Northland Graduate School Application
Please check the program for which you are applying:
Program *	Master of Arts Master of Ministry Doctor of Ministry
If Master of Arts, select emphasis:	Biblical Studies Biblical Counseling Cross-Cultural Communication
Application for:	Spring 2010Fall 2010Spring 2011Fall 2011Spring 2012Fall 2012
Personal Information:
Name *
Address *
City *
State
Zip *
Country *
Phone *
E-mail *
Date of Birth *
Gender *	Male Female
If not a citizen, state your U.S. immigration status:
Have you ever attended Northland?	Yes No
If yes, date of attendance:
If an NBBC graduate, date of graduation:
Marital Information:
Marital status:	Single Married Separated Divorced Engaged Remarried
If Married, Spouse's Name:
Number of Children:
Ages:
Has your spouse ever been divorced?	Yes No
Anniversary Date:
Military History:
Branch of Service:
Date of Enlisted of Term:
Type of Discharge (if honorable, please explain):
Health Information:
Has your schooling ever been interrupted because of physical health	Yes No
If yes, please explain:
List any present or previous medical problems:
Education Information: Note: Please have all transcripts sent to Northland. - DOWNLOAD TRANSCRIPT REQUEST FORM
List any schools you have attended since high school.
Have you earned a degree from any college or university?	Yes No
If yes please explain the following:
Have you ever been placed on academic or disciplinary probation from any school?	Yes No
If yes, please explain.
Financial Information:
How do you plan to pay for college expenses?
Is anyone dependent on your financial support?	Yes No
Note: Because of Northland's goal for you to be debt-free, our admission policy requires an explanation of how you intend to pay debts if your current indebtedness is over 1,000.
Explanation:
Spiritual Information:
Local Church Membership: *
Church Name: *
Church Address:
Ecclesiastical Affiliation:
Are any problems affecting you that might make candidacy for your degree problematic?
Please explain what you think your spiritual gifts are:
Please read the Statement of Faith and Practice of Northland International University. If after reading it, you have any questions regarding it, areas of extreme disagreement, or areas where you have not yet formed opinion, please list them. (email additional information if necessary graduateschool@ni.edu)
Do you disagree with the statement of faith?	Yes No
If you disagree, please explain:
Briefly describe your philosophy of ministry.
What is your purpose in attending Northland Graduate Studies?
References:
Please list names of people receiving reference forms.
Applicants Only : Min/DMin
Current Ministry	Pastorate Evangelist Administrator Youth Pastorate Missionary Teacher Other:
If other, please explain:
Please describe your ministerial experience.
Church or Organization Endorsement: Please request that the official board of the organization you serve send a letter to Northland International University endorsing you as a prospective canidate for this degree program.
Testimony of Salvation: (email additional information if necessary graduateschool@ni.edu)
Please record your personal testimony of Salvation in the space provided.
Signature of Applicant:
In signing this application for admission to Northland's graduate program, I certify my willingness to cooperate with the purpose and policies of the program. Any falsification on any part of this application may result in cancellation of admission and/or dismissal from the program.
Date: