APPIOWA

Special Program/Des Moines Iowa
Application for Admissions

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Confirm Email address again please *

Do you have a High School Diploma/GED *

YES NO

Do you have any degree(S) *

NO YES

If yes, please list or put NONE *

Ministry Name you attend or that you oversee *

Ministry Address *

Ministry Phone Number *

You understand this special program is in the major of Biblical Studies; any other degree title would have to be requested and approved by Main Campus *

Are you a US Citizen *

YES NO

List last 2 schools you have attended *

Gender *

Male Female

Date of Birth: *

Last 4 of SS # *

How many years have you served in the ministry? *

Have you been given a minister's license by a local church body or organization? *

Yes, I have a ministers license only I have both license and ordination I am ordained I am not licensed or ordained

Please describe your ministry involvements/activities *

How did you hear about the University? *

I am applying for any Scholarship I qualify for *

Yes No

Which describes you? *

If you requested a GNP Payment Plan with the University, what term are you requesting? *

Your Employment: Which describes you *

I understand the following: *

I will submit required reference forms I will submit a copy of all diplomas or certificates awarded from other schools I will submit a copy of my photo ID I understand it take up to 30 days to process this application

Print your full name as E Signature *

What type of program do you desire *

Special Program/Des Moines IowaApplication for Admissions

Special Program/Des Moines Iowa
Application for Admissions