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Applicant: Please read the requirements for admission before completing this application. Print clearly the information requested. Return this form and a non-refundable fee of $10.00 (Money Order)-to:

Covenant International University and Seminary., 7457 Harwin Dr. Suite 216, Houston, Texas 77036

First Name *

Last Name *

Todays Date *

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

D.O.B

Social Security Number or International Passport Number

Telephone Number *

Fax Number

Marital Status *

Hair Color *

Eye Color *

Height *

Weight *

Veteran *

Present Occupation *

Are you credentialed for ministry? *

Level

If so, what Church or Denomination?

Email *

Date application submitted

“A requirement for a member is a born-again experience.” Have you received Jesus Christ as your Lord and Savior? (FOR CHAPLAINCY ONLY)

Please respond to question above *

Place

Date

Name of Institution

Highest Level of Education *

Checkbox

Deposit: $500.00 deposit for this application before Handout is given out (Non Refundable Fee. See Below)

Checkbox

Total Tuition: $ (DEPENDS UPON YOUR DEGRRE )

Amount

Money Order

Money Order # and Exp.___/___

Please check this box to indicate that you have read and understand the deposit, payment, and cancellation policies for this program, as detailed in the Application Information: (For Chaplaincy Program only) *

I Agree to all terms herein

1. Please indicate if you are taking this program with the intention of pursuing a professional chaplaincy path (e.g. seeking a paid position with the title of “chaplain” or “spiritual care provider”) and if you intend to apply for board certification

2. If you answered Yes to the previous question, please indicate if you have received a bachelor’s degree from an accredited college or university.

If yes please list the Name of College/University

3. Please indicate below which path/s you are interested in pursuing. You do not have to commit to a path/s until later in the training process, but this information helps us to better understand your interests as we design the curriculum. *

Compassionate End-of-life CareEnvironmental chaplaincyPeacemakingPrison ministryHospital Systems ministryWomen’s ministryYouth/Education chaplaincyOther

• One letter of reference from people who know your Christian experience.

• A fingerprint card and clearance letter from local Police, Sheriff or FBI.(Optional)

Two (2) passport size photos. (1 ½” x 1 ¾” or smaller)

ESSAY: Why I want to be a Chaplain” One page double-spaced, title at the top, with signature and date at the bottom right..( eg. detailing your conversion to Christ, your call to ministry and ministerial experience.)-------END OF CHAPLAINCY APPLICATION

Please upload any requested information here

Application for Addmission

Academic History

Tuition

Additional Information Needed:

GENERAL APPLICATION CONTINUES:

Applicant agrees to the following terms and conditions: Agreement made by and between the Applicant whose name and address are listed above, hereinafter referred to as the "applicant," and COVENANT INTERNATIONAL UNIVERSITY AND SEMINARY., whose principal p

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