Seminary Application Full Name * First Name Last Name Birth Date * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Sex * Male Female Marital Status * Married Not Married If you are married, what is your spouse's name? Are they also a Christian? If you have children, what are their names and ages? How long have you been a Christian? * What is the name and denomination of the church you attend? * Who is the pastor of your church? * What is your education level? Some highschool Highschool / GED Some college Associate's Degree Bachelor's Degree Other What classes are you interested in? Individual courses Working towards a Certificate in Christian Leadership Studies (32 hours) Working towards a Ministerial Studies Diploma (64 hours) What does it mean to you to be a Christian? What are some of the most important areas you have grown in since becoming a Christian, and what has helped you to grow? In what ways and in what areas do you believe God is asking you to serve as a Christian leader? How are you currently living that out in your church? What is the most important thing God has taught you about Christian leadership? How do you plan to use the training you receive? Have you read and do you agree with our Affirmation of Faith Statement? Yes No Please give the name, address, and phone number of the pastor who will be completing your reference form. * I certify that all answers on this application are complete and accurate to the best of my knowledge. I understand that falsifying any part of this application may result in cancellation of admission and/or registration. I certify that I will live honorably and with integrity in conjunction with the standards God's Word gives for leaders. (It should, of course, be understood that any behavior which indiates that a student has disregard for the spirit of these standards, would be sufficient reason to ask him/her to withdraw from the Institute Finally, I give permission for photographs to be taken of me for the purposes of promoting The Urban Ministry Institute. * Thank you!