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Address:

Holy Spirit University
3953 S. Nova Road
Port Orange, FL 32127, USA

Mailing Address:

Holy Spirit University
P.O. Box 909
East Brunswick, NJ 08816, USA
Phone: + (908) 353-3131 • Fax: + (908) 353-3131 • E-mail: admin@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.

1. 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 _______________

2. CHURCH INFORMATION

Local Church __________________________ Denomination ___________________

Pastors Name _______________ Mailing Address ____________________________

Church City __________ Church State __________ Church Zip Code ____________

Brief Salvation Testimony_______________________________________________

_____________________________________________________________________

_____________________________________________________________________

3. 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___

4. PROGRAMS OPTIONS

I desire to enroll

as Degree___ as None Degree___

5. 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________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

6. 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.

7. 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___

8. PAYMENTS PLAN

Installment Payment___ Course by Course___ Other___

For information regarding Payment Plan go to HSU Financial Information
.

9. CREDIT CARD INFORMATION

$130 Application Fee: Payment by Credit Card Visa___ MasterCard___

Card number_______/_______/_______/_______

Expiry date_______/_______ Name on credit card_________________________

10. 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________________