P.O. Box 18000 • Pensacola, FL 32523-9160 • U.S.A.
New Student Admissions Information: 1-877-PTS-GRAD (toll free 1-877-787-4723)
New International Student Admissions Information: (850) 478-8496, ext. 2036
Web site: PTS.pcci.edu • e-mail: PTSinfo@pcci.edu (information only)
Fax: (850) 479-6548 • International Fax: (850) 479-6577

First-time students: Complete all information and also enclose the $40 application fee. During the application process, you will be requested to pay the appropriate reservation fee: $45 summer; $15 each Jan., May, Aug.; $110 fall/spring (reservation fee not applicable for Distance Learning).

Continuing students (the course you are applying to take is within 12 months of the last course taken): Complete only your name, address, telephone number, and the section entitled Admission Information and submit this form with the appropriate reservation fee: $45 summer; $15 each Jan., May, Aug.; $110 fall/spring (reservation fee not applicable for Distance Learning).

Reenrolling students (the course you are applying to take is more than 12 months from the last course taken): Complete all sections except Education. Submit form with $40 reenrollment and appropriate reservation fee: $45 summer; $15 each Jan., May, Aug.; $110 fall/spring (reservation fee not applicable for Distance Learning).

Legal name: Mr. Mrs. Miss

M/F: Male Female Birth date:   Place of birth:

Social Security No.:

Mailing address:

Telephone numbers: Home  Work   Height: ft. in.

Race: Race: White Black Oriental Other Other Citizenship: USA Canada Other Other

Non-USA Citizen: Are you a permanent resident? y/n: yes no If yes, give Admission No.

Current marital status: (Check all that apply.) Married
Spouse's full name:

Never married Widow or Widower Separated* Divorced* Remarried Single Parent*

Have you or your wife ever been divorced? y/n: yes no

*Send a letter of explanation with application.

Admission Information

Sessions you will be attending (be sure to include the year):

Desired program: degree: Doctor of Ministry (D.Min.) Master of Divinity (M.Div.) Master of Arts in Bible Exposition(M.A.) Master of Ministry (M.Min.) Master of Church Music (M.C.M.)

(See Academic Information for information on programs, admission requirements, and residence options available for the chosen program.)

Residence option:   option: Two Summers (M.A. only) Year round One Week Distance Learning

Reenrollment? y/n: yes no If yes, which year?   year: 2nd 3rd 4th

Are you applying for a residence hall reservation? y/n: yes no

If yes, check one:   single (multiple occupancy)   married couple (summer/one week)   Is spouse enrolled? y/n: yes no

Do you need assistance with locating housing? y/n: yes no

Are you currently employed full time in a Christian ministry? y/n: yes no

Will you be employed full time in a Christian ministry next school year? y/n: yes no

Do you want to pay by the Summer Extended Payment Plan?   y/n: yes no (Please note: The Summer Extended Payment Plan does not apply to students planning to attend Pensacola Theological Seminary year round or students attending fewer than three sessions this summer.)

Education

Please list all colleges, Bible institutes, or technical schools you have ever attended. If you have attended more than two schools, submit additional school information below.

Name of school: Dates Degree received:
Mailing address:

Name of school: Dates Degree received:
Mailing address:

Additional schools:

Confidential

Has any member of your family ever applied for admission or attended Pensacola Christian College or Pensacola Theological Seminary? y/n: yes no

If yes, give the names and relationships.

Have you trusted Jesus Christ as your Savior? y/n: yes no When?

Are you a church member? y/n: yes no Attend regularly? y/n: yes no

Denomination: Pastor's name:

Name of church Telephone number:

Church mailing address:

Select appropriate choice:

y/n: yes no Do you have or have you ever had any significant physical or learning impairment?

y/n: yes no Have you ever been treated for any nervous, mental, or emotional disorder, or seen a psychologist?

y/n: yes no Have you ever used illegal or dangerous drugs?

y/n: yes no Have you in any way used alcoholic beverages?

y/n: yes no Have you used tobacco in any form?

y/n: yes no Were you ever expelled, dropped, or suspended by any college?

y/n: yes no Are you or have you ever been under the supervision of a parole officer or court?

y/n: yes no Have you ever been charged with a violation of the law which resulted in, or, if still pending, could result in, probation, community service, a jail sentence, the revocation or suspension of your driver license (including traffic violations which resulted in a fine of $200 or more)?

If any answer is affirmative, please give complete details. An explanation will also be needed from the doctor, dean of students, court, or parole officer. FAX THIS INFORMATION TO: 850-479-6548)

If you wish to pay fee(s) by credit card, please fill in the following information required to process your application. (Be sure to include credit card number, expiration date, and address information below.)

Type of fee paid: Application Fee Reservation Fee

Amount to be charged:

Note: Fees are listed at the top of this form.
International Students must pay both the application fee and the reservation fee.
Type of card: Visa ®, MasterCard ®, Discover ®
Card Number:  Expiration Date (mm/yy):

Cardholder's Address Information:

Cardholder's P.O. Box, Route, or House Number:
Cardholder's ZIP Code

REFERENCE

Please list your employers for the past five years that we may contact (most recent first) with their correct mailing addresses. Continuing and reenrolling students indicate present employer only.

Company:  Position:
Mailing address:
Telephone number:  Dates employed:
Supervisor's name: Mr. Mrs. Miss  Supervisor's title:

Company:  Position:
Mailing address:
Telephone number:  Dates employed:
Supervisor's name: Mr. Mrs. Miss  Supervisor's title:

PERSONAL

Please state where you presently work and your job description. Include your salvation testimony and your personal and professional goals.
(Limit 2000 characters)

Applicant's e-mail address:

I certify that all the information given on this application is complete and accurate.