Application for Admission. M. Christopher White School of Divinity. great. be a part of a. calling.

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1 Application for Admission M. Christopher White great be a part of a calling.

2 THE SCHOOL OF DIVINITY We are delighted that you are interested in pursuing graduate theo logical education at t he Gardner- Webb University M. Christopher White. Read carefully the instructions below so that we will be able to process your application materials accurately. Requirements for Full Admission ( Doctor of Ministry) 1. Completion of the Master of Divinity degree (or its equivalent) from an ATS-accredited institution. 2. Minimum grade point average (GPA) of 2.75 on a 4.0 scale in Master of Divinity (or its equivalent) studies. 3. Three years ministerial experience beyond the Master o f Divinity. 4. Placement in a full- time vocatio nal ministry setting. 5. Ministry Essay a. The applicant will submit a ten to fifteen page double-spaced ministry essay. b. The essay should discuss the applicant s call to ministry, theology of ministry, history in ministry, goals fo r ministry, and ho w he/she believes earning the D.Min. will enrich his/her ministry. 6. Personal Interview a. Applicants deemed worthy will be invited to the M. Christopher White for a personal interview with the D.Min. Admissions Committee. Checklist for Admission 1. Complete the M. Christopher White Scho ol of Divinity Application for Admission. Include a $25 non- refundable application fee. Make check pay able to Gardner- Webb University Schoo l o f Divinity. Return to: Director of Admissions M. Christo pher White Gardner- Webb University Box 5168 Boiling Springs, NC Request that an official transcript of all previous baccalaureate and graduate level work be sent directly to the M. Christopher White. 3. Submit the three recommendation forms enclosed. Ask the respo ndents t o send t hese directly to the M. Christopher White Scho ol of Divinity. These reco mmendations should reflect at least two of the following three so urces: Professor in student s majo r field, Pro fessional, and/ or Personal. 4. Submit a completed Church Approval Form from the church where you are a member in good st anding. 5. Complete the Immunization History Form and return it to the Admissions Office. 6. Ministry Essay (D.Min.) We strongly encourage all applicants to visit the campus. To arrange a campus visit or to receive any additional information about the M. Christopher White, call GWU-GRAD or (704)

3 M. Christopher White Application for Admission Full Legal Name Last First Middle Maiden Preferred Name Mailing Address P.O. Box or Street City State Zip Permanent Address P.O. Box or Street City State Zip Home Telephone ( ) Work Telephone ( ) Address Social Security Number DEGREE PROGRAM: Master of Divinity M Div/MBA Doctor of Ministry Concentration (Choose one) M Div/MA English Pastoral Studies Christian Education M Div/MA English Education Pastoral Care and Counseling Biblical Studies Transient/Special Missiology Audit Expected enrollment date: Year Fall Spring Summer I Summer II Educational Background: (Please list in reverse chronological order. Please note that we must receive an official transcript from each institution.) Institution Address Dates Degree Professional Work Experience: Church/Organization Address Dates References: (Please submit references from at least two of three categories-professional, Educational, Personal) On a separate piece of paper please write a one page statement of your Christian pilgrimage including conversion, call to ministry, and vocational objectives in ministry. Gardner-Webb University does not practice or condone discrimination in any form against applicants or students on the basis of race, color, national origin, gender, age, or handicap. Student Statement: I certify that all information given in this application is complete and accurate. If accepted into the M. Christopher White at Gardner-Webb, I agree to abide by the established rules and regulations of the University. Signature Date Please complete the statistical data requested on the reverse.

4 STATISTICAL DATA Name: Date: (The following data is requested for statistical reports required by various governmental and non-governmental agencies. This information is not evaluated for purpose of eligibility for admission to the M. Christopher White.) Date of Birth: Sex: Male Female Marital Status: Married Single Divorced Name of Spouse _ Veteran of Military Service: Yes No Receiving Veteran s Benefits: Yes No Country of Citizenship: State and County of Legal Residency: Ethnic origin: White (Non-Hispanic) Black (Non-Hispanic) Hispanic American Indian Asian/Pacific Islander Non-Hispanic South American Non-Resident Alien Religious/Denominational Affiliation (Please be specific) Previously enrolled in the M. Christopher White or Gardner-Webb University Graduate School: Yes No If yes, when, and what degree program How did you first learn of the Gardner-Webb University M. Christopher White? What factors have led you to apply to the M. Christopher White at Gardner-Webb University? List other Seminaries or Divinity Schools to which you are applying: Data requested for the Office of Public Information: Parents: Home Church: Hometown newspaper: Other newspapers you would like to receive information about you:

5 Major Professor or Supervisor Reference Form TO THE APPLICANT: Please complete this section before giving to the respondent. M. Christopher White Expected enrollment date: Year: Term: Fall Spring Summer Name Last First Middle Maiden Social Security Number Address Street/Route/P.O. Box City State Zip Phone Number I do do not waive the right to review this recommendation. Signature Date TO THE RESPONDENT: The above has given your name as a reference to support his/her application for Graduate Study at M. Christopher White /Gardner-Webb University as a candidate for the Master of Divinity degree. Careful attention will be given to your appraisal. Please check each characteristic in the appropriate column. Comparison should be made with qualified peers of the applicant. Leadership Scholarship Intelligence Written expression Oral expression Motivation Emotional Stability Self-reliance Social qualities Teaching potential, if applicable Below Average Avera ge Good Superior (Top 10%) Inadequate Opportunity to Observe Recommend with enthusiasm Signature Recommend with confidence Name (print) Recommend Title and Dept. Recommend with reservation Organization Do not recommend City/State/Zip Phone Number ( ) _ Relationship to applicant Duration of relationship Remarks (please use reverse side of this sheet if necessary): Mail to: Director of Admissions,, P.O. Box 7327, Gardner-Webb University, Boiling Springs, NC Thank you for your assistance!

6 M. Christopher White Reference Form TO THE APPLICANT: Please complete this section before giving to the respondent. Expected enrollment date: Year: Term: Fall Spring Summer Name Last First Middle Maiden Social Security Number Address Street/Route/P.O. Box City State Zip Phone Number I do do not waive the right to review this recommendation. Signature Date TO THE RESPONDENT: The above has given your name as a reference to support his/her application for Graduate Study at M. Christopher White /Gardner-Webb University as a candidate for the Master of Divinity degree. Careful attention will be given to your appraisal. Please check each characteristic in the appropriate column. Comparison should be made with qualified peers of the applicant. Leadership Scholarship Intelligence Written expression Oral expression Motivation Emotional Stability Self-reliance Social qualities Teaching potential, if applicable Below Average Avera ge Good Superior (Top 10%) Inadequate Opportunity to Observe Recommend with enthusiasm Signature Recommend with confidence Name (print) Recommend Title and Dept. Recommend with reservation Organization Do not recommend City/State/Zip Phone Number ( ) _ Relationship to applicant Duration of relationship Remarks (please use reverse side of this sheet if necessary): Mail to: Director of Admissions,, P.O. Box 7327, Gardner-Webb University, Boiling Springs, NC Thank you for your assistance!

7 M. Christopher White Reference Form TO THE APPLICANT: Please complete this section before giving to the respondent. Expected enrollment date: Year: Term: Fall Spring Summer Name Last First Middle Maiden Social Security Number Address Street/Route/P.O. Box City State Zip Phone Number I do do not waive the right to review this recommendation. Signature Date TO THE RESPONDENT: The above has given your name as a reference to support his/her application for Graduate Study at M. Christopher White /Gardner-Webb University as a candidate for the Master of Divinity degree. Careful attention will be given to your appraisal. Please check each characteristic in the appropriate column. Comparison should be made with qualified peers of the applicant. Leadership Scholarship Intelligence Written expression Oral expression Motivation Emotional Stability Self-reliance Social qualities Teaching potential, if applicable Below Aver age Average Good Superior (Top 10%) Ina dequate Opportunity to Observe Recommend with enthusiasm Signature Recommend with confidence Name (print) Recommend Title and Dept. Recommend with reservation Organization Do not recommend City/State/Zip Phone Number ( ) _ Relationship to applicant Duration of relationship Remarks (please use reverse side of this sheet if necessary): Mail to: Director of Admissions,, P.O. Box 7327, Gardner-Webb University, Boiling Springs, NC Thank you for your assistance!

8 M. Christopher White CHURCH APPROVAL FORM INSTRUCTIONS Each applicant for admission to the M. Christopher White at Gardner-Webb University must have the approval of a local church. The following statement should be read to the church in regular business session and approved by formal vote of the congregation. PLEASE RETURN THIS FORM TO : Director of Admissions, M. Christopher White, Gardner-Webb University, P.O. Box 7327, Boiling Springs, N. C STATEMENT Having evidence that, an applicant for admission to the M. Christopher White at Gardner-Webb University is: an individual of personal moral integrity; an individual of profound commitment to the Christian faith as evidenced by participation in the life of this church; an individual of emotional stability who is able to fill leadership responsibilities in church life, and an individual whom this church would recommend for a responsible role in the Christian ministry; we, therefore, express approval of his/her desire to enter the work of the professional ministry, and recommend him/her for admission to the M. Christopher White at Gardner-Webb University. Name of Church Address of Church Denominational Affiliation Signature of Pastor Date of Church Approval Signature of Church Clerk Date Applicant joined this Church

9 M. Christopher White Immunization History The student immunization record must be completed and returned BEFORE you arrive on campus. Deadlines: August 1 for fall enrollment January 1 for spring enrollment The immunization form must be completed and signed by a health care provider. Immunization dates must include Month, Day, and Year of administration. Important: the immunization requirements must be met; or according to NC law, you will be withdrawn from classes without credit. Acceptable records of your immunizations may be obtained from any of the following: High school records, physician, health department, military record, or previously attended college. These records may not fulfill all the requirements noted below. What immunizations are required? Student Age - Vaccines and Dose(s) Requirements Students 17 years of age and younger DTP or Td 1 Polio Measles 2 Mumps 4 Rubella Students born in 1957 or later, and 18 years of age or older DTP or Td 1 Polio Measles 3 Mumps 4 Rubella Students born before 1957 DTP or Td 1 Polio Measles Mumps Rubella Students 50 years of age and older DTP or Td 1 Polio Measles Mumps Rubella Footnote 1 : DTP (Diphtheria, Tetanus, Pertussis), Td (Tetanus, Diphtheria): One Td booster dose within the last 10 years. Footnote 2 : Measles: One dose on or after 12 months of age; second at least 30 days later. Footnote 3 : Two measles doses if entering college for the first time after July 1, Footnote 4 : One dose on or after 12 months of age. Be sure to review the above guidelines for completing the immunization form. Note that you are required to have a series of three (3) Tetanus doses with a booster within the last 10 years. Also note that you may require a second Measles (Rubeola). These are usually not current on your high school immunization records. Questions? Contact: Pam Skinner or pskinner@gardner-webb.edu

10 Immunization Record To be completed and signed by physician or clinic. A copy of your COMPLETE immunization record from a physician or clinic may be attached to this form. (See other side for acceptable forms of documentation. Please note that you are required to have a series of three (3) Tetanus doses with a booster within the last 10 years. Also note that you may require a second Measles (Rubella). These are usually not current on your high school immunization records. Last Name First Name Middle Name Date of Birth (mo/da/yr) Required Immunizations Mo/Da/Yr Mo/Da/Yr Mo/Da/Yr Mo/Da/Yr DTP or TD #1 #2 #3 #4 TD Booster Polio MMR Measles Disease Date Titer Date & Result Mumps Disease Date Titer Date & Result Rubella Disease Date Titer Date & Result **You may attach other shot records, OR official high school shot records, if available. If a physician administers your immunizations, please make sure to have the physician sign and date.** Signature of Physician or Health Care Provider Clinic Stamp Date Print Name of Physician/ Physician Assistant/ Nurse Practitioner Area Code/Phone Number Please return completed form to: Admissions P.O. Box 7327 Boiling Springs, NC Fax: (704)

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