Name:

Social Security  Number:

Other:

When were you saved?

Have you been baptized by water immersion?

Have you received the Holy Spirit (Acts 2:4)?

Are you a member of a church?

Church Name:

Church Address:

Phone #

Pastor's Name:

Phone #

Do you believe God has called you to a ministry?  Are you currently involved in a ministry? Please tell us about this:

Do you use tobacco?

Do you use alcohol?

Have you ever used drugs or been convicted of a crime?

If yes, please explain:

Have you ever been denied admission, expelled, or suspended from a college or school?

STATEMENT OF APPLICATION AND CODE OF CONDUCT:  I certify that information provided on this application for admission is complete and correct.  If admitted, I agree to abide by the rules, regulations and expectations of Covenant Theological Seminary and understand that the highest standards of Christian character and behavior are expected of all students while on campus or while involved in off-campus activities, including home study.  By typing in my name, as an electronic signature, I am certifying that I am the applicant represented and understand that this is a binding signature.  I understand that there is a $25.00 registration fee and I will be billed for this amount.

Electronic Signature:

Date: