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Admissions Application Metro Nazarene School of Ministry 1243 White Hill Road, Yorktown Heights, NY 10598 914-245-4718
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Date____/____/____ Last Name: ____________________________First Name: _________________________M.I.____
Address: ___________________________________________________Soc. Sec. # _______________________________
City:_______________________________________State: ______ Zip: ____________Birthdate:__________________
Home Phone: _____________________ Work Phone: _________________________Email: _________________________
Local Church:_________________________________Do You Have a Local Minister’s _______ or District ______ License?
Check your purpose for attending MNSM:
Enrichment _______Lay Ministry Certificate _______ Deacon of Christian Education ________Elder ________
Deacon of Compassionate Ministry _______ Deacon of Christian Administration ________
Your Pastor’s Name __________________________________If your goal is to enter the Course of Study for deacon or elder, have you given the enclosed recommendation form to your pastor?________________
Have you graduated from high school or obtained a GED? ________ Date Diploma /Certificate Received: __________________
 List any colleges you have attended:
School Major Degree Dates
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Have you requested that a transcript be sent to MNSM from your high school, college or institution granting your GED? _______
Is English your first language? _________________ Optional information: Ethic Group ___________________________
Give a brief testimony including your familiarity with the Church of the Nazarene and its Articles of Faith:
(Make check for $10 application fee payable to MNSM.)
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