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Application Form

Application Form

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Published by David Petre

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Published by: David Petre on Oct 12, 2012
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10/12/2012

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APPLICATION FOR ADMISSION
PENTECOSTAL THEOLOGICAL SEMINARY
900 Walker St. NEP.
O.
Box 3330Cleveland, TN 37320-3330PhoneFaxWeb Site800-228-9126; 423-478-7725423-478-7711www.ptseminary.org
 Attach a recent  passport size photograph here
PROGRAM OF STUDY DESIRED
 
___ Master of Divinity (89 hrs)
___ Bible Studies___ Chaplaincy___ Children's Ministries___ Community Development & Urban Care___ Counseling /Marriage and Family___ Discipleship and Christian Formation___ Historical Studies___ Ministry Leadership___ Theological Studies___ Youth and Family Ministry
___ Non-Degree Seeking
 
___ Master of Arts in Discipleship & Christian Formation (60 hrs)
___ Children’s Ministry___ Discipleship Ministries___ Family Ministry___ Leadership Development___ Spiritual Formation___ Youth Ministry
___ Master of Arts in Church Ministries (54 hrs)
___ Discipleship and Christian Formation___ Ministry Leadership
___ Master of Arts in Counseling
___ General Master of Arts track (54 hrs)___ Licensure Preparation Program (LLP; 91 hrs)
 
Is this a
( ) New Application? or ( ) Readmission Application?
Anticipated Entrance Year
: 20______
Anticipated Entrance Term
(circle one): Fall Spring Jan. June July
Location of study
: ( ) Main Campus ( ) Distance Education/Online
BIOGRAPHICAL INFORMATION
Family/Last Name ______________________________________ First _______________________ Middle ________________S.S.# _________________________________ Date of Birth / / Gender:
(circle one)
Male Female
 Mailing Address ___________________________________________________________________________________________CityState ______________ _ZipCountry ________________Telephone: _____________________________________ Email:
CITIZENSHIP:
( )
United States
( )
U.S. Resident 
( )
Other 
:_________________________
ETHNICITY:
( ) White Non-Hispanic ( ) Black Non-Hispanic ( ) Hispanic ( ) Asian/Pacific Islander( ) American Indian/Alaskan Native ( ) Other:
MARITAL STATUS:
(
circle one
)
Single Married Separated Divorced Widowed 
 
Name of Spouse:Number of Children
 
living at home:
__________
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RELIGIOUS
BACKGROUND
Denomination of which you are a member: ____________________________________________________________________Denominational headquarters location:
(CITY) (STATE)
Name and address of church presently attending: _______________________________________________________________Pastor's name:Previous memberships in other denominations: _________________________________________________________________
If you hold ministerial credentials, i
n which denomination? _________________________________ Credential
#
Credential Rank: (
 Bishop, Ordained, Licensed, Other 
)Have you received the baptism of the Holy Spirit with the evidence of speaking in tongues as the Spirit gives utterance? ___________List your present and past major involvements in ministry. ____________________________________________________________What are your future plans?How will a seminary education enhance your vocational calling? ______________________________________________________
AUTOBIOGRAPHY
:On separate paper, describe your personal background, Christian experience, ministerial call and reason for applying to this graduateschool. Note especially your call and experience of regeneration, sanctification, Spirit baptism, divine healing, etc. (Format: typed, 5pages, double-spaced, with one inch margins.)
 
EDUCATIONAL BACKGROUND
 
High School ____________________________________________________State__________ Graduation Year ______________
POST-SECONDARY WORK
:
Accredited Institutions*Credit Hours Earned Degree & MajorWas degree awarded?Graduation Date
 
*The Seminary requires an official baccalaureate transcript (or its equivalent) from each institution attended before an official acceptance can be issued.
Are you currently enrolled in an educational institution? ____________ If so, where? ______________________________________If not currently enrolled, where and when were you last enrolled? ____ _________________________________________________Have you ever been dismissed from an educational institution? ________
(If so, please explain on separate paper.)
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REFERENCES
 
Using the recommendation forms supplied, have three persons complete and return recommendations to the Admissions Office.One recommendation must be from the pastor where you worship. If your church polity does not use the designations listed onthe forms, contact the Registrar’s Office to discuss alternatives. Recommendations should be from non-family members.
 Name Position Place of Ministry/Work 
1.2.3.
FINANCIAL
 
How do you plan to finance your Seminary education?Are you eligible to receive Veterans’ Administration benefits? _________________________________________________________
HEALTH/CIVIL RECORD
 
Briefly describe the state of your health.Do you have any physical, psychiatric, or emotional disabilities that could impair your academic program or ministry?Are you under medical supervision? __________Have you been hospitalized in the last six months? _________Have you ever been convicted of a crime other than a minor traffic violation? __________Do you have a present medical, physical, psychiatric condition which needs treatment, therapy, care, etc? _________If you answered yes to any of the above, please provide a detailed explanation (use additional paper if necessary):
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