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MOODY UNDERGRADUATE SCHOOL
Matriculation Deposit Form
We hope that you will accept our offer to join us as a student in the Undergraduate School. To confirm your intention to enroll,
you must submit a matriculation of $350 with this form. We must receive it in the Admissions office no later than the
specified due date in your acceptance letter. Late deposit may result in forfeiture of admission. The amount will be credited to
your first semester’s school bill. Should you decide not to enroll after submitting the deposit, the deposit is not refundable. If
you have questions regarding the deposit or would like to pay by credit card, you may call the Admissions Office at 800-9674624.
Student’s Full Name________________________________________________________ MBI ID#_____________
Address _______________________________________________________________________________________
City_________________________________________________ State_________________ Zip________________
E-Mail _______________________________________________________________________________________
Phone Number _________________________________________________________________________________
Enrolling for location (circle one)
MBI Spokane
If you choose Spokane, circle a program
or
First Year Online
- BA in Biblical Language
- BA in Biblical Studies
- BA in Youth Ministry
- BA in Intercultural Ministries
- BA in TESOL
-BA in Biblical Exposition-Interdisciplinary
The amount of $ _______________ is enclosed in the form of (circle one)
check
money order
It is understood that should I decide not to enroll at Moody, the matriculation deposit is not refundable.
Student’s Signature__________________________________________________Date_____________________
Cancellation of Admission
I wish to cancel my admission to Moody Bible Institute at this time.
I understand that I am free to seek admission in the future.
Signature______________________________________________________Date_________________________
If you are canceling your admission, please complete the following:




Attending a secular college/university
Not enough financial aid
Better program elsewhere
Other___________________________________



Attending another Christian
college/university
Received more financial aid elsewhere
Change of plans
Please return this form to:
Admissions Office, Moody Bible Institute, 820 N LaSalle Blvd, Chicago IL 60610
MBI Spokane or FYOP