Application for Admission as a Student
Mail to:
The Rt. Rev'd Dr. Barry Eugene Yingling, CSSS, Dean
Laud Hall Seminary
505 North George Street
York, Pennsylvania 17404-2702
Application
for Admission as a Student (Please print)
Name(Last,First,Middle) _____________________________________________
Mailing Address ____________________________________________________
City______________________________State____
Zip Code ________________
Marital Status: Married/Divorced/Single (circle)
Date of Birth _____/_____/_____
Telephone # Home ________________________ Business ________________________
E-mail address _______________________________
Fax # _______________________
Social Security # _________________________
U.S. Citizen? _____ If not,U.S.A.
indicate country of citizenship ___________________
Have you ever been convicted of a felony____yes (explain in detail)____no
Church Affiliation (Denomination) ____________________________________________
Diocese_________________________________________
Previous Education (List all Colleges, Universities, Seminaries - courses or degrees completed)
________________________________________________________ Date _____/_____/_____
________________________________________________________
Date _____/_____/_____
________________________________________________________ Date _____/_____/_____
Current/Former Occupations
________________________________________________________
Date _____/_____/_____
________________________________________________________ Date _____/_____/_____
________________________________________________________ Date _____/_____/_____
Ministry/Church
Service Experience (Give a brief summary.)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Have you been Ordained or are you seeking Ordination? (If Ordained give details.)
______________________________________________________________________________
___ Please send information about Licenses and/orOrdination.
State your plans for future
Ministry:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other Comments:
______________________________________________________________________________
______________________________________________________________________________
State the program and award level you are applying for:
______________________________________________________________________________
Financial Information:Checks or Money Orders payable to Laud Hall Seminary - US Funds
only.
____ Application Fee of $50.00 US (nonfundable) required with all applications.
____ Total Fees
enclosed in the amount of $________________
Advance Standing
____ Please consider
transfer credit for the attached courses completed at other institutions.
(Give details on separate sheet and include
transcripts)
____ Please consider "Life Experience Credit" toward my degree program. Enclose your resume
or curriculum vitae. On separate sheet - list your life experiences, courses, activities.
____ Volunteer work,
readings, travel, hobbies, conferences, etc. Such credit is at the discretion of the Admissions Committee and Faculty.
____ Other documents or information attached to support my application for student registration.
You might
include some details as to your personal theological library, copies of diplomas,Ordination Certificates, copies of articles
you have published, etc.
____ Recent photograph to be attached (useful to help us fix a
face to a name)
Please note that any information in this Application is confidential and for Admission Committee
and/or Faculty use only!
I hereby apply for Registration as a Student with Laud Hall Seminary. I attest that I
am a Christian and accept the guidance of Jesus Christ in my life. I agree to abide by the rules and regulations of Laud Hall
Seminary.
Permission is granted to Laud Hall Seminary to obtain background information from any sources
deemed necessary or appropriate to determine the suitability of the applicant to pursue studies with the Seminary.
Date _____/_____/_____
Signature __________________________________________________
