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DOCTOR OF MINISTRY APPLICATION FOR ADMISSION TO CONCORDIA SEMINARY

To submit an application to our school, please complete the following form and select Submit Application.

= Required

Please note that applications will not be considered for admission until all required materials have been received
by the Graduate School. All application materials are due by Feb. 28 (Nov. 30 for international applicants).

Questions? Contact the Graduate School office at 314.505.7222 or gradschool@admcsl.edu

Personal Information

First Name
Middle Name
Last Name
Suffix
Date of Birth (mm/dd/yyyy)
U.S. Social Security No. (Required for US Citizens)

Address Information

Please enter your Primary address first.

Addresses

Add Another Address

Address Type
Address Line 1
Address Line 2
Address Line 3
Address Line 4
City
State/Province
Postal Code
Country

Contact Information

E-mail Address

Phone Numbers (Exclude Country Code)

Phone Type	Country	Phone Number	Primary

Add More

Moral / Criminal Information

Please respond to both of the questions below.
If you answer 'yes' to either question, please provide a separate document that details the incident including,
but not limited to: a description of the incident, date, location, jurisdiction and resolution.

Have you ever been accused of sexual misconduct or a sex crime (including but not limited to child molestation, rape, statutory rape, sexual abuse, indecent exposure or sexual harassment) by any person or entity?
Have you ever been charged, pled guilty/no contest to, or convicted of any crime, misdemeanor or felony?

Demographic Information

Gender
Marital Status
Church Affiliation
Current Church Membership:
Church Street Address Line 1:
Church City/State:
Church Zip Code:
Ordination Date (mm/dd/yyyy)

Citizenship Information

Primary Citizenship
Secondary Citizenship
Country of Birth

Government Information

Visa
Visa Number
Visa Country Issued
Visa Expiration Date (mm/dd/yyyy)

Matriculation Information

When do you plan to begin your course of study?

Program of Study

Program

Add More

Area of Concentration
Counselor

Emergency Contact

Additional emergency contacts can be added at a later date.

Contacts

Add Another Contact
1. Prefix
2. First Name
3. Middle Name
4. Last Name
5. Suffix
6. Relationship
7. Phone Number

Education History

You must include every institution where you have earned undergraduate or graduate credits. Click 'Add Another Institution' in the "Institutions" box to the right as needed.

Degrees

Add Another Degree
1. Degree
2. Start Date (mm/dd/yyyy)
3. End Date (mm/dd/yyyy)
4. Institution Name
5. City
6. State
7. Country
Institution Name

ETS Code

City

State

Country

Language Background

*Please note: All applicants whose native language is not English are required to submit TOEFL scores.

Native Language

Pastoral Service - Present Church/Agency

Church/Agency Name
Location
Years
Position

Pastoral Service - First Prior Church/Agency

Church/Agency Name
Location
Years
Previous Church/Agency Position

Pastoral Service - Second Prior Church/Agency

Church/Agency Name
Location
Years
Position

Pastoral Service - Third Prior Church/Agency

Church/Agency Name
Location
Years
Position

Pastoral Service - Fourth Prior Church/Agency

Church/Agency Name
Location
Years
Position

References - District President/Military Supervisor

Name
Phone
Address

References - Circuit Counselor/Denominational Supervisor

Name
Phone
Address

References - Another Pastor or Chaplain

Name
Phone
Address

References - President of Congregation/Church Council

Name
Phone
Address

To Complete Application

1. Insert name below for signature, accept Application Policy, and click Submit Application.

2. Attach required documents as directed or email later to gradschooladm@csl.edu.

Upload Instructions: After clicking Submit Application and Before clicking Finish, click Attach

Insure your name and any other identifying information is listed on each page of all attachments.

There is a size limit of 10MB for each document uploaded with this application and a limit of 10 total documents that may be attached.

In lieu of a physical signature, please type your name in the box and it will constitute a written signature. (250 Character Limit)
Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

Policy I do not accept I accept

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DOCTOR OF MINISTRY APPLICATION FOR ADMISSION TO CONCORDIA SEMINARY

Addresses

Contacts

Degrees