Personal Information

First Name *

Middle Name

Last Name*

Preferred First Name
(if different from above)

Marital Status

Married Single

Gender

Male Female

Application for*

M.Div.
Distance M.Div.
M.A.R.
Unclassified
3/3
3/2

I am applying for the term beginning:

Have you previously submitted an application to UDTS?

Yes No

For what year?

For what program?

Permanent (Legal) Address

Number and Street *

Apartment

City *

State *

Zip *

Country *

Telephone *

Present Mailing Address (if different from above)

Number and Street

Apartment

City

State

Zip

Country

Telephone

Fax

e-mail*

Of what country are you a citizen?

Place of Birth?

Social Security #

Educational Background

Please list all schools you have attended, beginning with your secondary school, and including college, university, and/or professional school, indicating the dates you were a student in each. Include any school in which you are presently enrolled. Where applicable, indicate degree and date received or expected.

What was (is) your undergraduate major?

What was (is) your undergraduate minor?

If you have pursued graduate study, specify the field of concentration.

Please give names of alumni/ae or students of UDTS who influenced your decision to apply here.

Have you applied to any other seminaries?

Yes
No

If yes, which ones?

Will you be requesting that previous seminary or graduate credit be transferred to your UDTS degree program?

Yes
No

Church Background

With what denomination are you presently affiliated?

(Please give its full, official name.)

Name of local church

Address

Name of Pastor

Are you ordained (check all that apply):

As a deacon?

As an elder?

As a pastor?

By whom or what body?

State chronologically (with dates), the local congregations with which you have been active with offices held or type of service. Note any long periods of nonmembership or inactivity. Begin at your childhood and continue to the present.

* Presbyterian

If you are a member of a Presbyterian Church, give the name of the Presbytery in which your church is located:

Are you an:

inquirer, or
candidate
none

Date:

If you are neither an inquirer nor a candidate, please describe your plan for pursuing candidacy:

Name, address, and phone number of your Presbytery Committee on Preparation for Ministry chairperson:

* Other Denominations

Give the name of the judicatory in which your church is located:

Are you a candidate for ministry?

Yes No ... If yes: Date

If you are not a candidate, please describe your plan for pursuing candidacy

Name, address, and phone number of person charged with oversight of your candidacy:

*One of these is required for M.Div. Applicants. Very helpful for all others.

Financial and Housing Information

Do you intend to apply for UDTS Financial Assistance?

Yes
No

Will you apply for UDTS campus housing?

Letters of Reference

Equal Opportunity Policy

It is the policy of the University of Dubuque Theological Seminary to actively support equality of opportunity for all persons, and not to discriminate on the basis of race, sex, age, color, national and ethnic origin, handicap, veteran status, and, where applicable, religion, in the administration of admission, employment, and educational policies of scholarship, loan, athletic, and other school-administered programs.

IMPORTANT VERIFICATION

We cannot process your application without your verification below.

Misrepresentation in any statement on this application may be considered sufficient reason for refusal of admission or cancellation of registration after acceptance.

I certify that the information given on this application is complete and correct to the best of my knowledge, and that I have not attended institutions other than those listed. I understand that I am responsible for arranging for the forwarding of official transcripts from schools I have attended, and that such transcripts become the property of The University of Dubuque and will not be returned.

Check here for verification* Date*