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APPLICATION FOR ADMISSION Give us the basic information: Name: ____________________________________________ Address: _________________________________________ __________________________________________________ Date of Birth: ___________   SS#: ________________ Email: ________________________ Sex: (M or F) ____ Home phone: _______________ Work: ________________ Cell phone: _______________ Other: _______________ Denomination: ____________________________________ Church you attend: _______________________________ Pastor: __________________________________________ Phone Number of Pastor: __________________________ Tell us about your education and experience: Do you have a BS/BA degree?  Yes: __  No: __ Do you have equivalent experience? Yes: __ No: __ If you have experience or education that you feel might qualify you for a Masters program, please detail this for us and attach it to your application. Are you fluent in English? Yes: __ No: __ Do you hold other degrees? If so, please list them below: Degree #1: _______________ Year received: _______ Institution conferring: _________________________ Degree #2: _______________ Year received: _______ Institution conferring: _________________________ Degree #3: _______________ Year received: _______ Institution conferring: _________________________ Please give us a brief summary of your work experience, emphasizing your experience in the Christian minisrty. Please attach this summary to your application form.

How we can help: What program would you like to pursue with us? MATS: ____  M.Div.: ____  D.Min.: ____  D.R.E.: ____ Additional comments (Is there anything else we should know?): _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ Use additional pages as attachments as necessary. Please print this form, complete it, and mail it to us. Enclose application fee by check or money order (we would prefer that you not send cash). Our Mailing Address: