APPLICATION FORM FOR HONORARY DOCTORATE AND SPONSORING MEMBER - ALUMNUS STATUS

We would love to get to know you

Your Full Name (required)

Street Address

Address 2

Your City

Your State

Postal Code

Country (required)

Phone Number (Country Code)
If possible please use mobile phone so we may also send you sms text.

Your Email (required)

Educational Level (required)

List any and ALL other facts or accomplishments about you

First select which title you feel your accomplishments best merit:

Choose level of "Honorarium contribution" all donations of $2,500 or more will be given lifetime "Sponsoring member and Open University International On-line Alumnus" status. The office of Academic Administration and Registrar’s office must process your honorary doctorate and the university requires your minimum Honorarium of $1,500.

Send along a resume or brief autobiographical sketch. Tell us about yourself, your education, your abilities, talents, accomplishments, etc.
You may choose to send copies of that which you have written or that which was written about you. (Any documents, photos, videos, tapes, papers, objects, etc)

Please select if you require financial aid. Office of Registrar will respond to you.NoYes

** Once you submit your application, we will send you an invoice that will allow you to make payment on-line with any major credit or debit card .Alternative arrangements can also be made with Western Union, Money Gram and Direct Bank Transfer.