Physical Address:
Holy Spirit University
1500 Beville Road, Suite 606-387
Daytona Beach, FL 32114, USA
Mailing Address:
Holy Spirit University
1500 Beville Road, Suite 606-387
Daytona Beach, FL 32114, USA
Phone: +1(908) 353-3131 •• E-mail: admin@hsuniversity.us
——————————————————————————————————————————————
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________________