Form A Briercrest Seminary

1. Course of Study - Please indicate your desired program and emphasis below:

Certificates

Master of Divinity

Master of Arts

Master of Christian Ministries

What is the approximate month and year you plan to begin your program?

2. Personal Information

Name:

 

Nickname or name used: (optional)

Home Phone:

Cell Phone Number:

Email Address:

Alternate email:

Mailing Address:

City:

Province/State:

Postal/Zip Code:

Country:

Date of Birth (mm/dd/yy):

Gender:

Place of Birth:

Citizenship:

Social Insurance / Security Number:

Health Care Number:

Occupation:

Marital Status:

Name of Spouse:

Children (if applicable and still living with you):


Name:

Age: Grade Next Fall:

Name:

Age: Grade Next Fall:

Name:

Age: Grade Next Fall:

Name:

Age: Grade Next Fall:

3. Christian Experience

Have you received Jesus Christ as Saviour?

If yes, when?

Please respond to the following:

a) Briefly describe your spiritual journey - the beginning of your spiritual awareness, your relationship with God, your commitment to Christ, a past or present spiritual challenge, and an area of recent growth.

b) What are some of the most significant learning experiences that you have gained from (formal and/or informal) ministry opportunities, committees you have worked with, organizations you have been a volunteer with, etc.?

4. Church Information

Name and Address of the local church you currently attend:

Name:

Address:

City:

Province/State:

Postal/Zip Code:

Phone Number:

Church Denomination:

Name of Pastor:

How long have you attended the above church?

5. Education

Post Secondary (for credit)

Name of Institution City Prov/State Dates of Attendance Degree Received

Courses (not for credit)

Date Title/Sponsor No. of classroom hours Subject (in brief)

6. Professional Experience

Date of Experience
From - To
Position Employer Brief Description of Duties

7. Lay Ministry/Volunteer Christian Service

Date of Service
From - To
Position/Responsibility Organization Brief Description of Duties

8. Professional/Honourary Organizations to which you belong

Organization Membership Dates

9. Payment Information

You can choose to submit your application fee online by entering in your credit card information below.

The application fee is $50.00. (The application fee is $75.00 for counselling students.)

Name as on Card

Card Type

Card Number

Expiry Date:

10. I declare that the information on this application is true.

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