United
Graduate College and Seminary
Student
Application
Which Certificate or Degree are you applying
for?
Name:
Last____________________
First_____________ Middle___________
Address_________________________________
City______________
State_______________ Zip
code____________________
Phone: ________________________ Cell
phone: ________________________
Date of Birth: _____________________ (Must be at
least 18 years old)
Gender: Male______ Female_________
Marital Status: Married/divorced/separated/widowed/single: _______________
Name of Spouse if married
_____________________________
Do you understand and agree that any unethical,
unlawful or heretical acts committed by you will automatically expel you from
this Seminary? Yes_____ No______
Employment:
Are you presently employed in full-time
ministry? Yes _____ No ______
If yes, please explain:
What is your present ministry: Preaching_____ Pastoring ______ Counseling
_______
Sunday school teacher_______ Small group
leader_________ Other_______
If
other please explain:
What church or ministry do you belong
to? _________________________________
How long have been serving in
ministry? _________________
Do you hold a secular Job?
If yes, Employer
__________________________ Position ____________________
Do you pay your debts in a timely
Manner? Yes_______ No _______
If no, Please explain:
Are you currently living a clean,
consistent Christian Life as outlined in the scriptures?
Yes ______ No _______ (see Gal 5:22, Phil 4:8) for clarification)
Have you come to faith in Jesus Christ
as your Lord and Savior? Yes _____ No
_____
Please list your education that you
completed:
High school_______ some college______ college
graduate_______ Doctorate______
Certificates awarded__________
Please
provide copies of all certificates or Degrees awarded along with this
application
Is there anything else you would like us
to know about you?
Please explain:
Please
provide three personal references that are not relatives:
Name_________________________ City &
State________________ Phone_______________
Name_________________________ City &
State________________ Phone_______________
Name_________________________ City &
State________________ Phone_______________
Signature of applicant
X____________________________ Date ______________
By signing this application
you hereby declare that the statements given on this application are true and
correct.
