The Grace Lancers play in the OCC gym, Fall 2007.

 

ATTENTION ONLINE STUDENTS:  WHY THIS IS FORM IS IMPORTANT TO YOU

Instructions:

All of the required fields are marked with an asterisk (*).  You may print the form before you submit it and there is a button at the bottom for this purpose.  If you forget to complete a mandatory field or enter improperly formatted information you will be returned to the form after you submit it.  You will not lose any information during this process.  In the rare event that something happens during your application you can mail the completed online form to Seminary Admissions but please sign it at the bottom.

References:

Unclassified students are required to only submit one reference form, this is from your pastor.  Please print this Pastor's Reference Form and have your pastor send this document to:

Grace Seminary Admissions
200 Seminary Drive
Winona Lake, IN  46590

This can also be faxed to (574) 372-5113 Attn: Deea Breeden

Unclassified Student Program Information:

1. Unclassified students are those who are not pursuing a program (Master’s, Certificate or Diploma) for a degree.
2. Unclassified students are restricted to a cumulative total of no more than 12 credit hours. If an unclassified
   student desires to take more than 12 hours at Grace Seminary or to pursue a program for a degree, he or
   she must make formal application to the Seminary Admissions Office.
3. A student who qualifies for the D.Min. program may complete up to two D.Min. seminars (eight hours) as an unclassified student before he or she has been fully accepted into the program.
4. Students are required to sumbit a reference form from their pastor or if they are a pastor this can be from their head elder or another local pastor.

For more information please contact Deea Breeden, Seminary Admissions by Email or phone at 1-800-54-GRACE x-6437.

*I am currently in:	Select One College (Undergraduate) Graduate School High School Not in school right now Seminary
*I want to start taking classes in:	Select One 2008 2009 2010 2011 2012 2013 2014
*Semester	Select One Fall Spring Summer
*For credit or audit?	Select One Audit classes only Continuing Education Units (CEU's) For Credit
*First Name:
*Last Name:
*Address:
*City:
*State / Province:	Select One Alberta Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Manitoba Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana New Brunswick Nebraska Newfoundland and Labrador Nevada New Hampshire New Jersey New Mexico Nova Scotia Northwest Territories Nunavut New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon -- Other --
*Zip Code:
Phone:	Format zzz-zzz-zzzz
*E-mail Address:
*Date of Birth:	Format xx/yy/zzzz
*Age:
*Gender:	Select One Female Male
*Marital Status:	Select Married Divorced Engaged Separated Single Widowed
Race:	Select African American Asian Hispanic Native American Other White Non-Hispanic Optional
Your Church Information
*Church Name:
*Church Address:
*Church City:
*State:	Select One Alberta Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Manitoba Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana New Brunswick Nebraska Newfoundland and Labrador Nevada New Hampshire New Jersey New Mexico Nova Scotia Northwest Territories Nunavut New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon -- Other --
*Zip:
*Denomination:
Previous Education
High School
*High School Name:	If home schooled please indicate.
*City and State:	Home schoolers say "none."
*Graduation Date:	Format xx/yy/zzzz
College or Seminary in Order of Attendance
College Name #1:
State:	Select One Alberta Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Manitoba Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana New Brunswick Nebraska Newfoundland and Labrador Nevada New Hampshire New Jersey New Mexico Nova Scotia Northwest Territories Nunavut New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon -- Other --
Dates of Attendance:	Format xx/yy/zzzz - xx/yy/zzzz
Approx Hours Completed:
Degree Obtained:
College Name #2:
State:	Select One Alberta Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Manitoba Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana New Brunswick Nebraska Newfoundland and Labrador Nevada New Hampshire New Jersey New Mexico Nova Scotia Northwest Territories Nunavut New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon -- Other --
Dates of Attendance:
Approx Hours Completed:
Degree Obtained:
College Name #3:
State:	Select One Alberta Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Manitoba Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana New Brunswick Nebraska Newfoundland and Labrador Nevada New Hampshire New Jersey New Mexico Nova Scotia Northwest Territories Nunavut New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon -- Other --
Dates of Attendance:
Approx Hours Completed:
Degree Obtained:
College Name #4:
State:	Select One Alberta Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Manitoba Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana New Brunswick Nebraska Newfoundland and Labrador Nevada New Hampshire New Jersey New Mexico Nova Scotia Northwest Territories Nunavut New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon -- Other --
Dates of Attendance:
Approx Hours Completed:
Degree Obtained:
*Have you ever attended Grace College?	Select No Yes
Dates of Attendance:	Format xx/yy/zzzz - xx/yy/zzzz
*Have you ever attened Grace Seminary?	Select No Yes
Dates of Attendance:	Format xx/yy/zzzz - xx/yy/zzzz
Declaration and Student Approval
*Student Approval:
Select One I declare that the information I submitted above was truthful
*Approve by submitting your initials:
*Today's Date: