International Graduate School of Ministry

Student Application Form

                                                             

Program

ÿ Certificate Program

ÿ Diploma in Ministry Program

ÿ Second Bachelor’s Degree Program

ÿ Master of Ministry Program                                                                                  

ÿ Doctor of Ministry Program                                                                                      

Instructions

This application is to be completed and filed with the IGSM coordinator. Please type or print. An application fee, equivalent of ____ US, must also accompany the application.

The following documents are also required and should be sent to the IGSM coordinator as soon as they are available:

1.      Official transcripts/course certificates from all colleges, universities and/or seminaries attended

1.       Two references (forms provided with this application)

2.       A letter of reference from the pastor/overseer of your church and/or denomination

Personal Information

National ID number _____________________

Name in full: Last ________________________  First ______________Middle Initial: ____

Home mailing address:  ___________________ City ___________ State _____ Zip _______

Home telephone (         ) ______________________

Church Name __________________________________________

Church mailing address:  ____________________ City ____________ State _____ Zip ____

Church or work telephone (    ) ___________ Fax  (    ) ____________E - Mail _____________

Location of church:   ÿ Inner-city   ÿ Urban   ÿ Suburban   ÿ Rural

Country of birth ________ Country of citizenship __________ Native Language _________

(if non U. S. Citizenship) Permanent resident card # __________________  Expiration date of visa ______________  Passport # ______________

Date of Birth _______________ Age________ Sex _______

Marital status:   ÿ Married   ÿ Single    ÿ Separated   ÿ Divorced   ÿ Widowed 

Date of Marriage _____________ Name of Spouse ___________________________

How did you hear about the school:   ÿ Mailing   ÿ Magazine Ad    ÿ Web-site   ÿ Word of Mouth    ÿ Other

Position: ÿ Sr. Pastor   ÿ Associate Pastor    ÿ Other

Years in Present Position ________ Years in Part-Time or Full-Time Ministry _______

Denomination __________________Ordained:     ÿ Yes   ÿ No      Licensed:    ÿ Yes   ÿ No

Expected Date of First Class ________________

Location of First Class (if extension site give name or location, or write “online”) ________

Educational Experience

The applicant must send the transcripts/course certificates from each college, university and seminar (including junior colleges, institutes and schools you are presently attending) to the IGSM coordinator. If the program of study has not yet been completed, its transcript/certificate must be filed as soon as possible after the degree has been awarded.

List all schools attended beyond high school.

School
Major
Dates of Attendance
Degree(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been denied admission to, or dismissed from, a college, university or seminary? If yes, attach a statement with details.   Yes ________ No ________

 References

The applicant is required to furnish two references: one from a lay person in your congregation (agency or board), and one from a denominational official or other recognized Christian leader). Indicate below the names and addresses of the individuals to whom you give the reference forms.

Position
Name
Address
Phone #
Lay Person (non-relative)

 

 

 

 

Denomination Official/Christian Leader

 

 

 

Ministry and Employment Experience

Current ministry:  Name of church ____________________________ Address _________________________________________________________

City __________________________ State __________Zip____________________________

How long have you been serving in your present position? ________  Position ___________

With what denomination (if any) are you now working?_________________________________ 

____________________________________________

Are you ordained? _________ (date) __________ Are you licensed? _________ (date) ________

By what organization? ____________________________________________________________

What business, occupational, or military experience have you had in the past? (State nature of your work, organizations and dates

 involved.)

Nature of Work
Organization
Dates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List the churches or ministry‑related organizations with which you have been involved in the past 10 years. Please indicate the positions, types of duties and dates of your involvement.

Church or Ministry Organization
Types of Duties
Dates of Involvement

 

 

 

 

 

 

 

 

 

Do you believe you will have sufficient time to pursue the degree program of your choice with your current ministry involvement(s)? ____________________

Please comment:

Commitment and Christian Growth

Do you know Christ as your personal Lord and Savior? __________  Date of commitment ______

Does your spouse or fiancée know Christ as his/her personal Savior? __________

Explain in your own words the Scriptural basis for your salvation and briefly describe your salvation experience.

 Mission Statement/Vision Statement/Doctrinal Statement

Students are required to read through the Mission, Vision, and Doctrinal Statements of IGSM.

Additional Information

State what led you to select some form of Christian service as your life work.

__________________________________________________________________

What was the most significant factor influencing your choice to attend the International Graduate School of Ministry?

_____________________________________________________________________

_____________________________________________________________________

Is there any handicap for which you desire special assistance? (optional) __________ If yes, a statement with details would be helpful.

Professional Standards of Conduct

The IGSM programs are designed to prepare students for effective ministry. Students are required to maintain standards that bring glory to the work of God and maintain a positive testimony among Christians and non-Christians alike.

In regard to all matters of interaction and correspondence of students with professors, administrators, course material, and other students, each is expected to conduct themselves in a manner befitting a Christian.

The school reserves the right to dismiss any student who, in its judgment, does not conform either to biblical standards governing conduct or the expressed principles, policies, and programs as described in the Student Handbook.

In making application to become a participant of International Graduate School of the Ministry, I agree with the Mission Statement, Vision Statement, Doctrinal Statement and Professional Standards of Conduct as described in the Student Handbook. I pledge myself to abide by the regulations of the school; to cooperate with the school's leadership; and seek to maintain a spirit of Christian fellowship.

 

Signature _________________________________________ Date ________________

 

Return to: International Graduate School of Ministry, 18529 NE 19th Pl. Bellevue, WA 98008 · (425) 957-0730 or to your IGSM coordinator

 _________________________________________________________________

Personal Reference

REFERENCE (Check One):

ÿ Certificate Programÿ Diploma in Ministry Program

ÿ Second Bachelor’s Degree Program in Ministry

ÿ Master of Ministry Degree

ÿ Doctor of Ministry Degree

 

Please return to the IGSM coordinator of the Extension Site

To the Applicant: Print your name and address on the lines below. For each person sending a reference, please provide a stamped envelope addressed to the Host Administrator.

Name of Applicant: Last ______________________ First: _________________ Middle: _______

Applicant's Address: ________ City: _______ State: ____ Zip: ______Phone: (      ) ___________

The Family Education Rights and Privacy Act of 1974 permits students access to certain credentials in their files. Because of the   importance of preserving the confidentiality of a reference, the Act permits an applicant to waive his/her right of access to the  reference. By signing below, the applicant willingly waives his/her right of access to see this recommendation knowing that this waiver is NOT required as a condition for admission.

 Signature: _____________________________________________ Date: _______________

 To the Person Providing References: The above‑named applicant has applied for admission to the school and is asking you to furnish a

reference. Our aim is to train only those students who are qualified spiritually, academically, and experientially. It is essential that you be frank and accurate in your remarks and estimations. Thank you for your help.

 

How long have you known the applicant? ____________

In what capacity?

_____________________________________________________________________

_____________________________________________

Does the applicant's speech and conduct consistently exhibit his/her Christian beliefs? _________________________

How is the applicant regarded by his/her friends, co‑workers and the community?

_____________________________________________________________________

_____________________________________________________________________

What do you consider to be his/her strengths of personality and talents?

_____________________________________________________________________

_____________________________________________________________________

What are weaknesses or areas for improvement?

______________________________________________________

_______________________________________________________

Do you believe the applicant will have sufficient time to devote to the program? __________ Please comment (if applicable):

 

What degree of success do you predict for the applicant in his/her degree program?

High _____ Average _____ Low _____

It will help the Admissions Committee to more accurately appraise the application if you will rate the following items. Please mark NA for those about which you have insufficient knowledge to form an opinion.

 
Excellent
Good
Average
Poor
NA
Please Comment As Needed

Christian Conduct

 

 

 

 

 

 

Emotional Stability

 

 

 

 

 

 

Leadership Ability

 

 

 

 

 

 

Harmony With Others

 

 

 

 

 

 

Initiative

 

 

 

 

 

 

Common Sense

 

 

 

 

 

 

Financial Habits

 

 

 

 

 

 

Personal Appearance

 

 

 

 

 

 

Intelligence

 

 

 

 

 

 

Response To Authority

 

 

 

 

 

 

 

Other remarks:

 ÿ I recommend   ÿ I do not recommend   ÿ I recommend with the following reservations:

_____________________________________________________________________

_____________________________________________________________________

Signature: ____________________________________________________ Date: _____________

Name: (print) _________________________________________ Position: __________________________

Organization: __________________________________________________________________________

Address: ______________________________________________________________________________

Phone (     ) ________________

 

REFERENCE (Check One):

ÿ Certificate Program

ÿ Diploma in Ministry Program

ÿ Second Bachelor’s Degree Program in Ministry

ÿ Master of Ministry Degree

ÿ Doctor of Ministry Degree

Please return to the IGSM coordinator of the Extension Site

To the Applicant: Print your name and address on the lines below. For each person sending a reference, please provide a stamped envelope addressed to the Host Administrator

Name of Applicant: Last ______________________ First: _________________ Middle: _______

Applicant's Address: __________ City: ________ State: _____ Zip: ______Phone: (      ) _______

The Family Education Rights and Privacy Act of 1974 permits students access to certain credentials in their files. Because of the importance of preserving the confidentiality of a reference, the Act permits an applicant to waive his/her right of access to the reference. By signing below, the applicant willingly waives his/her right of access to see this recommendation knowing that this waiver is NOT required as a condition for admission.

Signature: _____________________________________________ Date: _______________

To the Person Providing References: The above‑named applicant has applied for admission to the school and is asking you to furnish a reference. Our aim is to train only those students who are qualified spiritually, academically, and experientially. It is essential that you be frank and accurate in your remarks and estimations. Thank you for your help.

How long have you known the applicant? ____________

In what capacity?

_____________________________________________________________________

____________________________________________________________________

Does the applicant's speech and conduct consistently exhibit his/her Christian beliefs? _________________________

How is the applicant regarded by his/her friends, co‑workers and the community?

_____________________________________________________________________

_____________________________________________________________________

What do you consider to be his/her strengths of personality and talents?

_____________________________________________________________________

_____________________________________________________________________

What are weaknesses or areas for improvement?

_______________________________________________________________________________

Do you believe the applicant will have sufficient time to devote to the program? __________ Please comment (if applicable):

What degree of success do you predict for the applicant in his/her degree program?

High _____ Average _____ Low _____

It will help the Admissions Committee to more accurately appraise the application if you will rate the following items. Please mark NA for those about which you have insufficient knowledge to form an opinion.

 
Excellent
Good
Average
Poor
NA
Please Comment As Needed

Christian Conduct

 

 

 

 

 

 

Emotional Stability

 

 

 

 

 

 

Leadership Ability

 

 

 

 

 

 

Harmony With Others

 

 

 

 

 

 

Initiative

 

 

 

 

 

 

Common Sense

 

 

 

 

 

 

Financial Habits

 

 

 

 

 

 

Personal Appearance

 

 

 

 

 

 

Intelligence

 

 

 

 

 

 

Response To Authority

 

 

 

 

 

 

Other remarks:

 

ÿ I recommend   ÿ I do not recommend   ÿ I recommend with the following reservations:

_____________________________________________________________________

_____________________________________________________________________

 

Signature: ____________________________________________________ Date: ____________

Name: (print) _______________________________________ Position: ____________________

Organization: ___________________________________________________________________

Address:_______________________________________________________________________

Phone (     ) ________________

_______________________________________________________________________________

_______________________________________________________________________________