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Ha
rvestNet Institute

Theological and Leadership Training
for the Church & the Marketplace

HarvestNet Institute is affiliated with The Orlando Institute,
a ministry of Campus Crusade for Christ, International

Director of Admission
HarvestNet Institute
PO Box 6071
Cleveland, OH 44101-1071
(216) 335-9355

mail@harvestnet.net

Application for Admission

Please Select One of the Following

____ Master of Christian Ministry Program

____ HarvestNet Ministry Certification Program

This application should be filled out personally by the applicant and mailed or emailed directly to the Director of Admission,

HarvestNet Institute, addresses above.

Mr.

1. Legal Name: Mrs: _______________________________________ Name you prefer: _______________________

Ms. Last First Middle

2. Address:____________________________________________________________________________________

(Street & Number) (City) (State) (Zip) (Country)

3. E-mail Address: ___________________________________ Phone: Cell: (______)_______ _________________

4. Phone: Home: (______)_____________________________ Work:(______)______________________________

5. Birthplace: ________________________ 6. Citizenship (Nationality): ______________

7. Marital Status:  Single  Married  Divorced  Widowed

Spouse's Name: _______________________________________ Date of Marriage: ______________________

Children (Names & Ages): _____________________________________________________________________

NOTE: If you have ever been divorced, please explain and attach to application.

8. Do you have any health condition which would limit your ability to pursue active graduate study?  Yes  No

Are you now, or have you ever been under psychiatric care?  Yes  No

NOTE: If yes, please attach a statement giving details and give name and address of the psychiatrist(s) who treated you.

9. Have you ever had extreme financial difficulties, ever been insolvent or bankrupt?  Yes  No

NOTE: If yes, please explain and attach statement to application.

10. Have you ever been refused admittance or re-admittance by any school?  Yes  No

NOTE: If yes, please explain and attach statement to application.

HarvestNet Institute and The Orlando Institute maintain a non-discriminatory admissions policy.

11. Education Background: (Applicant is responsible for having official transcripts sent directly to the Office of Admission

by each school listed in this question)

Name of Attendance Degree/        Year degree was/      will Approximate Institution From/      To Diploma be received G.P.A.

____________________________________________________________________________________________

____________________________________________________________________________________________

12. Employment or Business Experience (Kind & Length):

____________________________________________________________________________________________

____________________________________________________________________________________________

13. Please read the Statement of Faith (on The Orlando Institute web site – www.TOI.edu).

Are you in agreement with this statement?  Yes  No

Are there areas of disagreement or areas in which you have not formed an opinion?  Yes  No

If yes to last question, please state which ones. __________________________________________________

14. When did you trust in Jesus Christ as your Savior? _______________________________________________

15. Denominational Preference: __________________________________________________________________

16. Church Membership: _______________________________________________________________________

17. Ministerial Status:  Under Care  Licensed  Ordained

Name of body granting this status and when: _____________________________________________________

18. What do you think are your spiritual gifts and why? ________________________________________________

____________________________________________________________________________________________

19. What is your present ministry? (Give position, church or organization, and address.) _____________________

____________________________________________________________________________________________

20. What books or articles have you published? _____________________________________________________

____________________________________________________________________________________________

21. Indicate the term and year you plan to begin study: ________________________________________________

22. Degree program:  Masters in Christian Ministry  Masters in Leadership

23. Essays: On a separate sheet write two essays on the following themes. They must be between 750-800 words each,

double spaced and typed, with 1 inch margins and 12 pt. font. They will be evaluated for both content and style of

writing. Any references are to have footnotes (or endnotes) in a standard style. Use at least 225 words per question

and the remainder for an introduction and a conclusion

A) Write a comprehensive account of your Christian experience: include your testimony of how you became a

Christian, how you relate to God, your philosophy of ministry, and your future vocational goals.

B) What is God like (His nature and character); who is Jesus and what did He do; what do you think about the Bible?

24. Please enclose a recent photograph, a resume, and a one-time, non-refundable application fee of $50.00 with

this form.

25. Please have three letters of reference sent to the Registrar, two personal references, and one pastoral reference.

Applicant's Signature: ___________________________________________________ Date: _________________