D.Ed.Min. Application Request

Submit the completed form to the Office of Professional Doctoral Programs. This information will initiate the application process that culminates with a decision by the Professional Doctoral Oversight Committee when all requirements have been met.

Full Name:
Address:
City, State, Zip:
Country: (If not U.S.)
Daytime Phone:
Email:
Fax:
Date of Birth:
Marital Status:
Denomination:

Ministry:
Present place of ministry involvement:
Ministry Position:
List the extent of your experience in church or ministry vocation:
(Please include the Name of the Church/Agency, Location, Dates and Position Held)

Program Intent:
When do you plan to enter the program?

Fall (September)
Winter (January)
Spring (May)
Year:

Education:
List the full extent of your study in institutions of higher education:
(Please include the Institution name and location, Dates attended, Degree/Year received, and GPA)

Specializations:
Please enter your top three specialization preferences:



If you chose "User-driven" please tell us what is your area of interest?
How did you hear about us?

Brochure
Internet
Journal/Magazine Ad
State Paper Ad
Friend in Program
Other