Admissions Application
iv
inity
SchoolAdmissionsApplication
242 S Pleasantburg Drive * Greenville, SC 29607 Off.(864) 520-1433 * info@uds.education www.uds.education
Pastoral Ministry Preaching
Theological Studies
Certificateof: Prophetic Preaching Social Justice
Certificateof: Prophetic Preaching Social Justice
Certificateof: Prophetic Preaching Social Justice
Pastoral Ministry Preaching
Degree Track
I am applying for the term beginning
Possible Major
Possible Major
Possible Career Plans
payment information
Do you need financial assistance if available? (not guaranteed)
No
Yes
Are you applying for financial aid?
Yes
No
If you are applying for financial aid, when did/will you file the appropriate form(s) (FAFSA, CSS Profile, etc.)?
personal information
Please enter your name as it appears on your passport or other official documents.
Legal Name
Date of Birth
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Month
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Day
Year
Date
Date of Birth
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Month
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Day
Year
Date
Last(F )ylima
tsriF
elddiM
.cte ,.rS ,.rJ xiffuS
(mm/dd/yyyy)
Legal Sex:
Male
Legal Sex:
Female
Gender Identity (optional):
Man
Gender Identity (optional):
Woman
Self Identify
Woman
Social Security Number (optional)
(###-##-####)
Name
Preferred Name
Previous Last Name(s), if any
Email
example@example.com
Marital Status
(single, married, etc.)
permanent address
Street Address
Street Address
Apt.
Country
Phone
Alternate Phone
Please give your current address for all admission correspondence, if different from above.
current mailing address
example@example.com
Street Address
Street Address
Apt.
Country
Zip/Postal Code
Current Mailing Address Phone
example@example.com
Current mailing address valid from
to (mm/dd/yyyy) (mm/dd/yyyy)
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Month
/
Day
Year
Date
to (mm/dd/yyyy) (mm/dd/yyyy)
/
Month
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Day
Year
Date
citizenship
Place of Birth
City/ Town
Dual US citizen; please specify other country of citizenship
US Citizen
US permanent resident visa; citizen of
Other Citizenship
State/Province
Country
Dual US citizen; please specify other country of citizenship
US permanent resident visa; citizen of
Alien registration number
Alien registration number
Other Citizenship
Visa
Ifyoulivein the United States, but are not a U.S. citizen, how many years have you lived in the country?
If not English, language spoken in your home
If not English, list your first language
UDS admissions application
ethnicity Race/Ethnicity information is optional. Information you provide will not be used in a discriminatory manner.
Are you Hispanic or Latino?
No
Yes
country of family’s origin
How would you describe your racial background? (select one or more of the following categories):
Living?esY
Living?esY
Asian country of family’s origin
ative HawaNiian or Other Pacific Islander
Black or African American White
American Indian or Alaska Native enrolled
Black or African American White
Tribal affiliation
Asian country of family’s origin
ative HawaNiian or Other Pacific Islander
Black or African American White
American Indian or Alaska Native enrolled
family information
parent/guardian #1 ParentGuardian
parent/guardian #1 ParentGuardian
parent/guardian #1 ParentGuardian
Male
Male
Title
Last (Family)
FirstiddleSuffixM
FirstiddleSuffixM
FirstiddleSuffixM
No Date Deceased
/
Month
/
Day
Year
Date
Street Address
Apt.
City/Town
State/Province
Country
Zip / Postal Code
Phone
Email
example@example.com
Begin with Area or Country Code
parent/guardian #2 ParentGuardian
parent/guardian #2 ParentGuardian
Profession
Position
Employer
College Attended (if any)
Degree Earned
Year
Graduate School Attended (if any)
Highest Degree Earned
Year
parent/guardian #2 ParentGuardian
Male
Male
Title
Last (Family)
FirstiddleSuffixM
Living?esY
Living?esY
Living?esY
Living?esY
No Date Deceased
/
Month
/
Day
Year
Date
(mm/yyyy)
If different from yours
Rows
Address
(married, divorced, etc.)
Parent/Guardian#1
Dates
Street Address
Apt.
State/Province
State/Province
Country
Zip / Postal Code
Phone
Email
example@example.com
Profession
Position
Employer
College Attended (if any)
Degree Earned
Year
Graduate School Attended (if any)
Highest Degree Earned
Year
Your parents are
If divorced, list date
/
Month
/
Day
Year
Date
With whom do you reside?
Both
Parent/Guardian#1
Parent/Guardian#2
Other (Explain)
Other (Explain)
List names, legal sex, and ages of your siblings, college (if any), degree(s), and dates of attendance. NameLegal SexAgeInstitution
Degree(s)
UDS admissions application2
academic information
School
CEEBCode
Type of school:
Correspondence
Public
Private
Parochial
Charter
Home-School
Home-School
Home-School
Other/Education Provider
School Address
Number and Street
Number and Street
State/Province
/
Month
/
Day
Year
Date
Country
Zip/Postal Code
/
Month
/
Day
Year
Date
Start Date
Date of Graduation
(mm/yyyy)
Counselor’s Name
Phone
Phone
Begin with Area or Country Code
Counselor’s Email
example@example.com
Fax
Begin with Area or Country Code
Are you currently enrolled in school?
Yes
No
Are you currently enrolled in school?
Yes
No
No
Will/did you graduate from High School early?esYNo
Will/did you graduate from High School early?esYNo
Will/did you graduate from High School early?esYNo
Did you recieve a GED?
YesoNIf so, list date:
/
Month
/
Day
Year
Date
(Please send official scores from testing agency)
If your education has been interrupted, please detail your activities since last enrolled. Please attach your response to the end of the application.
current year’scourses Please list name, level (Honors, AP, IB, etc.) and credit value of your current year’s courses.
Rows
(mm/yyyy)
(mm/yyyy)
Home-School
Semester #1/Trimester #1
Semester #2/Trimester #2
Trimester #3
List all other high schools, colleges/universities (including summers), and academic programs you attended, beginning with ninth grade. You must submit transcripts from each school.
other high schools School Name
other high schools School Name
CEEB Code
CEEB Code
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Attended
Location
colleges/universities School Name
colleges/universities School Name
colleges/universities School Name
colleges/universities School Name
CEEB Code
CEEB Code
CEEB Code
CEEB Code
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
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Month
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Day
Year
Date
Dates
/
Month
/
Day
Year
Date
Attended
Location
UDS admissions application3
ap/ib test scores
Please list any Advanced Placement or International Baccalaureate exams taken along with the test date and score.
Test Date
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Month
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Day
Year
Date
Subject
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Subject
Score
Test Date
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Month
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Day
Year
Date
Subject
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Subject
Score
Test Date
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Month
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Day
Year
Date
Subject
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Subject
Score
Test Date
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Month
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Day
Year
Date
Subject
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Subject
Score
Test Date
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Month
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Day
Year
Date
Subject
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Subject
Score
standardized test information
List your test scores below. You must have the testing agency send official scores to each institution to which you are applying.
SAT Reasoning
Test Date
/
Month
/
Day
Year
Date
Evidence BaseMathdptional EssayO Reading & Writing
Evidence BaseMathdptional EssayO Reading & Writing
Evidence BaseMathdptional EssayO Reading & Writing
Test Date
/
Month
/
Day
Year
Date
Evidence BaseMathdptional EssayO Reading & Writing
Evidence BaseMathdptional EssayO Reading & Writing
Evidence BaseMathdptional EssayO Reading & Writing
Evidence BaseMathdptional EssayO Reading & Writing
Evidence BaseMathdptional EssayO Reading & Writing
Evidence BaseMathdptional EssayO Reading & Writing
Evidence BaseMathdptional EssayO Reading & Writing
/
Month
/
Day
Year
Date
SAT Subject
Test Date
/
Month
/
Day
Year
Date
Subject
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Score
Test Date
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Month
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Day
Year
Date
Subject
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
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Month
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Day
Year
Date
Subject
Score
TestDate
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Month
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Day
Year
Date
Subject
Scoreest DateT
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Month
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Day
Year
Date
Scoreest DateT
/
Month
/
Day
Year
Date
Score
ACT
Test Date
/
Month
/
Day
Year
Date
EnglishathM
EnglishathM
Reading
Science
Compositeptional EssayO
Compositeptional EssayO
TestDate
/
Month
/
Day
Year
Date
EnglishathM
EnglishathM
Reading
Science
Compositeptional EssayO
Compositeptional EssayO
Test Date
/
Month
/
Day
Year
Date
English
Math
Reading
Science
Compositeptional EssayO
/
Month
/
Day
Year
Date
Compositeptional EssayO
Compositeptional EssayO
/
Month
/
Day
Year
Date
TestofEnglish as a
/
Month
/
Day
Year
Date
Foreign Language (TOEFL or other exam)
Subject
Scoreest DateT
/
Month
/
Day
Year
Date
Scoreest DateT
/
Month
/
Day
Year
Date
Scoreest DateT
/
Month
/
Day
Year
Date
Score
academic distinctions
Please list any academic or educational awards and honors you received in high school (e.g. National Merit, National Honor Society). Please attach your response to the end of the application.
UDS admissions application4
extracurricular and volunteer information (including summer)
Please list any significant extracurricular or community activities and hobbies in which you have participated. Include specific accomplishments such as musical accolades, athletic distinctions, etc. (Please note: “PG” means Post-Graduate)
Activity
Activity
Grade Level
9
9
10
11
12
9
9
10
11
12
9
9
11
11
12
9
9
10
11
12
9
9
11
11
12
9
9
11
11
12
9
9
11
11
12
Hours
Rows
PG
Week
Year
es No UnsurYe
PG
PG
PG
PG
PG
PG
PG
Weeks/Will you participate
in college?
11
9
12
PG
10
12
PG
PG
10
10
es No UnsurYe
PG
PG
PG
11
PG
PG
12
es No UnsurYe
employment information
List any work experience (including summer jobs) during the past three years.
/
Month
/
Day
Year
Date
List any work experience (including summer jobs) during the past three years.
List any work experience (including summer jobs) during the past three years.
Employerob DescriptionJ
Employerob DescriptionJ
Dates of Employment
/
Month
/
Day
Year
Date
Dates of Employment
/
Month
/
Day
Year
Date
Hours per week
1. Are you a (check all that apply)
Veteran Dependant of US Veteran Active US Military National Guard or Active Reserve
/
Month
/
Day
Year
Date
2. If you are/were a part of the military, which branch (check all that apply) Army Navy Air Force Marines Coast Guard
2. If you are/were a part of the military, which branch (check all that apply) Army Navy Air Force Marines Coast Guard
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Month
/
Day
Year
Date
2. If you are/were a part of the military, which branch (check all that apply) Army Navy Air Force Marines Coast Guard
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Month
/
Day
Year
Date
3. Are you planning to use Veteran Education Benefits?
Yes
No
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Month
/
Day
Year
Date
No
Yes No 4. Were you honorably discharged from a branch of the US Military? (if no, please explain in additional information section)
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Month
/
Day
Year
Date
Yes No 4. Were you honorably discharged from a branch of the US Military? (if no, please explain in additional information section)
/
Month
/
Day
Year
Date
Yes No 4. Were you honorably discharged from a branch of the US Military? (if no, please explain in additional information section)
activity description
Tell us more about one of your extracurricular, volunteer, or employment activities (100-150 words). If you need more space, please attach your response to the end of the application.
Tell us more about one of your extracurricular, volunteer, or employment activities (100-150 words). If you need more space, please attach your response to the end of the application.
/
Month
/
Day
Year
Date
UDS admissions application
personal statement
Please write an essay (650 words or fewer) that demonstrates your ability to develop and communicate your thoughts. Some ideas include: a person you admire; a life-changing experience; or your viewpoint on a particular current event. Please attach your response to the end of your application.
multimedia information
Optional: You may provide your selected college(s) with a link to any online content you feel: 1. Tells the college more about yourself 2. Demonstrates a particular talent you possess 3. Highlights an activity in which you participated
Some ideas include linking to an online video you created, a portfolio (pictures or photographs), a musical composition, or a newspaper article.
http:
Please briefly describe the contents of the link you provided.
additional information
If you have additional information that was not specifically requested on the application or did not fit in the space provided, feel free to include it here. If you need more space, please attach your response to the end of the application.
discipline information
Have you ever been placed on probation, suspended, removed, dismissed or expelled from any school
YesoN
YesoN
YesoN
YesoN
YesoN
or academic program since 9th grade?
Other than traffic offenses, have you ever been convicted of any misdemeanor, felony, or other crime?
If you answered yes to either question, please provide an explanation and the approximate dates of each incident. Please attach your response to the end of the application.
authorization
Your signature below
1. authorizes all schools you attended to provide all requested records and allow review of your application for the admission process chosen on this application.
/
Month
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Day
Year
Date
2. confirms all information in this application (including any supplemental information) is factually true and honestly presented and that you are the person submitting this application.
Signatureof applicant
Date
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Month
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Day
Year
Date
UDS admissions application6
Review and Submit
Should be Empty: