Application / Registration For Accredited Courses

ZOLLIKON INSTITUTE / Admissions / Accredited Courses Application

Application For Admission

Zollikon Institute’s accredited courses are offered in partnership with Malone University. These are core courses may be applied towards most Malone degree programs and will include but are not limited to the listed courses. The accredited courses have the same expectations as all other Malone University courses and are taught by instructors who support the culture of the plain Anabaptist community. Accredited courses may be taken for both high school and college credit through dual enrollment.

Student confidentiality is important to us. Zollikon’s accredited courses will follow all normal Malone protocol. Zollikon/Malone student grades for accredited courses are sent directly by the course instructor to the Registrar’s office located on Malone’s main campus in Canton, Ohio.

Please complete this application digitally and upload the supporting documents to inquiries@zollikon.org.

Accredited Courses Application

Name(Required)

First Last

Middle

Maiden Name

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Male/Female(Required)

Female

Male

Date of Birth

EQUAL OPPORTUNITY POLICY:

Zollikon Institute admits students of any race, color, religion, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students of Zollikon Institute. It does not discriminate on the basis of race, religion, color, sex, national and ethnic origin in administration of its educational policies, admissions policies, scholarship programs, and other school-administered programs.

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ACCREDITED COURSES:

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Course Selection:

ENG 145 - Instructor Stuart Mullet T-Th January 9 — May 6, 2023 1:30 – 2:45 p.m.
ENG 231 - Instructor Stuart Mullet T-Th January 9 — May 6, 2023 3:00 – 4:15 p.m.
HIST 250 - Instructor Marcus Yoder T-Th January 9 — May 6, 2023 4:30 – 5:45 p.m.

ENG 145 – ENGLISH COMPOSITION 3 semester hours

ENG 231 – INTRODUCTION TO CREATIVE WRITING 3 semester hours

HIST 250 – MOMENTS IN WESTERN CHRISTIANITY 3 semester hours

ENG 145 – ENGLISH COMPOSITION 3 semester hours

Price:

ENG 231 – INTRODUCTION TO CREATIVE WRITING 3 semester hours

Price:

HIST 250 – MOMENTS IN WESTERN CHRISTIANITY 3 semester hours

Price:

Course Selection(s) Total

Colleges and universities are asked by the federal government, accrediting associations, college guides, newspapers, and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees. This section is optional. No information provided will be used in a discriminatory manner.

Do you consider yourself to be Hispanic/Latino? (Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

Yes

No

Of these racial categories, which best describes you? Select one or more.

American Indian or Alaska Native - (having origins in any of the original peoples of North and South America, including Central America, and maintaining a tribal affiliation or community attachment)

Asian (having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)

Black or African American (having origins in any of the Black racial groups of Africa)

Native Hawaiian or Other Pacific Islander (having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)

White (having origins in any o the original peoples of Europe, the Middle East, or North Africa)

Have you ever been convicted of any crime, under civilian or military law, other than minor traffic violations (or are you currently under indictment of prosecution for any such crime?

Yes

No

Briefly explain

PARENT INFORMATION:

Name

Relationship

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

RELIGIOUS AFFILIATION

ENROLLMENT:

When do you anticipate enrolling in classes?(Required)

Spring 2023

Summer (S1) 2023

Summer (S2) 2023

Fall 2023

ACADEMIC INFORMATION:

High School

Year of Graduation

Other institutions of higher education since high school:

Name of School

City

State

Zip

Dates Attended

Degree

Name of School

City

State

Zip

Dates Attended

Degree

PARTICIPATION IN THE MALONE COMMUNITY

Name

Relationship

Years Attended

Graduated

Yes

No

Graduated

Yes

No

City/State

PARTICIPATION IN THE MALONE COMMUNITY

ZOLLIKON COMMUNITY COVENANT

I have read the Zollikon Institute Covenant and agree to support these statements while a part of the Zollikon community. I will seek to fulfill my responsibilities with an attitude of innovation, mutual respect, and rigorous academic discipline that is both life-giving and peace-driven. I commit to being a part of a community of scholars built on a foundation of historic Christianity made manifest in a two-kingdom theology, and the priesthood of all believers, as manifested in early Chrisitian and Anabaptist theology and perspective.

• CLICK TO REVIEW THE ZOLLIKON COMMUNITY COVENANT

I affirm and have submitted the Zollikon Covenant.(Required)

Yes

No

Name(Required)

First Last

Date(Required)

EVENING MEAL:

Do you plan to attend the evening meal from 5:45 – 6:10(Required)

Yes

No

DOCUMENTS UPLOAD

Your readiness for Zollikon Institute courses in partnership with Malone University will be evaluated on the basis of these documents. Please send or attach copies of any of these documents you have. If they are not available, please contact us at the number listed below.

ACT

SAT

CLT (Classic Learning Test)

High School Transcript (these can be from a public, private or homeschool high school experience)

GED

File

Max. file size: 256 MB.

File

Max. file size: 256 MB.

File

Max. file size: 256 MB.

Accredited Course Application Fee

Price:

Total

Credit Card Billing Information

Credit Card(Required)

Name as it appears on card

Card Details

Billing Name(Required)

First Last

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Billing Email(Required)

Billing Phone(Required)

Online Tuition Payments

If you have any questions about the application/registration process for Zollikon Institute Professional

Development courses, please contact Zollikon Institute at inquiries@Zollikon.org or call 330.390.4142.

Malone has an established policy of equal academic and employment opportunity. This policy is applied to all qualified students, employees, and applicants for admission or employment, in all programs and activities, without regard to race, color, religion, national origin, sex, age, disability, or veteran status, as defined and required by law.

P.O. Box 283
Berlin, Ohio 44610
330-390-4142
zollikon.org

2600 Cleveland Avenue NW
Canton, Ohio 44709
330-471-8145
www.malone.edu

Contact us today to find out how you can begin.

Email: inquiries@zollikon.org

Office: 330.390.4142