Application Form

King Solomon University Application and Registration Form Mail this form to:

King Solomon University Admissions Department 1122 NE 179th ter.

North Miami Beach, FL 33162

Student Information

Emergency Contact

Past Education

Please list all High School and/or College level courses or degrees you’ve taken and/or earned starting from the beginning of your schooling until today.

Fill in this chart or submit on separate sheet.
School Location (city,state) Dates attended Credits Completed Degree Received
From To

Please list all other courses or trainings you’ve participated in from the beginning of your schooling until today.

Fill in this chart or submit on separate sheet.
School Location (city,state) Dates attended Credits Completed Degree Received
From To

Work Experience

Please list all your work experience beginning with your most recent job held. If you were self-employed, give your company name.

School Location (city,state) Dates attended Credits Completed Degree Received
From To
Write brief description of each job listed above. Include all skills needed and used in performance of duties. Mention any written work, computer skills used, work accomplishments or promotions, recognition for performance etc.

Description of Accomplishments, Hobbies, Activities

Please list all hobbies, interests, extra-curricular activities, etc. from the beginning of your schooling until today. Mention any awards or recognition received.

School Location (city,state) Dates attended Credits Completed Degree Received
From To

Once we receive the above information and associated fees, we will assess what degrees you are eligible for, either now or in the near future. At that time you will be required to submit documentation or prove/display proficiency for all competencies that will be used towards your degree. Any skills, courses or trainings needed to supplement additional credits will be arranged on an individual basis to be completed at students own pace..

Sincerely,

Rabbi Peretz Goldenberg

Rabbi Peretz Goldenberg

Religious Dean

Registration acknowledgement:

NON-REFUNDABLE $50 REGISTRATION FEE FOR EACH STUDENT BEING REGISTERED MUST ACCOMPANY THIS FORM By signing below, I indicate my interest in registering for King Solomon University. I understand that registration will not be considered without the registration fee, and cannot be completed unless all financial arrangements are finalized including any prior balances and obligations.

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