Agape Seminary
Application for Admission
511-2055 Carling Ave.
Ottawa, Canada K2A 1G6
Name: ______________________________________________________________________________________________________________________
Mailing Address: ____________________________________________________________________ City / State: _______________________
Age:_______ Date of Birth: __________________ Married / Single / Divorced:
Telephone Number: ____________________________ Email: ____________________________________________________________________
Current occupation: ____________________________ Church Membership / Denomination: _______________________________________
State the Degree program you wish to apply for: _____________________________________________________________________________
Are you interested in Ordination? _________________________
Previous Post-Secondary Education: (List below)
Name of Institution: Dates Attended: No of Credits: Degree: Program: Did you Graduate?
_____________________________________ ________________ ______________ _________________________ _______________
_____________________________________ ________________ ______________ _________________________ _______________
_____________________________________ ________________ ______________ _________________________ _______________
_____________________________________ ________________ ______________ _________________________ _______________
Financial Information: Please include a deposit of $100 minimum.
Checks to be payable to Agape Seminary
Amount Enclosed _________________ Program Fee: _________________
I hereby apply for registration as a student with Agape Seminary. I attest that I am a Christian and I agree to abide by the rules and regulations of the Seminary. Please attach any supporting material suitable with your application.
Please sign and date:
____________________________________________________________________________
(Please print this page, complete it, and return to the address listed on top)