Application to the Doctor of Ministry Program
 in Leadership of Missional Church Renewal


ABOUT SSL CERTIFICATES


Pennsylvania site
West Virginia site

PERSONAL INFORMATION
_____________________________________________________________________________________

Title Name:
  (First) (Middle) (Last) (Maiden Name)
Present Mailing  Address: Citizenship
Street: Are you a U.S. Citizen or Permanent Resident?   Yes   No   
City: (if "No" please answer question below)
State: Visa status
Zip: Of what country are you are a citizen?:
Country    
Effective until  
Telephone:

                 

 
Cell Phone:  
E-Mail Address:    
E-Mail Address 2:  
General:  
Date of Birth:  
Place of Birth  
Social Security Number:  
Gender Male   Female  
Choosing an ethnicity/race (click here to see separate page with explanation)
Hispanic/Latino Yes   No  
Race (Please choose one or more options below)  
American Indian or Alaska Native  
Asian  
Black or African American  
Native Hawaiian or other Pacific Islander  
White  
Your responses to above two questions are voluntary and will not be used in making an admission decision. This information is needed by the University and the government for statistical purposes.

  
PROFESSIONAL MINISTRY
_____________________________________________________________________________________

Present Position
Name of Church/Organization
Address 
Telephone
Fax
Email
Description of Present Position
Date Position Began
Number of Years in Professional Ministry
Date and Place of Ordination 
Ordained by 
Denomination
Current Church Affiliation

BUSINESS INFORMATION (if applicable)
______________________________________________________________

Present Position

Name of Business/Organization
Telephone
Address 
E-mail
Where would you prefer to receive program materials?

 

EDUCATION INFORMATION
____________________________________________________________________________________
 

Please indicate other names that your transcripts may be under: 


College

Institution: 

Location:  

Dates Attended:   

Degree:       Date received or expected:

Seminary

Institution: 

Location:  

Dates Attended:

Degree:         Date received or expected: 

Other Graduate Studies

Institution: 

Location:  

Dates Attended:     

Degree          Date received or expected:

Continuing Education


Institution: 

Location:  

Dates Attended:     

Degree:         Date received or expected: 

List your undergraduate major:      Minor:

If you have pursued graduate study, specify the field of concentration:
 

Please list all professional (non-academic) training you have completed and date completed:
 

 

SELF- ASSESSMENT 
_____________________________________________________________________________________
 

Please provide a brief statement focusing on your ability to pursue graduate work. Provide any supporting information regarding scholarships, test scores and academic awards. We also invite you to bring to our attention any explanations you may have regarding prior academic performance.

As part of the application process, you need to provide four persons with a reference form so that they can write letters of reference on your behalf. (Reference forms may be downloaded from the PTS website.)

Please list the persons from whom you will be requesting these letters of reference.
  • Congregational Board: An official letter from your congregation’s governing board indicating the church’s support of your devoting time to doctoral study. Please indicate to your congregation that you will be considered a full-time student and that one day per week of study will be required in addition to intensive residencies. If you are in a setting other than a local church, a letter from your administrative head or superior officer is required.
Name
Telephone
Address
Email
  • Denominational Official: A letter of ecclesiastical endorsement from an appropriate judicatory official of your denomination, providing an assessment of your work in the church, your promise in the ministry, and your potential for growth in a Doctor of Ministry program. 
Name
Telephone
Address
Email
  • Colleague (Clergy or Associate): A letter from a fellow minister who knows you well enough to provide an evaluation of your ministry and your ability to benefit from studies leading to this professional degree.
Name
Telephone
Address
Email
  • Layperson: A letter from someone in the congregation (or your professional setting) who can provide an objective evaluation of your performance and potential for further development in the present ministry.
Name
Telephone
Address
Email

 

FINANCIAL INFORMATION
____________________________________________________________________________________

Have you carefully reviewed the estimated program costs? Yes No 
Please indicate how you plan to finance your studies at Palmer. 




PLEASE READ AND SIGN

I UNDERSTAND THAT I AM RESPONSIBLE FOR THE SUBMISSION AND RECEIPT, BY THE SeMINARY, OF OFFICIAL TRANSCRIPTS OF MY RECORDS, AND THAT THE SEMINARY WILL ACCEPT, AS ITS OWN PROPERTY AND FOR ITS PERMANENT FILE, ONLY THOSE TRANSCRIPTS ISSUED DIRECTLY BY EACH INSTITUTION I HAVE ATTENDED.
FULL ADMISSION TO PALMER THEOLOGICAL SEMINARY AS A DEGREE CANDIDATE IS GRANTED ONLY AFTER ALL ADMISSION MATERIALS HAVE BEEN RECEIVED, ALL ADMISSION REQUIREMENTS MET, AND FORMAL NOTIFICATION HAS BEEN ISSUED.

I CERTIFY THAT THE INFORMATION WHICH I HAVE HEREIN PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE AND REALIZE THAT ANY FALSIFICATION OF INFORMATION MAY RELEASE THE SEMINARY FROM CONSIDERING MY APPLICATION FOR ADMISSION OR MAY LEAD TO DISMISSAL FROM THE SEMINARY AT A LATER DATE.

Signature: Date:



Note: “When you click on ‘submit,’ you will go automatically to a page that provides additional guidance for completing the Application Process.”

Please note that by clicking on “submit” above you are giving Eastern University permission to contact you via email. You can ask to be removed from our contact list at any time.

As part of Eastern University, the Seminary is accredited by the Middle States Commission on Higher Education (MSCHE) of Schools and Colleges and The Association of Theological Schools and does not discriminate in any of its policies,
programs or activities on the basis of gender, race, handicap, marital or parental or ethnic origin.
Per the "Electronic Signature in Global and National Commerce Act of January 2000," Eastern University accepts the above electronic signature as valid  and legal.

 

Palmer Theological Seminary
The Seminary of Eastern University
Doctor of Ministry Program
588 North Gulph Rd.
King of Prussia, PA 19406
semadmis@eastern.edu
1-800-220-3287


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