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DOCTORAL APPLICATION
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Click
here to download and print this form in Adobe Acrobat format CONSERVATIVE
THEOLOGICAL UNIVERSITY INSTRUCTIONS: This
application should be filled out completely and personally by the
applicant and mailed to Director of Admissions, Conservative
Theological University, 12021 Old St. Augustine Road, Jacksonville FL
32258, accompanied by a $25.00 non-refundable application fee. Other
forms and transcripts may be sent separately. An inital Registration
fee of $75.00 and a $30.00 semester fee will be due also. Please enclose a small recent photo of yourself. A close up of head and shoulders is preferred. This picture should have been taken within recent months. APPLICATION: 1. Date: When do you desire to enter the doctoral program? _________ Summer (application deadline: January 15th) _____ Year _________ Fall (application deadline: June 15th)_____Year _________ Spring (application deadline: October 15th)_____Year 2. Doctoral program applying for: _____ DMin _____ ThD. _____ Ph.D. _____ EdD. _____ J.E.D. 3. Name: (Mr. Mrs. Miss. Ms. Rev. Dr.) ________________________________________________________________________ Home address:_____________________________________________________________________________________________ City _____________________________________________________ State ________ Zip ________ Country ________________ Telephone: Home (____) _________________________Work (____)___________________________ Social Security Number __________________________ E-Mail _____________________________________________________ 4. Are you an alumnus or former student of Conservative Theological University? ____Yes, what year ______? ______No 5. Your present age _________ Date of birth ___________ Ethnic origin __________________________ Place
of birth _____________________________Country of citizenship
_________________________ 6. Marital Status: ____Single _____Married _____Separated _____Widowed _____ Divorced _____ Ever Divorced If married, give spouse's name ________________________________________________________________________________ Date of marriage___________________________________________________ Ages of children __________________________ Spouse ever divorced? Yes / No_____ NOTE: If you or your spouse have ever been separated or divorced, attach a statement giving details. 7. Give names and complete addresses of three persons who know you well, including a university professor and the chairman of your board, chairman of deacons, or other executive of your organization. Name__________________________________________________Address____________________________________________ Organization_______________________________________________________________________________________________ Name__________________________________________________Address____________________________________________ Organization_______________________________________________________________________________________________ Name__________________________________________________Address____________________________________________ Organization________________________________________________________________________________________________ 8. List all schools attended beyond high school..
9. Of
what local church are you a member? (Give name and location.) With
what ecclesiastical body is this church affiliated?
__________________________________________________________________________________________________________
10. Are you in good health? _____ Yes _____ No Do you have any physical disabilities or limitations, such as blindness, deafness, speech problems? _____ Yes ______ No 11.
What is your practice regarding the use of alcoholic beverages and
tobacco? 12. When did you accept Jesus Christ as your Savior? ____________________________________________________________ 13.
What is your present ministry? (Give position, church or organization,
and address.) __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________
__________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ 15.
Please read the doctrinal statement of the university and respond to
the
following questions. Are there areas of disagreement? _____ Yes _____No If
yes, state which areas. __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Are
there areas in which you have not formed an opinion? _____ Yes _____ No
__________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Do
you adhere to the following doctrines? __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ 16.
What books or articles have you had published? __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ 17.
Of what profession, societies or associations are you a member? __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ 18.
What foreign countries have you visited? __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ 19.
What special honors have you received? __________________________________________________________________________________________________________ __________________________________________________________________________________________________________
Signature of applicant ________________________________________________ Date ____________________________________ I certify that the information provided to Conservative Theological University is accurate and truthful and that I have read the Conservative Theological University catalog and understand the regulations governing Conservative Theological University. I am in agreement with the policies and standards of Conservative Theological University and am willing to uphold them and live by them if I am accepted as a student at Conservative Theological University. I further acknowledge that no other representations have been made to me in writing, electronically, or orally other than what is stated in the Conservative Theological University catalog. Department of Admissions
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