PROMISE CHRISTIAN UNIVERSITY

APPLICATION FOR ADMISSION

NAME:__________________________________________

STREET ADDRESS:______________________________

_______________________________________________

CITY: __________________STATE:_______ ZIP:_______

MAILING ADDRESS:_______________________________

_________________________________________________

PHONE:__________________________________________ EMail:______________________

SOCIAL SECURITY NUMBER:________________________________ (FOREIGN STUDENTS ENTER APPROPRIATE I.D. NUMBER)

CONCENTRATION OF STUDY
[  ] ASSOCIATE THEOLOGY

BACHELOR PROGRAM          MASTERS PROGRAM             DOCTORATE PROGRAM
[ ] Theology                           [ ] Theology                            [ ] Theology
[ ] Pastoral Ministry             [ ] Christian Education          [ ] Christian Education
[ ] Christian Counseling     [ ] Christian Counseling       [ ] Christian Counseling
[ ] Christian Education        [ ] MASTER OF DIVINITY         [ ] DOCTOR OF MINISTRY
[  ] Christian Organizational                                                 [ ] DOCTOR OF DIVINITY
      Management

[  ]Certificate Program

PERSONAL DATA

Type of Resident: [ ] U.S. Citizen [ ] Foreign Student from ________________.

[ ] Resident Alien [ ] Visitor's Visa [ ] Student Visa

Birthday: ______________ Age:__________ Sex: [ ] Male [ ] Female

Marital Status: [ ] Single [ ] Married [ ] Divorced [ ] Separated [ ] Widowed

[ ] Remarried

Total number of Dependents:___________ Number of Children:______

If Married, Spouse's name:___________________________________________

Spouse's Occupation_______________________________________________

Religious preference:_______________________________________________

Do you attend regularly? [ ] Yes [ ] No Member? [ ] Yes [ ] No

Name of Church:_______________________________________

Name of High School:___________________________________  Year Graduated:_______

List any colleges attended:

THIS APPLICATION MUST BE ACCOMPANIED BY THE FOLLOWING:

1. COMPLETE RESUME

2. OFFICIAL TRANSCRIPT FROM ALL COLLEGES AND
   UNIVERSITIES ATTENDED

3. COPY OF COURSES COMPLETE, PREVIOUS DEGREES
   AND HONORS AWARDED, CERTIFICATE OF ORDINATION
   AND/OR LICENSE.

4 . IF YOU ARE REQUESTING LIFE EXPERIENCE, PLEASE
   SEND A RESUME OF ALL THE COURSES YOU HAVE
   DEVELOPED, TAKEN, TAUGHT WITH A BRIEF DESCRIPTION.

5. SUMMARY OF MINISTERIAL EXPERIENCE WHICH WILL ALSO
   BE CONSIDERED FOR LIFE EXPERIENCE

A NON-REFUNDABLE APPLICATION FEE OF $50 SHOULD ACCOMPANY (No application fee is required for DD Candidates)

I certify that all information provided in this application is correct.

____________________________________
Signature

____________________________________
Date

[ Notary if requested ]