Name (Last, First, Middle). If Married, Spouse's Name. Home Phone. SSN or Student ID #. Cell Phone. ATS Email. Work Phon
ashland theological seminary registration Please print legibly.
Please submit this form to:
Name (Last, First, Middle)
Office of the Registrar Ashland Theological Seminary 910 Center Street Ashland OH 44805
If Married, Spouse’s Name
Home Phone
SSN or Student ID #
Cell Phone
ATS Email
Work Phone
PH 419.289.5907 FX 419.289.5650
[email protected]
Term
(one term per form) Fall Spring Summer 20
Street Address City
State
Please indicate/mark if any of the above information is new.
degree program
*If changing degree program, you must contact the Registrar’s Office.
Graduate Diploma in M.A. in M.A. (Biblical/Historical/Theological Studies) M.A. in Counseling M.A. in Clinical Mental Health Counseling
Master of Divinity Master of Divinity in Chaplaincy Pre-Doctor of Ministry Guest Student:
personal data Citizenship:
Zip Code
Audit
Financial information Sex:
Race:
Spouse Rate:
VA Benefits:
USA
American/Alaskan Native
Male
Yes
Yes
Other (Specify)
Asian
Female
No
No
Black or African American
Hawaiian/Pacific Islander
Marital Status:
White Ethnicity: Hispanic/Latino
Birthdate (mm/dd/yy):
Yes
Married
Seminary
No
Widowed
Other Anticipated Graduation Date: (month/year)
Denomination (Be Specific) Specify where you will attend each class:
regularly scheduled classes Course Number
Section
Credit Hrs
Course Title
directed/independent studies (must be approved) subject
course number
Total Hours
cr.
Student’s Signature
Student Loan:
Church
Separated
Name (Last,First)
Scholarship:
Single
Divorced
Non-Hispanic/Latino
Subject
Credit
course title
Date Submitted
Campus
