How have you heard about us?.

After pressing Submit button, please be patient to wait until confirmation page shows up. It may take several seconds or longer to complete the process.

Thank you for enrolling at MBMU. We will review your application promptly and respond you by sending you an email to the address or calling you at the phone number you provided in this form.