What is the approximate month and year you plan to begin your program?
Nickname or name used: (optional)
Cell Phone Number:
Date of Birth (mm/dd/yy):
Place of Birth:
Social Insurance / Security Number:
Health Care Number:
Name of Spouse:
Children (if applicable and still living with you):
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.?
Name and Address of the local church you currently attend:
Name of Pastor:
How long have you attended the above church?
Post Secondary (for credit)
Courses (not for credit)
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
By submitting this application, I agree to the terms of the Briercrest Seminary Student Life Covenant.