Holy Spirit University
1931 Welby Way, Ste. 4
Tallahassee, FL 32308, USA
Phone: + (908) 353-3131 • Fax: + (908) 353-3131 • E-mail: finance@hsuniversity.us
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Please fill in or responses as appropriate. Return completed form, along with a non-refundable application fee of $130.00, to the Registrar.

PERSONAL INFORMATION

Last Name______________ First Name_______________ Middle Name_________

Address________________________ City__________ State__________

Zip or Postal Code_________ Country__________

Home Phone ( ) __________ Business Phone ( ) __________ Fax ( ) ______

Social Security # __________ Date of Birth __________ (dd/mm/yy)

Gender _________ Marital Status ___________ Your Occupation _______________

Email Address _______________

CHURCH INFORMATION

Local Church __________________________ Denomination ___________________

Pastors Name _______________ Mailing Address ____________________________

Church City __________ Church State __________ Church Zip Code ____________

Brief Salvation Testimony_______________________________________________

_____________________________________________________________________

_____________________________________________________________________

PERSONAL FAITH STATMENT

Answer frankly and honestly. Disagreement does not necessarily disqualify a student from attending HSU.

Do you believe that the Bible is the infallible, inerrant Word of God? Yes___ No___

Do you believe in the Trinity, God the Father; God the Son; and God the Holy Spirit? Yes__ No__

Have you been saved (born again) as Jesus taught in the Gospel of John? Yes___ No___

Do you believe in the Holy Spirit as demonstrated in the book of Acts? Yes___ No___

Do you believe that Jesus heals today? Yes___ No___

Do you believe in the return of Jesus Christ to this earth? Yes___ No___

PROGRAMS OPTIONS

I desire to enroll

as Degree___ as None Degree___

EDUCATION AND MINISTRY EXPERIENCE

A copy of one of these must be emailed, or mailed to the HSU Admissions office.

Education

High School Diploma___ GED___ GED Equivalent___

Please specify below degrees that you have earned and schools that you have attended.

School____________________ Date From_______________ to _______________

Field of Study____________________ Hours__________


School____________________ Date From_______________ to _______________

Field of Study____________________ Hours__________


School____________________ Date From_______________ to _______________

Field of Study____________________ Hours__________

Current Ministry:

Ministry of Helps___ Music Ministry___ Missionary___

Senior Pastor___ Associate Pastor___ Youth Pastor___

Counseling___ Teacher___ None at this time___

Comments________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

MINISTRY INFORMATION

Pastors and Ministers only!

Are you a licensed minister? Yes___ No___

Are you an ordained minister? Yes___ No___

Date of ordination__________________ Organization Affiliation________________

For information regarding Ministry Experience Credit go to HSU Catalog.

ACADEMIC AND MINISTRY GOALS

Please indicate the Bible or Ministry degree program for which you are applying.

Degree Goal:

Diploma in Theology___ Associate in Theology___

Bachelor in Theology___ Advanced Diploma in Theology___

Bachelor in Missions___ Bachelor in Ministry___

Masters in Theology___ Bachelor in Christian Counseling___

Masters in Missions___ Masters in Ministry___

Doctor in Theology___ Masters in Christian Counseling___

Doctor in Ministry___

PAYMENTS PLAN

Installment Payment___ Course by Course___ Other___

For information regarding Payment Plan go to HSU Financial Information.

CREDIT CARD INFORMATION

$130 Application Fee: Payment by Credit Card Visa___ MasterCard___

Card number_______/_______/_______/_______

Expiry date_______/_______ Name on credit card_________________________

REGISTRATION AGREEMENT

I do hereby affirm the following to Holy Spirit University:
1. All of the information I have provided is accurate and truthful.
2. I have read the catalog and understand the regulations governing the college.
3. I am in agreement with the policies and standards of the college.
4. I am willing to uphold them and live by them if I am accepted as a student at the college.
5. I acknowledge that no other representations have been made to me in writing, electronically, or orally other than what is stated in the catalog.


Student Signature____________________________ Date________________