APPLICATION FOR ADMISSION



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NEW JERSEY CAMPUS NEW YORK CAMPUS 17 SEMINARY PLACE ST. JOHN S UNIVERSITY NEW BRUNSWICK, NJ 08901 ST. JOHN S HALL, ROOM B36 732.247.5241 8000 UTOPIA PARKWAY 800.445.NBTS (6287) JAMAICA, NY 11439 ADMISSIONS@NBTS.EDU 718.990.6000 APPLICATION FOR ADMISSION DOCTOR OF MINISTRY (D.MIN.) PROGRAM Called in Jesus Christ, empowered by the Holy Spirit, New Brunswick Theological Seminary participates in God s own laboring to fulfill God s reign on earth. Rooted in the Reformed tradition and centered in its trust of God s sovereignty and grace, the Seminary is an inter-cultural, ecumenical school of Christian faith, learning, and scholarship committed to its metro-urban and global contexts. Our mission is to educate persons and strengthen communities for transformational, public ministries in church and society. We fulfill this mission through creative, contextual, and critical engagement with texts, traditions, and practices. Accredited by the Commission on Accrediting of the Association of Theological Schools in the United States and Canada, and the following degree programs are approved: MDiv, MA, DMin The following extension sites are approved as specified: Jamaica, Queens, NY Approved Degrees: MDiv, MA The Commission on Accrediting of the Association of Theological Schools in the United States and Canada 10 Summit Park Drive, Pittsburgh, PA 15275 USA Telephone: 412-788-6505, Fax: 412-788-6510, http://www.ats.edu

PERSONAL INFORMATION Name: (Last) (First) (M.I.) Current mailing address: Permanent home address: (No P.O. Box): Phone: Home ( ) Work ( ) E-mail address: Female Male Date of Birth: / / Are you currently employed? Yes No Full-time Part-time If yes, where? How did you learn about NBTS? Select Program: Congregational and Community Renewal (begins Fall 2015) Pastoral Care and Counseling (begins Fall 2015) CHURCH INFORMATION Religious Denomination: Title/Position in Church/Agency: Name of Church/Agency: Address: Phone: ( ) Website: Where are your ministerial credentials held? (Conference, diocese, convention, synod, district, etc.) _ Date Ordained: (if applicable) Date Licensed: (if applicable) Number of Years in Full-Time Professional Ministry: Part-Time:

SCHOLASTIC INFORMATION Please list in order attended, colleges, universities, and graduate institutions. VOCATIONAL PLANS Do you plan a change in vocational or location which may affect your participation in the Doctor of Ministry program? If yes, please explain. FINANCES Have you carefully reviewed the estimates of the program costs as applied to your situation? Do you have adequate financial resources to undertake the program? If not, how will you obtain the necessary funds? PROGRAM Identify a possible thesis project or area of construction you are considering as the focus for your Doctor of Ministry work.

In order to complete your application for the Doctor of Ministry program - PASTORAL CARE & COUNSELING (PC&C) or CONGREGATIONAL AND COMMUNITY RENEWAL (C&CR), New Brunswick Theological Seminary must receive the following information at this address by the deadline date, July 31, 2015: 1. This completed application with a non-refundable check or money order for $50 made payable to NBTS. 2. Official transcript of your Master of Divinity or equivalent degree, with a 3.0 grade point average or above. 3. Two recommendations (forms enclosed), one that expresses support and participation in the Doctoral program from your official board or other ministry Office of Admissions New Brunswick Theological Seminary 35 Seminary Place - New Brunswick, NJ 08901 context, and one from a colleague who is familiar with your work. 4. Criminal Background Check Release Form: Attach the completed release form with $25 processing fee (separate check). 5. (PC&C APPLICANTS) Evidence of at least one unit of Clinical Pastoral Education (CPE). 6. A critical essay of 8-10 pages maximum (double spaced) that provides a sense of who you are, why you are interested in this program, and your ability and reflection on the practice of ministry. In organizing this essay, consider the questions relevant to the curriculum in which you are making an application to. (ALL APPLICANTS) How would you describe your life (e.g., your formative personal relationships, circumstances, turning points and events, intellectual development and personal accomplishments)? (ALL APPLICANTS)What are essential principles of your religious faith today? Have these changed in recent years? (C&CR APPLICANTS) Describe the ministry context(s) in which you work and your position/role in that context(s). (C&CR APPLICANTS) Reflect theologically on something within your ministry context that has been renewing in your congregation or community. (PC&C APPLICANTS) What is your view of ministry in pastoral care? (PC&C APPLICANTS) Describe an account of a helping incident in which you were the person who provided the help. Include the nature and extent of the request, your assessment of the issue(s), problem(s), situation(s). Describe how you came to be involved and what you did. Give a brief, evaluative commentary on what you did and how you believe you were able to help. Student Certification As an essential part of the admissions process, applicants are requested to provide several kinds of information regarding their personal and academic background. Failure to make written disclosure of information solicited on the application form, or misrepresentation in the information supplied, constitutes a prima facie basis for denial of admission. Where omissions or misrepresentations come to light after matriculation at the Seminary, and are reasonably believed to cast doubt upon the student s suitability for theological study, he or she is subject to dismissal. By my signature below, I certify that I have read the above statement and that all the information on this form is true and complete to the best of my knowledge. Applicant s signature Date

Recommendation of Colleague Doctor of Ministry Degree TO THE APPLICANT: Please provide the information requested on the top of the form, then give the form to the person giving you a reference, along with a stamped envelope addressed to the following: Office of Admissions New Brunswick Theological Seminary 35 Seminary Place New Brunswick, New Jersey 08901 Name of Applicant Degree Sought Person writing recommendation I hereby WAIVE DO NOT WAIVE my right to access to this recommendation in the event that I become a student at the institution and am accorded this right. Applicant s signature Date Applicant s Email Please comment briefly below, indicating the ways in which you know the applicant and the relationship that has formed the basis of your judgment. We will appreciate your candid evaluation of the applicant s intellectual ability, maturity, sense of responsibility, character, emotional stability, and any other factors that may determine readiness for graduate study in Theology and effectiveness in a position of leadership in ministry. Signed Date Name Printed Title/Position Address Phone E-Mail

Recommendation of Church Board (or Directors of Other Ministry Activity) TO THE APPLICANT: Please provide the information requested on the top of the form, then give the form to the person giving you a reference, along with a stamped envelope addressed to the following: Office of Admissions New Brunswick Theological Seminary 35 Seminary Place New Brunswick, New Jersey 08901 Name of Applicant Degree Sought Person writing recommendation I hereby WAIVE DO NOT WAIVE my right to access to this recommendation in the event that I become a student at the institution and am accorded this right. Applicant s signature Date Applicant s Email Please comment briefly below, indicating the ways in which you know the applicant and the relationship that has formed the basis of your judgment. We will appreciate your candid evaluation of the applicant s intellectual ability, maturity, sense of responsibility, character, emotional stability, and any other factors that may determine readiness for graduate study in Theology and effectiveness in a position of leadership in ministry. Signed Date Name Printed Title/Position Address Phone E-Mail