Pastor/Scholar Program Application

Thank you for your interest in the Pastor/Scholar Program. Please fill out the form below to apply. If you prefer, you may print the form using your browser's print command and mail it to: The Pastor/Scholar Program, Office of Professional Education, Boston University School of Theology, STH Box 383, 745 Commonwealth Avenue, Boston, MA 02215.

Personal Information

Name:

Address:

Home Phone: Work Phone: Cell Phone:

Email Address:

Course Information

Course you wish to take:

Semester for which you are applying:

Educational Background

School: Degree: Date of Graduation:

School: Degree: Date of Graduation:

School: Degree: Date of Graduation:

School: Degree: Date of Graduation:

Work History (last five years)

Employer: Position: Dates Held:

Employer: Position: Dates Held:

Employer: Position: Dates Held:

Employer: Position: Dates Held:

Essay: Briefly state your reasons for seeking admission into the Pastor/Scholar program addressing your qualifications for participation and your specific hopes for how the Pastor/Scholar program will impact your faith and work.

Please print a copy of this page for your records before pressing the submit button.

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