Harvest Christian University – Honorary Doctoral Degree Vetting Form
Confidential Application for Consideration
SECTION 1: PERSONAL INFORMATION
Name
*
First Name
Last Name
Date Of Birth
*
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Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Professional Title / Industry
*
Years Of Experience
*
Business Or Organization Website
*
SECTION 2: DOCUMENT UPLOADS
Social Media Links: Facebook, Instagram, Etc.
*
Upload a Professional Headshot (High-Resolution Preferred)
*
Browse Files
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of
Upload Your Resume or CV (PDF Format Preferred)
*
Browse Files
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of
SECTION 3: NOMINATION
Name Of Standing Alumni Who Recommended You for Conferment
*
Alumni Referral
Must have at least one referral to the Honorary Doctoral Degree Program. This is to demonstrate your sphere of influence and respect in your space. Referral can come from any professional space that operates with your caliber of professionalism.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
SECTION 4: PERSONAL & PROFESSIONAL IMPACT
Brief Bio Summary (Max 300 words):
*
Why should Harvest Christian University consider you for an Honorary Doctoral Degree? (Min 150 words)
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What do you bring to the University & it's Alumni Network? (Leadership, Faith-Based Influence, Community Engagement, Etc.)
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What do you appreciate most about Harvest Christian University?
*
SECTION 5: ALUMNI COMMITMENTS
I agree to support Harvest Christian University through a monthly and/or yearly donation as part of my Alumni commitment.
*
Yes
I am willing to participate in the Adjunct Professors Program to share my expertise (Optional but encouraged).
*
Yes
No
SECTION 6: CONFIDENTIALITY & LEGAL AGREEMENTS
I understand that all personal information provided is confidential and will not be shared or sold.
*
Yes
I understand that I may not use or reproduce the University’s logos, seals, or intellectual property without written permission.
*
Yes
I agree not to screenshot, record, or duplicate any part of this application or related documentation.
*
Yes
I understand that violation of these terms may result in the cancellation or revocation of my honorary degree.
*
Yes
I am willing to sign a Non-Circumvention & Non-Disclosure Agreement (NCND) and Memorandum of Understanding (MOU) upon confirmation.
*
Yes
I understand the Honorary Doctoral Vetting Fee is $750.00 USD and that once this application is submitted, there is a strict NO REFUND policy.
*
Yes
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Honorary Doctoral Vetting Application Fee
$
750.00
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