| PERSONAL INFORMATION |
| First Name: |
Last Name: |
Middle Initial: |
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| Social Security Number: |
Age: Sex: |
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Male
Female |
| Date of Birth: |
Country of Birth: |
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| Citizenship:* |
Native Language: |
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*If Non-U.S. Citizenship Permanent Resident Card #: |
Expiration Date of Visa: |
Passport #: |
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| Home Address: |
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| City: |
State: |
Zip: |
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| Country: |
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| Home Phone Number: |
Email Address: |
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| Marital Status: |
| Married
Single
Separated
Divorced
Widowed |
| Date of Marriage: |
Name of Spouse: |
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| CHURCH/MINISTRY & EMPLOYMENT EXPERIENCE |
| Church Name: |
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| Church Address: |
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| City: |
State: |
Zip: |
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| Church or Work Number: |
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Phone
Fax |
| Church or Work Email Address: |
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| Location of Church: |
Inner City
Urban
Suburban
Rural
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| Position: |
| Sr. Pastor
Associate Pastor
Other (please specify)
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Years in Present Position:
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Years in Part-Time or Full-Time Ministry:
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Denomination: |
| Ordained?
Yes
No
If yes, what date? |
Licensed?
Yes
No
If yes, by what organization? |
What business, occupational, or military
experience have you had in the past? (State nature of your work, organizations and dates involved.):
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List the churches or ministry-related organizations with which you have been involved in the past 10 years. Please indicate the positions, types of duties and dates of your involvement:
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Do you believe you will have sufficient time to pursue the degree program of your choice with your current ministry involvement(s)?
Yes
No
Provide Comments Below:
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| PROGRAM & CLASS INFORMATION |
| Please Indicate the Program/Degree You Are Interested In: |
Certificate Program
Diploma in Ministry
Second Bachelor’s Degree
Master of Theological Studies
Doctor of Ministry
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| Expected Date of First Class: |
Class Location: (if extension site give name or location, or enter “online”) |
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| EDUCATIONAL EXPERIENCE |
The applicant must contact the registrar of each college, university and/or seminary
(including junior colleges, institutes and schools you are presently attending) to
request that they forward an official transcript of record directly to the School
Office. If the program of study has not yet been completed, another transcript must
be filed as soon as possible after the degree has been awarded.
List all schools attended beyond high school:
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Have you ever been denied admission to, or dismissed from, a college, university or seminary?
Yes
No If yes, provide a statement below explaining the details. |
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| CONVERSION & CHRISTIAN GROWTH |
| Do you know Christ as your personal Lord and
Savior? Yes
No
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Date of Your Conversion:
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| Does your spouse/fiancée know Christ as his/her personal Lord and
Savior?Yes No
N/A |
| Date of Spouse's Conversion: |
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Explain in your own words the Scriptural basis for your salvation and briefly describe your conversion experience:
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| MISSION, VISION, & DOCTRINAL STATEMENTS |
Students are asked to read through the International Graduate School of Ministry's Mission, Vision & Doctrinal Statements and answer the following:
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| Have you read and understood the Mission Statement?
Yes
No
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Are you in substantial agreement with the views expressed in the Mission Statement?
Yes
No
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Are there areas of disagreement?
Yes
No If Yes, please specify:
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| Have you read and understood the Vision Statement?
Yes
No
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Are you in substantial agreement with the views expressed in the Vision Statement?
Yes
No
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Are there areas of disagreement?
Yes
No If Yes, please specify:
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| Have you read and understood the Doctrinal Statement?
Yes
No
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Are you in agreement with the views expressed in the Doctrinal Statement?
Yes
No
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Are there areas of disagreement?
Yes
No If Yes, please specify:
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| Are there areas in which you have not formed an opinion?
Yes
No If Yes, please specify:
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| PROFESSIONAL STANDARDS OF CONDUCT |
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The IGSM programs are designed to prepare students for effective ministry.
Students are required to maintain standards that bring glory to the work of God
and maintain a positive testimony among Christians and non-Christians alike.
In regard to all matters of interaction and correspondence of
students with professors, administrators, course material, and other
students, each is expected to conduct themselves in a manner
befitting a Christian.
The school reserves the right to dismiss any student who, in
its judgment, does not conform either to stated biblical standards
governing conduct or the expressed principles, policies, and
programs as described in the Student Handbook.
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Will you abide by these standards of conduct while affiliated with International Graduate School of the Ministry?
Yes
No
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| ADDITIONAL INFORMATION |
Please use the boxes below to provide brief answers to the following questions:
What led you to select some form of Christian service as your life work?
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What was the most significant factor influencing your choice to attend IGSM?:
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***The following questions are completely OPTIONAL, but will assist us as we strive to meet the needs of our students. You may skip these questions if you prefer:
Is there any handicap for which you desire special assistance? [Please explain]
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How did you hear about IGSM?
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| APPLICATION AGREEMENT |
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Please check this box to indicate that you have read and agree to all terms listed in the following agreement:
In making application to become a participant
of International Graduate School of the Ministry, I agree with the
Mission Statement, Vision Statement, Doctrinal Statement and
Professional Standards of Conduct as described in the Student
Handbook (with exceptions noted).
I pledge myself to abide by the regulations of the school; to
cooperate with the school's leadership; and seek to maintain a
spirit of Christian fellowship.
Submission of this form constitutes my signature. Today's date
is:
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