Christian Studies Graduate Program Application

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Personal Information

Fields marked with * are required.

First Name *

Middle Name

Last Name *

Suffix (e.g., Jr.) or Former Name

Address *

City *

State *

ZIP Code *

E-mail *

Cell Phone *

Alternate Phone

Gender *

Male

Female

Age *

Date of Birth (MM/DD/YYYY) *

Marital Status *

If married, name of spouse

Year of Marriage

Ethnicity (Optional)

Citizenship *

Enrollment Data

Which degree will you pursue? *

Master of Arts in Theology and Ministry

Master of Arts in Youth Ministry

Entry Term *

Anticipated Date to Complete Degree

High School Data

Date of High School Graduation *

High School (name and address) *

Emergency Contact

Emergency Contact - First Name *

Emergency Contact - Last Name *

Relationship *

Phone *

Alternate Phone

Address *

City *

State *

ZIP Code *

General Information

Church Affiliation *

Current Church Membership *

Current Ministry Position (if applicable)

Pastor’s Name

Church Location *

Are you interested in pursuing vocational Christian ministry?

Yes

What type of ministry? *

Personal Information

Enrollment Data

High School Data

College/Academic Record

Emergency Contact

General Information