| 1. |
Last Name: First Name: Middle Name:
Email Address:
Age: Sex:
|
| 2. |
Mailing Address:
Street: City: State: Zip:
|
| 3. |
Permanent Address (if different):
Street: City: State: Zip:
|
| 4. |
Telephone No.: Date of Birth:
|
| 5. |
Social Security #
Height: Weight:
Hat Size: Hair Color: Eye Color:
|
| 6. |
Marital Status: Spouse (Name):
Number of Children:
|
| 7. |
Educational background: Name of High School:
Graduate/GED: Yes No
Year graduated: If not a graduate, show highest year completed:
( 9 10 11 12 )
|
| 8. |
College or Specialized training; ( Yes No )
List College(s) and type(s) of degree(s) presently held:
|
| 9. |
What
type(s) of ministry are you presently involved in? (Be specific)
|
| 10. |
What are your ministry goals?
|
| 11. |
How long have you been a Christian? (Write a brief conversion testimony)
|
| 12. |
Church you presently attend on a regular basis:
Address:
City: State: Zip:
Pastor's Name:
Telephone #
|
| 13. |
Present Occupation:
Co./Org.:
Street: City: State: Zip:
|
| 14. |
Nearest Relative:
Relationship:
Address:
Street: City: State: Zip:
Telephone No.: Telephone No. (Wk/Alt):
|
| 15. |
Degree/Diploma desired: (Choose which you currently plan to apply.)
Diploma in Biblical Studies Associate in Biblical Studies
Associate in Theology Bachelor Master Doctorate
|
| 16. |
Field of Study(s) desired: (Choose the one for which you currently plan to apply.)
Theology (Divinity) Christian Counseling Pastoral Theology
Christian Administration
|
| 17. |
Do you qualify for Advanced Standing Status? (Yes No)
I will send within 10 days a Christian service resume. ( Yes No )
|
| 18. |
I will send a recommendation for enrollment in this Christian College
from my Pastor or Christian leader who has known me for more than one year.
( Yes No )
|
| 19. |
I heard about Kingsway Christian College & Theological Seminary by:
Magazine Adv. Internet Pulpit Helps Personal Reference
If personal reference, give name of person referring:
|
| 20. |
Health Status:
Excellent Generally Good Average Poor
Major Health Problems:
Have you ever been treated for emotional/mental condition? ( Yes No )
If yes, explain:
|
| 21. |
Have you ever been disciplined by a church, a pastor,
or a Christian leader? ( Yes No )
If yes, explain:
|
| 22. |
Do you presently smoke, use narcotic drugs or alcohol; participate in
child molestation, lesbianism, homosexuality, etc.? ( Yes No )
If yes, explain:
|
| |
Your
application cannot be processed until the $25.00
application fee is paid.
Would you like to make this payment now? Yes No |