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:
First Choice
Christian Education
Christian Theological Heritage
Church Health
Church Planting/Missions
Collegiate Ministry
Denominational Leadership
Evangelistic Church Growth
Expository Preaching
Leadership and Administration
Pastoral Counseling
Pastoral Work
Singles Ministry
Spiritual Formations
Student Ministry
Worship Studies
Non-specialization
User Driven
Second Choice
Christian Education
Christian Theological Heritage
Church Health
Church Planting/Missions
Collegiate Ministry
Denominational Leadership
Evangelistic Church Growth
Expository Preaching
Leadership and Administration
Pastoral Counseling
Pastoral Work
Singles Ministry
Spiritual Formations
Student Ministry
Worship Studies
Non-specialization
User Driven
Third Choice
Christian Education
Christian Theological Heritage
Church Health
Church Planting/Missions
Collegiate Ministry
Denominational Leadership
Evangelistic Church Growth
Expository Preaching
Leadership and Administration
Pastoral Counseling
Pastoral Work
Singles Ministry
Spiritual Formations
Student Ministry
Worship Studies
Non-specialization
User Driven
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