APPLICATION FOR ADMISSION - Trinity School for Ministry

APPLICATION FOR ADMISSION
Date ________________________
Name ___________________________________________________________ S.S.# _______________
Last First Middle/Maiden
Permanent Address
_____________________________________________________________________________________
Number & Street City State Zip
Present Address
_____________________________________________________________________________________
Number & Street City State Zip
Phone Number(s) ______________________ ______________________ _______________________
Home Cell Work
E-Mail Address __________________________________________
Date of Birth __________________
Place of Birth_________________________________________
Citizenship: USA Other __________________________________________________________
If not a citizen, how long have you been in the USA? _________ On what visa? ____________________
Current Marital Status _____________________
Date of this status _______________________
Name of Spouse (spouse to be) _______________________
Date of Birth _____________________
Children’s names and dates of birth ______________________________________________________
_____________________________________________________________________________________
How did you hear about Trinity? _________________________________________________________
If admitted, when do you plan to enter? _____________ Which program? _______________________
Emphasis or concentration ______________________________________________________

Where will you take classes? (check all that apply)
 Ambridge  Online  Interterm
Have you taken classes for credit from Trinity?  Yes  No
Do you have credits to transfer from another seminary or graduate school? _________________
If yes, list school(s)
____________________________________________________________________
Have you ever been refused admission to or dismissed from any seminary or graduate
institution?
_________ If yes, please attach details on separate sheet.
Education
List all post-high school education (institutes, colleges, and graduate institutions) even if you did
not graduate from that school. It is your responsibility to see that each institution sends an
official transcript to our Admissions Office.
Name of Institution Dates Attended Degree(s) Awarded
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Background Check
A complete criminal background check must be conducted on all applicants prior to admission.
To obtain this, please contact your State Police department.
Have you ever been convicted of a crime (felony or misdemeanor)? Yes No
Have you ever been charged with sexual misconduct? Yes No
If you answered “Yes” to either question, please explain on a separate piece of paper.

Occupational Experience
List previous occupational experience, including all positions held, beginning with college, and noting military service.
Attaching a résumé or separate sheet may be helpful.
Employer Date Type of Work Reason for Leaving
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Church Affiliation and Status
Denominational Membership _________________________________ Length of time _____________________________
Date of Baptism ____________________________________________ Date of Confirmation _______________________
Church and address __________________________________________________________________________________
__________________________________________________________________________________________________
Rector or Pastor _____________________________________________________________________________________
Length of time you have attended this church _____________________________________________________________
Are you seeking ordination in the Episcopal or Anglican Church? _____________________________________________
If yes, are you a Postulant for ordination? Yes No  In Process
If a Postulant, give diocese and bishop’s name _____________________________________________________________

References
Please list two references who can speak to your character from a church, business or academic and personal
background. If you have taken classes through Trinity, we will speak to those professors, so you do not need to
include those names. Please do not use family members as references.
Clergy Person
__________________________________________________________________________________________
Title First M.I. Last
__________________________________________________________________________________________
Street Address City State Zip
Telephone ____________________________________
With area code
Email _____________________________________
Business Professional OR Academic Professor (please indicate which)
__________________________________________________________________________________________
Title First M.I. Last
__________________________________________________________________________________________
Street Address City State Zip
Telephone ____________________________________
With area code
Email _____________________________________