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Century University Distance Education degrees

CERTIFICATE COURSE
APPLICATION
 

Admission Procedures

Complete the following CERTIFICATE COURSE APPLICATION
in its entirety to apply for enrollment into one of American Century University's Certificate Courses. Do not use this application if you are applying for one of our Degree Programs. Use the Degree Program Application instead.


All applicants must submit the following:
 

The completed application or enrollment form.
College/University transcripts. Student copies or photocopies if available. Official transcripts sent directly from the schools you attend will be required within 60 days of your enrollment.
Documentation of the successful completion of any specialized training programs (degree related) that you are requesting credit for.
Current resume - curriculum vitae or the University Information Form
The quoted amount for the selected course in US $ using a credit card must be submitted before the application can be processed.
Submit the initial payment in US$ by wire, money order, or personal check; also by credit card from USA or Canada only.
The Application will be processed when the above requirements have been met.

Our goal in admission at American Century University is to make sure American Century University is right for you and you are right for American Century University. We work with you to gather the information necessary so you and American Century University can make the right decision.

All tuition fees are subject to change.
 
Personal Information

 
 
Date		  
Email Address
Surname/Family Name

Given Name
Middle
Maiden Name
 
Address
City
State


Country


Postal Code


Date of Birth


Age

Married Single
Martial Status

Male Female
Gender


Country of Birth


Citizenship 


Work Phone


Home Phone


Best Contact Time
Fax


What is the Certificate Course for which you are making application?

 

Occupational History
 


Present Employer


Position
Address

  
City


State
Country

 


Postal Code

  
 
Education History


Select Highest Level   

 
High School Graduate or GED?
Yes  No
High School
City


State


Graduation Date

 
 
Specialized Training



Prerequisite Requirements: Please email your resume and all available documentation to century@centuryuniversity.edu.  Photocopies are acceptable for evaluation.

 
Schools/Seminars
Attended		 Location Dates No. of
Class Hours		 Diploma/Cert.
1.
2.
3.
4.
 

What is your reason for seeking a certificate through the university?
 
 
CAREER ADVANCEMENT 		 
PROFESSIONAL RECOGNITION		  
INDEPENDENT STUDY		  
HIGHER INCOME

 
  OTHER (EXPLAIN)
 		What languages do you speak other than English?
 
 
Please check the appropriate boxes below to indicate when each of the items will be sent to American Century University.
 
Fill in Appropriate Information Previously Sent Dates To Be Sent
A. Resume - Curriculum Vitae or The University Information Form Send with the application
B. High School Diploma or GED
C. Prerequisite Requirement Documents
 
Upon receipt by the university of your application, your application will:
(Foreign Applications will be handled via airmail, e-mail, or fax.)
  • Be reviewed by an evaluation counselor for a certificate course evaluation.
  • Following the evaluation, the counselor will call you to advise you of the results of your evaluation. You will be asked if you concur with the evaluation and if you wish to proceed with the certificate course and have your application for admission submitted to the Admissions Committee.

The Admissions Committee meets weekly. Your application will be submitted at the next committee meeting.

  • If your application is accepted by the university, you will be notified by telephone and also by a letter from the President of the university.
  • Your deposit will be fully refunded if you are not accepted.
  • Once accepted, if for some reason you decide not to pursue the certificate course, you must advise the university in writing within 5 working days of your written acceptance to receive a full refund of your deposit.
  • If after 5 working days you should decide not to pursue the certificate course, refer to the tuition refund policy stated in the university’s general catalog.
 

Total tuition for certificate course is:

 (Check appropriate boxes - see catalog for detailed information. All prices in US Dollars.)
 
Medical Coding: CPT Diagnosis Certificate Course $1,598 Medical Terminology Certificate Course $1,393
       
Medical Coding: ICD-9-CM Diagnosis Certificate Course $1,393 Medical Transcription Certificate Course $1,598
       
Medical Spanish Certificate Course $1,393 Pharmacy Technician Certificate Course $1,393
NOTE Certificate courses are designed to be completed in a minimum of five (5) monthly payments (starting second month of schooling) of $139.00 per month, at the beginning of each month.

 
Plans



A PAYMENT OF IS REQUIRED
 
Tuition for Medical Coding: CPT Diagnosis or Medical Transcription:
  PLAN 1
 Pay in full $1,598.00 at the time of application and receive a 10% discount.
PLAN 2
 Pay $798.00 down payment at the time of application and five (5) monthly payments (starting second month of schooling) of $160.00 per month, at the beginning of each month.
 
  Tuition for Medical Coding: ICD-9-CM Diagnosis, or Medical Spanish, or Medical Terminology, or Pharmacy Technician:
    PLAN 1
 Pay in full $1,393.00 at the time of application and receive a 10% discount.
  PLAN 2
 Pay $698.00 down payment at the time of application and five (5) monthly payments (starting second month of schooling) of $139.00 per month, at the beginning of each month.
 

APPLICATION INITIAL PAYMENT INSTRUCTIONS:

To pay the initial payment in US$ by wire; or by credit card from USA or Canada only. Please contact us at the following: 

Telephone:  (505) 889-2711
Fax:              (505) 889-2750
E-mail:         century@centuryuniversity.edu

To pay the initial payment in US$ by money order or check please utilize the following address:

American Century University, INC
2201 SAN PEDRO NE
BUILDING 3-220
ALBUQUERQUE, NM  87110 USA
 

 

No interest or finance charges for extended payment plans. All tuition must be paid prior to graduation.

Credit Card Authorization Form
I hereby consent to allow the university to list my name, city, degree, program, and employer’s name as “Directory Information” as defined by the Family Education and Privacy Rights Act, Title 20, United States Codes, 1232g, Subdivision (5) (A).
 
All questions I have asked have been answered by a representative of the university and I am satisfied with the answers given. I understand that the university is licensed with the State of New Mexico in compliance with Education Codes, 1978 21-23-1 to 21-23-15.
 
I certify that all information contained in this application is true, complete, and correct to the best of my knowledge and belief, and that all academic work I submit for my certificate course will be entirely the result of my own efforts, except for the use of text editors or translators if needed.

 
The Institution is legally approved to award certificates to all students who meet graduation requirements as set forth.
 
Comments:
 
 

If you would like to request a American Century University Catalog featuring
our Distance Learning Degree programs, click here.

American Century University
2201 San Pedro NE
Building 3, Suite 220
Albuquerque, NM 87110

Tel: 505.889.2711
Fax: 505.889.2750
century@centuryuniversity.edu

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