Application For Master's Degree Programs

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1. School Information
Graduate Program

Graduate Program Master of Divinity Master of Theological Studies Master of Christian Leadership
Entry Semester

Entry Semester Fall (Deadline is June 1) Spring (Deadline is December 1)
Campus

Campus Main Campus (Arlington, VA) Hampton Roads
2. Personal Information
Name Name Title First Middle Last Suffix
Nick Name/Preferred Name
Former/Maidien Name
Home Phone Home Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Social Security Number
Gender

Gender Female Male
Marital Status

Marital Status Single Married
Spouse's Name Spouse's Name First Last
Emergency Contact Emergency Contact First Last
Emergency Phone Emergency Phone - ### - ### ####
Birthdate Birthdate / MM / DD YYYY
Place of Birth (City, State)
Country of Citizenship
Ethnic Survey (For Statistical Purposes Only)

Ethnic Survey (For Statistical Purposes Only) Latino/Hispanic American Indian/Alaska Native Asian/Pacfic Islander Black/African American White/Non-Hispanic
3. Educational Background
Are you applying as A Transfer Student?

Are you applying as A Transfer Student? Yes No
Please specify the school(s) from which you are seeking transfer credit.
School 1
Name
Location
Dates Attended
Degree Awarded
Add Another School?

Add Another School? Yes No
School 2
Name
Location
Dates Attended
Degree Awarded
Add Another School?

Add Another School? Yes No
School 3
Name
Location
Dates Attended
Degree Awarded
4. Work History

Please send your current resume to enrollment@leland.edu.
Are you a Military Veteran?

Are you a Military Veteran? Yes No
Will you be using your Post 9/11 Veteran’s Benefits to pay for school?

Will you be using your Post 9/11 Veteran’s Benefits to pay for school? Yes No

Application For Master's Degree Programs

1. School Information

2. Personal Information

3. Educational Background

4. Work History