Alaska Provincial News
Want an Application for Alaska Moravian Seminary?
By Seminary Dean Ray Caldwell
Feb 17, 2006, 15:35

Alaska Moravian Seminary and Theological Institute

P.O. Box 2084, Bethel, Alaska 99559

The Rev. Ray Caldwell, Dean

Application For Admission

Name____________________Social Security Number _________

Mailing Address ______________________________

Email Address _____________Phone Number _____________

Birth Date _________________Male ___Female ___

Married?  Yes ___No ___

Spouse's Name _________________Spouses Birth date________

Children?  Yes___No___Ages of Childen_____________________

Are you requesting accommodations in the seminary,

if available? Yes___No___

Would your spouse be coming with you to the seminary?  Yes___No___

Would your spouse be a student of the seminary?  Yes___No___

Are you a high school graduate (or equivalent)?  Yes___No___

What other education have you received and when?

______________________________________________________________________________

______________________________________________________________________________

What is your present occupation? ________________

Is English your primary language?  Yes___No___

Is it your intention to serve the Lord as a Pastor___

Lay Pastor___Youth Worker___Teacher___Elder___Other___?

On a separate sheet of paper please share how and when you came to faith in Christ and what you are currently doing in your church and community.

Please have your Pastor or Church Elder complete the attached reference form and return it to the seminary at the address above.

I give my Pastor or Church Elder permission to disclose the information requested on the "Pastor or Church Elder Reference" form.       

__________________

(student signature)

Note:  The Pastor or Church Elder Reference forms are available from the Moravian Seminary Office.  Contact your pastor or elder of your local Church to obtain this form and submit it in a timely manner.