PERSONAL INFORMATION *

Your first name is required. Use letters only.

Your middle name is required. Use letters only.

Your last name is required. Use letters only.

Your birth date is required. Example: YYYY/MM/DD

Your street address is required. Enter a valid street address

Your City, State/Province, and Zip/Postal Code are required.

Please enter your Country (if other than U.S.)

Your primary phone number is required. Example: 123-456-7890

Your email address is required. Please enter a valid email address.

Your Country of Citizenship is required.

OPTIONAL

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ENROLLMENT INFORMATION *

Please select your desired program

Please enter your anticipated enrollment date (month/year)?

Please enter how you heard about Taylor Seminary?

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EDUCATIONAL INFORMATION *

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List each post high school institution where at least one course was taken for credit. *
Please list School // Location // Mo/Yr. Attended // Degree Pursued // Mo./Yr. of Graduation (if applicable)

CHURCH AND DENOMINATIONAL INFORMATION

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Please enter the specific denominational affiliation of the church?

Are you on staff? If so, what is your position?

Are you licensed or ordained? If so, please provide details.

MINISTRY AND RELEVANT MINISTRY EXPERIENCE *

Position // Place // Dates (list all that apply):

RECOMMENDATIONS

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I declare this application is accurate and complete. I have reviewed the student handbook, catalog, and accreditation and payment information, acknowledge the information stated, and agree to adhere to the terms. *