2017 Antioch Institute Registration Form

"I certify the information supplied on my application form is true and accurate. I hereby give permission for Antioch Experience Institute-Fort Washington satellite school of Pillsbury-Scarborough Bible College & Seminary to verify and confirm any of the information provided on this form and supporting documents. All work transmitted to Antioch Experience Institute-Fort Washington is my own, except where clearly stated to the contrary. I understand and accept that if at any time it is demonstrated that I have misrepresented myself or my work, I may be dismissed from Antioch Experience Institute-Fort Washington with no refund of fees paid and any degree(s) awarded to me may be rescinded."