A P P L I C A T I O N    F O R    S T U D E N T    A I D

Application for Student Aid
Part I
PERSONAL HISTORY
Full Legal Name:
  
Preferred Name:
  
Permanent Address:
  
City:
  
State:
    
Zip:
  
Daytime Phone:
 
Gender:
  
E-mail Address:
     
Date of Birth:
   
Social Security#:
  
Ethnic Heritage/Nationality:
  
Part II
EDUCATIONAL HISTORY (College & Seminary)
Institution
Date of Enrollment
Date Terminated
Degree
G.P.A.

College - Graduated

mm/yyyy  

mm/yyyy  
 

College

mm/yyyy  

mm/yyyy  
 

College

mm/yyyy  

mm/yyyy  
 

College - Masters or
Other Degree

mm/yyyy  

mm/yyyy  
 

Seminary Where Enrolled

mm/yyyy  

mm/yyyy  
 
Official transcripts required from degree-granting college(s) and seminary (if applicable).
Enrolled as: at . (Presbyterian Theological Seminary)
Part III
CHURCH HISTORY

Church Membership:

Church Address, City, State, Zip:

   

Church Phone:

Presbytery: