GRTS Re-Admit Application

1. This application is for: *

Fall 2009
Spring 2010
Summer 2010

2. Last Name: *

3. First Name: *

4. Middle Name:

6. Maiden Name:

7. Home Address: *

8. City: *

9. State: *

10. Zip: *

11. County (if in MI):

12. Mailing Address (if different from home address):

13. Daytime Phone (with area code): *

14. Evening Phone (with area code): *

16. Month/Day of Birth: *

17. City of Birth: *

18. State of Birth: *

19. Country of Citizenship: *

20. Email: *

21. Alternate Email:

24. Name of school from which you received your baccalaureate degree. *

25. Location (city and state) of baccalaureate institituion: *

26. Dates attended baccalaureate institution (i.e. Aug. 2001 - May 2005): *

27. Degree received at baccalaureate institution: *

28. Final Grade Point Average (GPA) at baccalaureate institution *

29. Other schools you have attended for undergraduate or graduate studies (Name, location, dates attended, degree received, GPA)

30. If you are transferring from another seminary, please explain why:

31. In which program were you previously enrolled at GRTS? *

33. What status best describes your present enrollment intentions? *

12 Hours +
9-11 Hours
6-8 Hours
3-5 Hours

34. Resident or Distance? *

Resident Study only
Distance Study only (limited course enrollment))
Residential and distance

35. How many semester hours have you completed at GRTS? *

36. When were you last enrolled at GRTS (semester/year)? *

37. Please state the name, affiliation, and location of the church of which you are a member/currently attend: *

38. Have you ever been convicted of a felony? *

Yes
No

If yes, please explain:

39. Spouse's name (if applicable):

40. Is your spouse a Christian?

Yes
No

41. Do you have any children?

Yes
No

42. Please list the name(s) and age(s) of your children:

43. For Applicant's Spouse: Please indicate your level of commitment to your spouse's graduate education in preparation for ministry.

Support
Support with reservations
Do not support

For Applicant's Spouse: If you do not support, or have reservations, please explain.

Spouse's Confirmation (Name and Date):

44. For Applicant: Have you read, and are you in agreement with the statement of faith and lifestyle statement as found in the admissions section of the academic catalog? *

Yes
No

Students, by virtue of their enrollment, agree to live within the framework of the school's standards of conduct. While some may not have personal convictions in accordance with these standards, agreeing to them obligates the student to assume responsibility for honorable adherence to them while enrolled in the seminary (arrival on campus through the termination of the academic program for each school year). It should, of course, be understood that any behavior, either on campus or away, which indicates that a student has disregard for the spirit of the school standards would be sufficient reason to ask him/her to withdraw from school. As a student of Grand Rapids Theological Seminary, I agree to exhibit honesty and integrity in my academic pursuits, personal relationships, and professional work, practice discernement in the areas of media and entertainment, abstain from the possession and use of alcoholic beverages, tobacco, and illegal drugs, and honor biblical teaching in order to maintain a right relationship with God, people, and creation. I understand that GRTS reserves the right to perform a criminal background check on students of the university. By typing my name below, I am authorizing the university to perform a criminal background check. I understand that accounts not paid in accordance with school policies may be submitted to a collection agency. In addition, I understand that I am responsible for all collection costs if my account is submitted to a collection agency. I certify that all my answers on this application are complete and accurate to the best of my knowldege, I understand that falsifying any part of this application may result in cancellation of admission and/or registratration. Finally, I certify that I will honorably adhere to the seminary standards as outline above. *

Yes, I affirm the standards outlined above
No, I do not affirm the standards outline above

Name and date: *