Apply Now - Heartland Theological Seminary

Contact Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

How did you first hear about HSM? *

Personal Information

Marital Status *

Single
Married
Engaged
Seperated
Divorced

Date of Birth *

Gender *

Male
Female

Are you a Veteran of the U.S. Military *

Race/National Origin *

Degree Information

For graduate applicants: Please list all educational institutions from which you have received course credit, the dates you attended the institution, and your graduation date (if applicable). You will need to request to each of these institutions that they mail an official sealed transcript to the HSM Admissions office in order for your application to be processed. Our address is: Heartland School of Ministry, Administrative Office, 12345 W. 95th St. Ste. 200, Lenexa, KS 66215

School #1: *

Ex: Heartland School of Ministry

Dates Attended *

Ex: Aug. 2010 - 2013

Graduation Year *

School #2: *

Ex: Heartland School of Ministry

Dates Attended *

Ex: Aug. 2010 - 2013

Graduation Year *

School #3: *

Ex: Heartland School of Ministry

Dates Attended *

Ex: Aug. 2010 - 2013

Graduation Year *

Spiritual Background

Conversion or Spiritual Formation *

What is the name of the church where you are currently a member? *

Church Address *

Address Line 1

Address Line 2

City

State

Zip Code

Church Email *

Church Phone *

What is the denominational affiliation of the church where you are currently a member? *

Recommendations

Every applicant must have two recommendations: one from a pastoral reference who can speak to your character and commitment to Christ, and one church endorsement form from the church where you are currently a member. If you are the pastor of your church, your church endorsement must be submitted by an appropriate official within your congregation, while the pastoral reference may come from another pastor outside of your church. Please submit references by email to admin@hsmkc.org or by mail to Heartland School of Ministry, Administrative Office, 12345 W. 95th St. Ste. 200, Lenexa, KS 66215

Church Endorsement (insert the name of the contact person for the church) *

First

Last

Email for Church Endorsement Contact *

Phone Number for Church Endorsement Contact *

Pastoral Recommendation (insert the name of the contact person for the church) (copy) *

First

Last

Email for Pastoral Recommendation *

Phone Number for Pastoral Recommendation *

Terms of Agreement

• I understand that this application is only good for one calendar year from the day it is submitted. I agree that I am bound by the institution's regulations concerning application deadlines and admission requirements. I agree to the release of any transcripts and test scores to this institution.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above

Application to Heartland School Of Ministry

Contact Information

Personal Information

Degree Information

Spiritual Background

Recommendations

Terms of Agreement