John Wesley Theological Seminary Philippines Inc.

(School of Mission and Ministry) 1X1

Sitio Kasuyan, Gugo, Samal, Bataan, Philippines 2113

ENROLMENT FORM
Please accomplish this form as completely and as truthfully as possible.
All information shall be treated in confidence

PROGRAM PREFERENCE

( ) Bachelor of Theology ( ) Certificate of Practical Ministry

( ) Master of Divinity ( ) Christian Education

GENERAL INFORMATION

Surname First Name Middle Name Nickname

Gender: Nationality: Citizenship:

( ) Male ( ) Female _____________________________ _____________________________

Date of Birth: __________________________________ Civil Status:

Place of Birth: __________________________________ ( ) Single ( ) Married
Age: __________ ( ) Separated ( ) Widow

Religion: Church Assignment / Affiliation:

_______________________________________ ______________________________________________

Mailing Address: ___________________________________________________________________ Zip Code: __________

Permanent Address: _______________________________________________________________ Zip Code: __________

Telephone Number: Cell phone Number: Email Address:

_____________________________ _____________________________ _____________________________

EDUCATIONAL BACKGROUND

LEVEL NAME AND ADDRESS OF SCHOOL SY ATTENDED

Elementary

Secondary

Tertiary

Graduate School

Entrance Category: ( ) High School Graduate ( ) College Graduate ( ) For Interview

System of Financial Support: ( ) Family ( ) Local Church ( ) Others: ____________________________________
MINISTERIAL / PROFESSIIONAL EXPERIENCE (IF ANY)

CHURCH / COMPANY POSITION HELD DATE

FAMILY BACKGROUND

For Single Applicant

Name of Father: Occupation:

Home Address:
Contact Number: Email Address:

Name of Mother: Occupation:

Home Address:
Contact Number: Email Address:

For Married Applicant

Name of Spouse: Occupation:

Home Address:
Contact Number: Email Address:

For Single Applicant (Brothers / Sisters) / For Married Applicant (Children)

Name Age Civil Status School Year Level / Year Graduated

I hereby certify that I have read and fully understood all instructions regarding my application for admission
at John Wesley Theological Seminary and the information supplied and documentation supporting it is
correct and complete.

Signature Over Printed Name Date

Please return this form duly filled out and enclose the following:
( ) Form 138 (Fourth Year High school Report Card) ( ) Photocopy of Birth Certificate
( ) Form 137 (Transcript of Records) ( ) Photocopy of Marriage Contract
( ) Letter of Recommendation and Support from the ( ) Medical Certificate
Church Council and Pastor ( ) Two 1x1 size photo