Application for Admission - CAREY | for the whole people of God | ACCESSIBLE | PRACTICAL

Personal Information

Salutation *

Full Name *

Last, First, Initial

Email *

Home Phone Number *

Other Phone Number

Fax Number

Street Address *

City *

Province

Postal Code *

Date of Birth *

Please select your Program Intention *

Certificate In Ministry

Diploma In Ministry

Certificate In Christian Studies

Diploma In Christian Studies

Are you a permanent Resident of Canada? *

Yes

Citizenship *

Canadian S.I.N

Marital Status *

Spouse's Name

Is English your first language? *

Yes

What is your first language?

Current Occupation *

Religious Affiliation (this section is not required for CCS/DipCS Applicants- proceed to Academic History)

Are you a CCS/DipCS Applicant?

Yes

Church you are currently attending?

Current Church Ministry Involvement

Denomination

Name of Pastor

Address

City

Province/State

Phone

Fax

Academic History (Please fill out your educational history including your High School education)

Institution Name

Location

Years Attended

Program

When did you graduate?

Add another institution?

Yes

Institution Name

Location

Years Attended

Program

When did you graduate?

Add another institution?

Yes

Institution Name

Location

Years Attended

Program

When did you graduate?

Ministerial Experience (this section is not required for CCS/DipCS- proceed to Reference Section)

Are you a CCS/DipCS Applicant?

Yes

Please list all ministry experience including positions or offices held and recognitions received

Are you a recognized CBWC Ministerial Student?

Yes

Are you planning to appear before the CBWC examining council for ordination?

Yes

References

Name of Reference #1

Street Address

City

Province / State

Postal Code / Zip

Home Phone

Work / Other Phone

Title / Position

Name of Reference #2

Street Address

City

Province / State

Postal Code / Zip

Home Phone

Work / Other Phone

Title / Position

Application Statement

I hereby make application for admission to Carey Institute and I certify that the information on this application is complete and correct. It is my understanding that all documents submitted for admission consideration become the property of Carey Institute and will not be returned to me, for any reason. I also understand that acceptance to is subject to verification of final records from all institutions I have attended and that the $60.00 application fee is non-refundable.

I have read and agreed with the above statement *

Yes

Date *

Payment

How would you like to pay? *

Cheque

Credit Card - Call in to Reception at 604.224.4038 for payment.