Disciples Seminary Application Form
Please provide the following information to be considered for Disciples Seminary. This application precedes application to Kairos University and does not guarantee acceptance into Kairos University.
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Email *
PERSONAL INFORMATION
First Name *
Middle Name
Last Name *
Date of Birth *
Address *
City, State and Zip Code *
Country *
Telephone *
Email *
Gender *
PROGRAM INFORMATION
Indicate which program you are applying for.
Date you would like to begin.
MM
/
DD
/
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How did you hear about Disciples Seminary?
Who were you referred by?
Which most accurately describes this person? *
Required
EDUCATION
List each post-secondary institution where you have taken at least one credit-bearing course. College, location, period of attendance, degree received, month and year of graduation (if applicable)* *
Which NAB Church do you attend?
Are you on staff? If so, what is your role? *
Are you licensed or ordained? If so, give us the details of where, when and by who.
 *
Describe your ministry experience, if relative.
Position // Location // Dates (list all that apply): *
RECOMMENDATIONS
List two references (one pastoral) //Email // Telephone *
I declare that this application is accurate and complete. I have reviewed the student handbook, catalog, and accreditation and payment information (sfseminary.edu/consent), I accept the information contained therein, and I agree to abide by its terms. *Please write your first and last name in the box to show consent. *
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