Disciples Seminary Foundation

NOTICE OF APPLICATION

Date ____________________________
 

Name _____________________________________________________________
Last                                           First                                 Middle/Maiden

Mailing Address _____________________________________________________

______________________________________________ ( ___ ) _____________
               City                                 State        Zip             Telephone

____ I am applying for admission for: Summer 20___ Fall 20___ Spring 20___

Seminary or graduate school (circle all that apply): CST  PSR  SFTS/SC  CGU  GTU

Degree program (circle one): M.Div., M.A., M.A.T.S., M.A.R.E., M.A.R., Ph.D., D.Min.

____ I enclose a photocopy of my application to seminary or graduate school.

____ I have arranged for duplicates of my transcripts to be sent to DSF from:

College, university, seminary                             Years attended                  Degree

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

____ I have asked references to send duplicates of their comments to DSF.


REQUEST FOR FINANCIAL AID

____ I wish to apply for consideration for a Foundation scholar award.

____ I enclose a photocopy of the following form(s) I have completed and submitted:

bullet___ CST financial aid forms
bullet___ PSR financial aid forms
bullet___ SFTS/SC financial aid forms
bullet___ CGU financial aid forms
bullet___ GTU financial aid forms

____ I have requested that a FAFSA report be sent to DSF.

____ I enclose a personal income and expense projection for 20___-___.
 
 

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bulletSignature _____________________________________

 
 
 

OTHER INFORMATION

Current occupation _________________________________________________

Employer _________________________________Bus. Phone (____)_________

Marital status (circle one):   Single   Married    Widowed    Divorced

Name of spouse, if married ___________________________________________

Name of children, if any, and ages _____________________________________

Church membership ________________________________________________

Social security No. _______________________ Country of citizenship _________

Visa _________________________ Permanent resident ID no. ______________

Other name(s) which may appear on transcripts: __________________________

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