Application for Bachelor of Theology

Application for Bachelor of Theology

Please complete this form as part of your application to Atlantic School of Theology.
Name

First NameMiddle NameLast Name
Preferred Name
A preferred first name is a name that you commonly use that is different from your legal first name.
If you previously attended AST, indicate program(s) and year(s) attended
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What is your Legal Sex?
This is for official reporting purposes and health insurance
What is your gender identity?
Date of Birth

DayMonthYear
Date
I have a Canadian SIN
Social Insurance Number (Canadian Applicants)
National of Citizen
Nation of Birth
Status in Canada (If not a Canadian Citizen)

Other
Religious Denomination or Tradition
Email
example@example.com
First Language
If other, what is your first language?
Do you intend to seek ordination in your religious denomination or tradition?
Where are you in the process towards ordination in your denomination?
When do you intend to begin your studies at AST?

Previous Academic Studies

Please list your previous academic studies below. If you have not completed postsecondary studies, please list your high school and the subsequent requested information.

Rows	All postsecondary (universities, colleges and other institutions of higher learning) attended	Years Attended	Area of Study	Degree Granted
1
2
3
4

If any of your transcript(s) will be issued in a name other than the name you list on this application form, please provide your previous name(s):
Failure to disclose previous attendance at any educational institution will invalidate this application.

Request an official transcript for all of your previous and current educational institutions to be sent directly to the Registrar at Atlantic School of Theology, including high school.

Letters of Reference

Contact three referees to complete a BTh Letter of Reference on your behalf. Your referees must be your teachers, instructors, community leades ministers/pastors/priests, or employers. They may not be relatives or close personal friends. They must use the Letter of Reference form provided on the AST website.
Reference 1

First NameLast Name
Job Title
Organization
Email
example@example.com
Reference 2

First NameLast Name
Job Title
Organization
Email
example@example.com
Reference 3

First NameLast Name
Job Title
Organization
Email
example@example.com

Please upload your Autobiographical Essay (1-2 page essay describing your learning style and educational goals).

Cancelof
Regulations relating to all academic matters and student conduct are made by the Board of Governors and the Senate of Atlantic School of Theology. Upon admission, the applicant agrees to comply with AST’s Code of Conduct and to abide by all regulations from time to time published by Atlantic School of Theology.
Signature

Rows	Yes	No	Prefer not to answer
Indigenous, Aboriginal, First Nations Status, First Nations non-status, Metis, or Inuit from Canada or the USA
Indigenous, Aboriginal, or First Nations from other parts of the world
Asian or a person of Asian descent
Black or person of African descent
Pacific Islander or a person of Pacific Islander descent
South Asian or a person of South Asian descent
West Asian, Arab, or a person of West Asian or Arab descent
White or a person of European, Anglo, or Celtic descent
More than one racial or ethnic identity

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Application for Bachelor of Theology

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