APPLICATION FOR ADMISSION

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APPLICATION FOR ADMISSION Return form to: Graduate Theological Foundation Dodge House 415 Lincoln Way East Mishawaka, Indiana 46544 USA Office Use Only Welcome Packet ALL APPLICANTS: Contact Information Full name & Title Address Telephone Email Secondary telephone Secondary email GRADUATE THEOLOGICAL FOUNDATION APPLICANTS APPLICATION CHECKLIST Ministry Statement $40 App. Fee 1 st Letter of Rec. 2 nd Letter of Rec. Graduate Transcript Academic transcripts, educational records, or copy of high school diploma Preferred Degree Program (Please check only one.) ACADEMIC DOCTORAL DEGREES Doctor of Philosophy (Ph.D.) Biblical Studies Islamic Studies Clinical Pastoral Psychotherapy Pastoral Psychology Theological Studies Pastoral Logotherapy Church History Doctor of Philosophy (Ph.D.) Doctor of Philosophy (A.B.D.) A.B.D. (All But Dissertation) Doctor of Theology (Th.D.) Anglican/Episcopal Studies Methodist Studies Baptist Studies Roman Catholic Studies Doctor of Tribunal Studies (D.Tr.S.) Online Program Application for Admission 1

PROFESSIONAL DOCTORAL DEGREES Doctor of Education (Ed.D.) Doctor of Psychology (Psy.D.) Doctor of Mediation (D.Med.) Doctor of Psychology in Clinical Pastoral Supervision (Psy.D.) Doctor of Sacred Music (D.S.M.) Doctor of Psychology in Clinical Pastoral Psychotherapy (Psy.D.) Doctor of Tribunal Studies (D.Tr.S.) Doctor of Psychology in Pastoral Logotherapy (Psy.D.) Doctor of Ministry (D.Min.)* Pastoral Logotherapy Clinical Pastoral Supervision Applied Ministries Jewish Spirituality Pastoral Counseling Theological Studies Pastoral Care Spiritual Direction Women s Studies in Ministry Other * Students may choose from among the above degree concentrations or may request to pursue a specialized concentration (of their choice) relevant to their specific interests. ACADEMIC MASTER'S DEGREES Master of Theology (M.Th.) Master of Theology (M.Th.) (for Roman Catholic Deacons) Master of Theology in Buddhist Studies (M.Th.) Master of Tribunal Studies (M.Tr.S.) Online Program Master of Theology in Islamic Studies (M.Th.) PROFESSIONAL MASTER'S DEGREES Master of Mediation (M.Med.) Master of Pastoral Counseling (M.P.C.) Master of Religious Education (M.R.E.) Master of Sacred Music (M.S.M.) Master of Tribunal Studies (M.Tr.S.) UNDERGRADUATE APPLICANTS APPLICATION CHECKLIST Ministry Statement $40 App. Fee 1 st Letter of Rec. 2 nd Letter of Rec. Portfolio* * Applicants must prepare an Undergraduate Portfolio and submit it with this application. A description of this requirement and a guide are available online. Preferred Degree Program (Please check only one.) PROFESSIONAL BACHELOR'S DEGREES Bachelor of Theology (B.Th.) Bachelor of Religious Education (B.R.E.) Bachelor of Sacred Music (B.S.M.) B.Th. B.Th. in Islamic Studies B.Th. for Roman Catholic Deacons B.R.E. B.S.M. Southeast Asia Program C.O.R.E. PROGRAM APPLICANTS If you are applying through a C.O.R.E. program (College Outreach Education), please check the corresponding box. Rocky Mountain Bible Training Center Good Shepherd Center, St. Philip the Apostle Catholic Church The Northwestern Pennsylvania Institute for Ministry Education St. John Fisher Parish St. Michael Catholic Church Blue Mountain Lotus Society Application for Admission 2

P.R.I.M.E. PROGRAM APPLICANTS If you are applying through a P.R.I.M.E. institution, please check the corresponding box. Alamance Regional Medical Center Centro de Psicología Existencial y Logoterapia Christian Contemplative Spirituality Institute Dominican Center at Marywood The Guild for Spiritual Guidance Hartford Family Institute The Hiebert Institute International Institute of Theological and Tribunal Studies Islamic Cultural Center of Greater Chicago Institute for Psychodynamic Pastoral Supervision Lev Shomea Palisades Medical Center Palmetto Health Institute for Spirituality Society of Catholic Social Scientists The Spiritual Guidance Training Institute Tao Fong Shan Christian Centre Viktor Frankl Institute of Logotherapy Worklife Institute ALL APPLICANTS: Ministry Statement On a separate page, write a statement expressing your commitment to the program chosen and how you feel it will serve your professional/personal needs. Please list your experience as part of this statement. This is the most important component of your application. Ministry is defined by the Graduate Theological Foundation as the act of being engaged in any social service dedicated to the improvement and nurture of society and the world community. ALL APPLICANTS: Educational Background Application for Admission 3

ALL APPLICANTS: Present Position and Title Position Title ALL APPLICANTS: Professional Memberships Please list any professional memberships which are relevant to your application. (Spell out acronyms.) PH.D. APPLICANTS Language Proficiency Arabic German Hebrew Other(s): French Greek Latin Note: Language proficiency must be corroborated by a college transcript, Princeton Language Exam, or equivalent verification/documentation. Language proficiency is only required for research if specified by the Thesis Supervisor. Proficiency must be verified prior to commencing research. ALL APPLICANTS: Privacy Statement Following an applicant s acceptance and activation at the GTF, certain information may be scheduled for release in the Foundation Footnotes monthly newsletter. If you would NOT like any of the below information about you to be released in the newsletter, please read, sign and date the section below. Name/Title City/State or City/Country Degree program Degree(s) held Educational institutions that granted degree(s) Professional position/field of work Professional membership(s) Note: The GTF does not trade, sell or provide applicants, students', or alumni s personal contact information or information on academic status or performance to any third parties unless permission is granted by the applicant, student or alumnus/a. If you DO NOT wish any of the above information to be published in Foundation Footnotes upon acceptance and activation, please provide your signature and date below. SIGNATURE DATE (month/day/year) Application for Admission 4

OPTIONAL STATISTICAL INFORMATION Gender Female Male Date of birth month: / day: / year: Marital Status Religious Tradition Ordination Married Christian Secular Yes Single Jewish Other No Other Muslim N/A Buddhist Denominational Affiliation Ethnic and Racial Background (Please select one or more of the following.) Asian Black Hispanic/Latino White Afghan African Central American European Chinese African American Mexican Middle Eastern Indian Caribbean Puerto Rican North African Pakistani Other Other Other Vietnamese Other Native American or Alaska Native Native Hawaiian Pacific Islander Nation: Island(s): ALL APPLICANTS: Survey Please indicate how you were referred to the Graduate Theological Foundation. (Check all appropriate boxes.) Word of mouth Faculty of the GTF Alumnus/a of the GTF Current student of the GTF Oxford Summer Programme in Theology Centro Pro Unione Summer Course in Rome P.R.I.M.E. Program Which program? Online GTF website Facebook GTF blog Search engine Email news release Online advertisement/listing Which website? Website Print Postcard/letter news release Newspaper advertisement Which newspaper? Magazine advertisement Which magazine? Other (Please specify source of referral.) Application for Admission 5

ALL APPLICANTS: Signature I confirm that all information I have provided in this Application for Admission is true and accurate to the best of my knowledge, information and belief. I realize that it is my responsibility to review the website and materials from the Graduate Theological Foundation in order to understand all academic and financial requirements and policies. SIGNATURE / /20 DATE (month / day / year) PRINT NAME Applications are reviewed within two weeks of receipt of all application materials. CONTACT INFORMATION: Graduate Theological Foundation Tel: 1-800-423-5983 (U.S. & Canada) Dodge House Tel: 1-574-255-3642 (International) 415 Lincoln Way East Email: information@gtfeducation.org Mishawaka, Indiana 46544 USA Website: www.gtfeducation.org Facebook: www.facebook.com/graduatetheologicalfoundation Application for Admission 6