School of Graduate Studies
Application for Admission


For which Master's Program are you applying?
 

PERSONAL INFORMATION

Name: Last   First   Middle  Maiden

Preferred Title  Preferred Name

Mailing Address   City   State  Zip

County   Country 

Phone numbers must be entered in xxx-xxx-xxxx format.
Home Phone   Work Phone  
Cell Phone   Email  

Date of Birth    (mm-dd-yyyy format)
Gender:
Marital Status  


Spouse's Name 
Children's Names

Social Security Number    (xxx-xx-xxxx format) 

Please select one of the following ethnic groups:
Barclay is required to collect this information by the US Deptartment of Education.







NOTE: If you are not a U.S. citizen or permanent resident of the U.S., you must complete additional forms for admission. Please contact Brian Hanneken, Associate Dean for Graduate Studies (1-800-862-0226). If your native language is not English, an official TOEFL score must be submitted in support of your application.

Home Church (Denomination)  


 
If Other, please enter your denomination

Home Church   Pastor's Name 

Emergency Contact (optional)
 
Name (first and last)  Phone    (xxx-xxx-xxxx format) 
Address  
City  State  Zip  

EDUCATIONAL BACKGROUND
Please list all colleges, universities or seminaries you have attended.

Institution City: State: Zip: Graduation Year
1

 

   
2  
3  

NOTE: Please have an official transcript sent directly to Barclay College from each institution you have attended, regardless of the amount of credit earned. Transcripts should be sent to: Graduate Admissions, Barclay College, 607 N. Kingman, Haviland, KS, 67059.

VOCATIONAL EXPERIENCE
Please submit a professional resume’ in support of your application.

Current Employer   Position 
Address   City   State   Zip 
Phone 

You must have an official transcript sent to Barclay College directly from each institution you have attended, regardless of the amount of credit earned.

REFERENCES
Please provide the names and contact information for three persons who can provide their estimates of your abilities, character, interests and leadership potential. Your references should not be members of your immediate family. Please ask each person for permission before providing this information.

Reference #1: Academic (college or seminary instructor)
Name    Address    Phone 
City   State  Zip    E-mail  

Reference #2: Professional (supervisor or co-worker)
Name    Address   Phone 
City   State  Zip    E-mail  

Reference #3: Personal (friend or acquaintance)
Name    Address   Phone 
City   State  Zip    E-mail  

Send this link to your references for them to fill out online OR the alternative is to download and print this form and give it to your references.

PERSONAL HISTORY
Adhering to the rules of good English composition, please address each of the following topics as clearly and concisely as possible in support of your application.

Discuss your relationship with Jesus Christ, including any specific experiences or events that have been especially formative in your spiritual journey.   

Discuss the ways your faith currently influences your approach to Christian life, service and leadership.   

Discuss your motivation for pursuing additional education at this point in time, and why you are interested in graduate studies at Barclay College, in particular.   

Discuss how you are planning to finance your graduate studies.   

ENROLLMENT INFORMATION

How did you hear about the Barclay College graduate program?  

Anticipated start date:

STATEMENT OF AFFIRMATION
I have reviewed the Barclay College statement of faith and standards of conduct and I affirm my personal compliance. I understand that completing this application does not constitute acceptance. By filling in my name and the date below, I verify that all information contained in my application is correct.

I understand that completing this application does not mean acceptance. By filling in my name and the date below, I verify that all information contained in my application is correct.

Applicant's Signature

Full Name  
Date   (mm-dd-yyyy format) 

 

Barclay College admits students based on academic record and abilities, Christian commitment, and agreement with the established purposes of the College. Admission and attendance at Barclay College is a privilege and not a right of any student. Barclay College does not discriminate on the basis of sex, race, color, national or ethnic origin, age or physical disability in the administration of any of its programs or policies.