ashland theological seminary registration

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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