Admission Form

Applicant Information

Application Date

Applicant Name*

Email*

Address

Nationality

Home Phone

Work Phone

Cell Phone

Birth Date

Status

Marital Status

Birth Place

Date of Marriage / Prospective Date

Spouse Name

Spouse Birth Date

Children (Name and Age)

Passport Information

Name on Passport

Citizenship

Passport Number

Issue City/Country

Issue Date

Expiration Date

Emergency Contact

Name

Relationship

Phone Number

Address

City / Country / Zip

References

Type

Name

Phone Number

Relationship

Address

City / Country / Zip

Type

Name

Phone Number

Relationship

Address

City / Country / Zip

Type

Name

Phone Number

Relationship

Address

City / Country / Zip

Church Information

Church Name

Denomination

Pastor's Name

Church Address

Phone

Fax

Is your Pastor in agreement with your plan?

How long have you attended this church?

Relationship with Pastor

Application Questions

1. How did you hear about us? 2. Why do you want to be a minister? 3. What do you believe is the ethical implication of being a minister? 4. What area of ministry attracts you? 5. What does the statement “We are all ministers” mean to you? 6. What previous area of interest do you see yourself integrating with your ministry experience? 7. In the past 12 months, what experiences have you had, such as seminars, workshops, books, or tapes? 8. What are you expecting from the ministry in terms of educational knowledge, practical knowledge, and personal growth? 9. Give a brief description of your religious/spiritual background to present. 10. Describe your professional and educational history, including highest level achieved and any current licenses or certifications. 11. Evaluate yourself as a ministry applicant. What areas of expertise do you have and how do you see the ministry enhancing your skills? 12. Do you have any health consideration we need to be aware of or any food allergies? 13. Describe your mental/emotional health history, such as therapy, hospital, or medical treatment. 14. Do you have any criminal history? Please list the charge or conviction, time served, probation, or parole. 15. Please list your employment history, including employer name, address, phone number, and your duties.

Education History

School Name

City & State

Years Attended

Degree Earned / Area of Study

Seminary & CEU History

Seminar / Training Name

City & State

Years Attended

Certificate / Hours Earned

Military History

Branch of Service

Years of Service

Total Years Served

Commission upon Discharge

Status of Discharge

Position and Duties

Employment History

Employer Name

Address

Phone

Duties

Permissions & Agreements

I give permission for the university to distribute the student's class list including my address and phone number for student coordination purposes. I give permission for the university to conduct criminal, employment, and reference background checks. I understand the tuition/payment requirements for minister courses. I understand the tuition/payment requirements for other applicants. I understand all tuition and fees are considered donations, are tax deductible, and are non-refundable.* I release Smith's Christian University, its staff, agents, and volunteers from liability arising from injury, damage, or loss during my involvement.* I understand the Privacy Protection Policy Act requirements and confidentiality obligations.*

Applicant Signature (Type Full Name)*

Signature Date*

Parent / Guardian Signature (if under 18)

Guardian Relationship

Email Settings

Send copy to applicant?

Additional Admin Email (optional)

Smith's Christian University Application

Program Selection

Applicant Information

Passport Information

Emergency Contact

References

Church Information

Application Questions

Education History

Seminary & CEU History

Military History

Employment History

Permissions & Agreements

Email Settings

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