PEACE MULTICULTURAL THEOLOGICAL SEMINARY
PMTS STUDENT APPLICATION
Student Personal Information
First Name:
Last Name:
Email:
Mailing Address:
State:
City:
Zip Code
(only enter numbers)
:
Are you a U.S. Citizen?
Yes
No
If you are not a U.S. Citizen, what country are you from?
Race
Caucasian
Hispanic
African American
Native American
Other:
Date of birth:
Gender:
Male
Female
Church Affiliation:
References:
Add
Educational Summary:
High School:
High School Name:
High School City:
High School State:
Year of Graduation
Approximate Grade Point Average (GPA):
Colleges:
Add
Certification
I hereby certify that all information that I have completed and submitted as a part of this application process is true, correct, and accurately reflects my background.
Yes
No
First Name:
Last Name:
Submission Date: