Application
for Practical Education Degree
COVENANT COMMUNITY
SCHOOL OF BIBLICAL STUDIES
P.O. Box 750491 Dayton, Ohio 45475-0491
APPLICANT
NAME ____________________________
ADDRESS _________________________
CITY ___________ STATE __________
ZIP ________ PHONE(
)__________
CELL PHONE (
)________________
E-MAIL __________________________
SSN or DL number_________________
Please list your previous educational accomplishments (Examples: high school, college, post graduate
work, special certifications or licenses) : _________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
When did you accept Christ as your savior (date) _______________________________________
State your birthday and current age_________________________________________________
Are you an ordained minister ? qyes qno
What church or denomination ordained you? __________________________________________
Are you a licensed preacher/minister? qyes qno
What church or denomination licensed you to preach? ___________________________________
Date of ordination and/or licensing ___________________________________________________
What denominational affiliation are you currently with? ___________________________________
Are your credentials in good standing? qyes qno
If “no” please explain : ____________________________________________________________
What church do you currently attend ?________________________________________________
Location of church_______________________________________________________________
Are you a member of that church? qyes qno
If married please
give spouse’s name_________________________________________________
Do you have children? qyes qno
If yes, please list children by age ____________________________________________________
What type of ministry are you currently involved with?
qPara-church qPastoral qChaplaincy qMissionary qEvangelist
qPrison qOther________
What type(s) of ministry have you had experience with in the past?
qPara-church qPastoral qChaplaincy qMissionary qEvangelist
qPrison qOther________
If you are not currently involved in ministry, what type of ministry do you feel God leading you
into?
qPara-church qPastoral qChaplaincy qMissionary qEvangelist
qPrison qOther________
Do you consider yourself to be politically
qLiberal qSlightly Liberal qModerate qSlightly Conservative qConservative
Do you consider yourself to be socially
qLiberal qSlightly Liberal qModerate qSlightly Conservative qConservative
Do you consider yourself to be financially
qLiberal qSlightly Liberal qModerate qSlightly Conservative qConservative
Do you consider yourself to be theologically
qLiberal qSlightly Liberal qModerate qSlightly Conservative qConservative
Do you consider yourself to be doctrinally
qLiberal qSlightly Liberal qModerate qSlightly Conservative qConservative
I understand that the Covenant Community School of Biblical Studies is not an accredited
school and that credit for courses I have taken may or may not be transferable in whole or part to another school, organization
or institution. I understand that completion of the PED requirements does not directly qualify me or licensing for any profession
or immediate ordination with this ministry or another affiliated or non affiliated ministry or organization. Those applications
may be made separately. I hereby state that the information provided is true and accurate to the best of my knowledge.
___________________________________________
__________________
SIGNATURE OF APPLICANT
DATE
PLEASE PRINT OUT AND COMPLETE THIS APPLICATION THEN
EMAIL OR MAIL TO THE ADDRESS LISTED BELOW OR YOU MAY FAX COMPLETED APPLICATION TO THE FAX NUMBER BELOW.