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Pulpit Application
MISSIO Seminary provides an opportunity for interested individuals to explore advanced theological study without application to a degree program. Completion of this form will grant status as a special non-matriculated student.
Intro Tab
Personal Information
Address
Parent Information
Enrollment Information
Church Affiliation
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is required
is Required
Salutation
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Admiral
Ambassador
Attorney
Baron
Bishop
Brother
Brother
Cadet
Captain
Cardinal
Chaplain
Chief
Colonel
Commander
Deacon
Dean
Dr.
Drs.
Dutchess
Ensign
Envoy
Father
General
General
Governor
His Eminence
HMC
Honorable
King
Lieutenant
Lieutenant
Lt.
Lt. Colonel
Lt. Commander
Lt. Gen.
LTJG
Major
Major General
Marq.
Mayor
Miss
Most Reverend
Mother
Mr.
Mr.
Mrs.
Ms.
Msgr.
Patrolman
Prof.
Rabbi
Rear Adm.
Rep.
Rev. Dr.
Rev. Mr.
Rev. Msgr.
Rev. Prof.
Reverend
Rt. Rev.
Rt. Rev. Msgr.
Sargent
Senator
SFC
Sister
The
The Honorable
V Rev
Very Rev.
Vice Admiral
Warrant Officer
First Name
Required
Middle Name
Required
Last Name
Required
Preferred Name
Required
Suffix
Required
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CPA
DDS
Director
Esquire
I
II
III
IV
Jr.
MD
P.E.
PhD
RN
Sr.
U S Air Force
U S Coast Guard
U S Marine Corps
U S Navy
United States Army
V
Email Address
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Social Security Number (Required for IRS form 1098-T)
Required
Date of Birth
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Gender
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Female
Male
Unknown
Are you Hispanic or Latino?
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NO
YES
Select one or more of the following races:
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White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Select your country of citizenship
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UNITED STATES
CANADA
AFGHANISTAN
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA
BOTSWANA
BRAZIL
BRUNEI
BULGARIA
BURKINA FASO
BURMA
BURUNDI
CAMBODIA
CAMEROON
CAPE VERDE
CENTRAL AFRICAN REPUBLIC
CEYLON
CHAD
CHILE
CHINA
COLOMBIA
COMOROS
CONGO
COSTA RICA
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
ENGLAND
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
FRENCH ANTILLES
FRENCH GUIANA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GREECE
GRENADA
GUADELOUPE
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA
KUWAIT
KYRGZSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORTH KOREA
NORTHERN IRELAND
NORWAY
OMAN
PAKISTAN
PALAU
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PRINCIPE
QATAR
REPUBLIC OF CHINA
ROMANIA
RUSSIA
RWANDA
SAN MARINO
SAO TOME
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEON
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH KOREA
SOUTH-WEST AFRICA
SPAIN
SRI LANKA
ST. KITTS
ST. LUCIA
ST. NEVIS
ST. VINCENT
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKSTAN
TANZANIA
THAILAND
THE GRENADINES
TOBAGO
TOGO
TONGA
TRINIDAD
TUNISIA
TURKEY
TURKMENISTAN
TUVALU
UAE
UGANDA
UKRAINE
UNITED KINGDOM
UPPER VOLTA
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY
VENEZUELA
VIETNAM
WALES
WEST AFRICA
WEST INDIES
WESTERN SAMOA
YEMEN
ZAIRE
ZAMBIA
ZIMBABWE
Denomination
Required
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African Methodist Episcopal
American Baptist
Assembly of God
Baptist
Baptist Convention of Ontario
Baptist General Conference
Bible Fellowship
Blank Allowed
Brethern in Christ Church
Brethren Church (Ohio)
Christian & Missionary Allianc
Christian Reformed Church
Church of Christ
Church of God (Anderson, IA)
Church of God in Christ
Church of the Brethren
Church of the Nazarene
Congregational
Conservative Baptist
Covenant Order of Evangelical
Disciples of Christ
Episcopal Church
Evangelical Congregational
Evangelical Free Church of Ame
Evangelical Lutheran Church in
Evangelical Presbyterian Churc
Grace Brethren Church
House of God Incorporated
Independent
Independent Baptist
Independent Methodist
Independent Presbyterian
Interdenominational
Korean Presbyterian Church in
Lutheran Church (Missouri Syno
Mennonite
Methodist
Moravian
Nondenominational
None
North American Baptist
Orthodox Presbyterian Church
Other
Other Baptist
Other Independent
Other Reformed
Pentecostal Assemblies of Cana
Pentecostal Other
Plymouth Brethren
Presbyterian Church of America
Presbyterian Church of USA
Presbyterian, Asc. Reformed
Presbyterian, Other
Progressive National Baptist
Reformed Church in America
Reformed Episcopal
Roman Catholic
Salvation Army
Seventh Day Adventist
Southern Baptist Convention
United Brethren
United Church of Christ
United Methodist
Unknown
Wesleyan CHurch
Marital Status
Required
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Divorced/Separated
Married
Single
is Required
Permanent Address
Street 1
Required
Street 2
Required
Street 3
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City
Required
State
Required
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ALABAMA
ALASKA
AMERICAN EMBASSY
AMERICAN SAMOA
ARIZONA
ARKANSAS
ARMED FORCES THE PACIFIC
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Zip Code
Required
Zip Code Extension
Home Phone
Required
Home Phone Area Code
Home Phone Exchange
Home Phone Number
Home Phone Extension
Ext:
US Cell Phone
Required
US Cell Phone Area Code
US Cell Phone Exchange
US Cell Phone Number
US Cell Phone Extension
Ext:
Mailing Address
Click here if your mailing address is the same as your permanent address
Required
Mail Street 1
Required
Mail Street 2
Required
Mail City
Required
Mail State
Required
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ALABAMA
ALASKA
AMERICAN EMBASSY
AMERICAN SAMOA
ARIZONA
ARKANSAS
ARMED FORCES THE PACIFIC
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Mail Zip Code
Required
Mail Zip Code Extension
is Required
is Required
Highest level of education
Required
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College
GED
High School
No Bachelor's Degree
Note: Missio Seminary may require an undergraduate degree at an accredited institution. Please let us know what school(s) you have attended or are currently attending by clicking in the boxes and selecting your former schools.
College Name
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College Name
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Anticipated Starting Semester
Required
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21/22 Fall
22/23 Fall
23/24 Fall
is Required
Your Church Name
Required
Your Church Pastor's Name
Required
Church address 1
Required
Church Address 2
Required
Church city
Required
Church state
Required
Church zip
Required
If referred, please list name of person or venue.
Required
Maiden Name
Required
Spiritual autobiography (300 word max)
Required
How did you hear about <School Name>?
Required
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Alumni
Ambassador
Board member
Event
Facebook
Faculty
Google
Other
Pastor
Student
Web search
Spouse Name
Required
What is your shirt size?
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1-XL
2-XL
3-XL
4-XL
Large
Medium
Small
What best describes your length in the pastorate?
Required
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Beginning pastor
Established pastor
Transitioning pastor
By submitting my application I certify that to the best of my knowledge all of the information on this application is true and correct. If I am asked, I agree to give proof that my information is correct, and do so in a timely manner.