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APPLICATION FOR ADMISSION

Resource Center
 
       
Name
Address
Sex Male Female
City Phone
Day Evening
State E:mail
Zip    
Materials Preferred in: English Spanish  
Certificate of Theological Studies (1 Year) | Master of Theological Studies
Associate of Theological Studies (2 Years) | Doctor of Ministry in Theological Studies (D.Min.)
Ministerial Diploma (3 Years) | Doctor of Philosophy in Theological Studies (Ph.D.)
Bachelor of Theological Studies (4 Years) |Above degrees with an emphasis in:
 
Theology
GENERAL INFORMATION
 
1. Single    Married   Divorced    Widowed
2. Are you an active member in your church? Yes No
3. Do you serve in a church position? Yes No                     Position                     How Long?
Name and address of the church you attend
Pastor's Name                     Pastor’s phone
 
ACADEMIC HISTORY
High School   
Location   Graduation date
College or Bible Institute    Degree:  
Location    Graduate Date
Graduate or Professional School    Degree  
Location   Graduation date
Major      Minor 
Academic achievements and/or honors
 
This information is requested for the purpose of reporting to the Federal Compliance Agencies only
and will not be used in determining admission status. Completion is voluntary.
Place of birth Date of birth
Check ethnic origin Americal Indian   Asian or Pacific Islander    Hispanic     Afro-American   Afro-American
 
REFERENCES
REFERENCE1
Name
Address
City
State
Tel
REFERENCE2
Name
Address
City
State
Tel
   
 
Electronic Signature     Date
 
By providing your electronic signature you state that you are the person submitting the application for admission and that all the information is true and correct to the best of your knowledge.
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