Application: Certificate for Theological Studies

*Required Field >Download this application (pdf)
First Name:* Middle Name: Last Name:*
Former name(s):
City:* State:* Zip:*
Home Phone:* Work Phone: Cell Phone:
Social Security Number: E-mail:*
Birth Date:** Sex: Religious Affiliation:**
When do you wish to enroll?
Employer: Position: Starting Date:

Which option describes you best?
Parish catechetical leader
Pastoral associate
Parish musician
Youth minister
Catholic school administrator
Catholic school teacher
Catholic interested in studying the faith
Other, please explain:
Please select the category that best describes your status as a student in the Theology Certificate program:

Are you Hispanic/Latino or of Spanish origin?
From the following five racial groups, please select one or more races to desribe your origins:
American Indian/Alaska Native Asian Black or African-American Hawaiian/Pacific Islander White

Are there any special circumstances connected with your past academic performance (learning/physical disability, family background or illness) that we should consider? ** Yes No
If YES, provide a written statement that outlines any unique circumstances that resulted in poor performance in previous academic work:

Marital Status**
Single Married Divorced Widowed

Military Service**
Are you a veteran of the U.S. Armed Forces? Yes No If yes, which branch?
Dates of service: Are you eligible for veteran educational benefits? Yes No
As a veteran, why are you applying to Aquinas College?
**Note: This information is important for Federal data requirements for the College. Your identity will remain anonymous. You are not required to give us this information.

Are you a U.S. Citizen? If No, what country?
If you are not a U.S. Citizen, are you a:
If you are a permanent resident of Michigan, how long have you been a resident? Number of Years:

High School
High School(s) Attended: City and State:
Date of Graduation:
Please list any college/university you have attended. Under credit, indicate the number of semester hours you have earned at the college level. Estimate the number if you do not know the exact amount.
College/University City State Dates Attended Credits Degree Major

Have official transcripts from your high school and all colleges/universities you have attended sent directly and as soon as possible to:
Aquinas College
Registrar/Academic Advising Center
1607 Robinson Road, S.E.
Grand Rapids, MI 49506-1799



By submitting this application I certify that all the information I have provided on this application is complete and accurate to the best of my knowledge, and if admitted, I agree to observe all the rules and regulations of Aquinas College.

I agree*
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