Application for Degree Programs

By clicking "Submit", I hereby affirm that all the information contained in this application is factually correct and honestly presented. I understand that any omission or falsification of information on this application may be grounds for denial of admission or immediate dismissal. I also understand that all documents submitted for application become the property of Bethany Theological Seminary and are not returnable or transferable to any third party.

Degree Program

Program to which you are applying: *

Master of Divinity (MDiv)

Master of Arts (MA)

Certificate of Achievement in Theological Studies (CATS)

I plan to take the majority of my classes: *

as a Local/Residential student

as a Connections/Distance student

BASIC INFORMATION

Last Name: *

First Name: *

Middle Name:

Gender:

Mailing Address: *

City: *

State: *

Zip Code: *

Current Email Address:

Current Telephone Number: *

Permanent Legal Address:

Permanent Telephone Number:

Date of Birth: *

Citizenship:

Place of Birth:

VOLUNTARY INFORMATION

The information in this section is requested on a voluntary basis. The information obtained from this section will be kept confidential. This information is being requested to help Bethany Seminary demonstrate its compliance with all state and federal regulations concerning discrimination. You have the option of supplying this information; it is not required.

Career:

Race / Ethnic Group:

Other Race/Ethnic Group:

Home State:

Name of Spouse:

Children:

Church Affiliation / Denomination

This information helps us determine financial aid programs and other student services for which you are eligible.

District, Synod, Conference, or Presbytery:

Congregation:

Ministerial Status:

Year of ordination/licensure:

Ordaining/licensing district:

How did you hear about Bethany?: *

EMPLOYMENT EXPERIENCE

List your employment experience in past five years. Please note

Position
Employer
Employer's address
Dates of employment

If there are significant gaps in this history, please explain.

Employment experience: *

EDUCATIONAL PREPARATION

Highest Level of Education Experience: *

List colleges, universities, and seminaries attended or other ministry training programs in which you have participated. For each experience, please note

Institution
Address
Dates attended
Degree (if any)
Date transcript request sent

Educational preparation: *

PERSONAL INFORMATION

If you answer yes to any of these questions, please explain in the space provided. Please include dates.

Have you ever been convicted of a criminal offense?: *

Have you ever been disciplined by a judicatory body responsible for ministerial ethics?: *

Explanation:

REFERENCES

Please ask one person (not a relative) from each of the categories listed below to submit a recommendation on your behalf. These recommendations are now available as webforms [2]. Please access these webforms [2] on the Apply Now! [3] page. For each person you will use as a reference, please provide:

Name
Street address
Email address
Daytime telephone number

An Academic Reference: *

A Church Reference: *

A Personal Reference: *

The Family Education and Privacy Act of 1974 gives you the right to inspect recommendations written in support of applications for admission. The act also permits you to waive your rights to view letters of recommendation.
I waive my rights to have any access to letters of recommendation submitted by my references

Yes

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