센트럴신학대학원입학원서 Central Seminary Application for Admission 6601 Montiello Road, Shawnee. KS I 입학상담 Tel: I Fax: I Ema

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목회학박사과정 / Doctor of Ministry 날짜 Date 소셜시큐리티 Social Security # Sufflx 성 Last Name Middle Initial 이름 First Name 한글이름 Korean Name 현주소 ( 번지, 도시, 주, 우편번호순 ) Mailing Address (Street address or P.O.

1 목회학박사과정 / Doctor of Ministry 날짜 Date 소셜시큐리티 Social Security # Sufflx 성 Last Name Middle Initial 이름 First Name 한글이름 Korean Name 현주소 ( 번지, 도시, 주, 우편번호순 ) Mailing Address (Street address or P.O. Box, City, State, Zip Code) 집전화 Home Phone 휴대전화 Cell Phone 한국전화 Home Country Phone 한국주소 Home Country Address ( 우편번호를꼭기입하시고한국주소영문으로작성 ) 이메일주소 Address (hanmail, naver, daum, 한국 yahoo 등한국사이트 은소통장애. Gmail 추천 ) 센트럴신학교에대해어떻게알게되었습니까? How did you learn about Central? 박사과정은그룹으로운영됩니다. ( 한그룹은각과정동안함께움직입니다 ) Note: The DMin degree will be offered on a cohort basis (one group of students moving together through each course.) 언제부터수업을시작할계획입니까? Which year would you like to begin? 년 봄학기 / Spring 또는가을학기 / Fall 학력 Post-Secondary Educational History ( 고등학교이후모든학력기재 ) 학교이름 School 취득학위 Degree Earned 재학기간 Dates of Attendance 1

2 목회학박사과정 / Doctor of Ministry 출석교회 ( 교회이름, 도시, 주순 ) Church Name (Name of Church, City, State) 교단 ( 구체적으로 ) Denomination Affiliation (be specific) 교회직분 Church Staff Position: 해당란 O 표 Licensed/Ordained (circle one) 전도사 Licenced 목사안수 Ordained 해당없음 Not Applicable 안수받은교단 Denominational ordained : 등록금은누가지불하십니까? ( 예 : 본인, 부모, 대출등 ) How do you plan to pay for seminary? 현재까지학자금대출총액 Total of previous educational loan debt. 인품추천인 < 가족은안됨, 친구, 교수, 동료는가능함. 추천인중 1 명은반드시목회자나교단사역자이여야함.> (No family members, one should be pastor or denominational official) 이름 Name. 동료 (Colleague) 이름 Name. 목사 / 교단사역자 (Pastor/Denominational Official) 이름 Name. 교수 (Professor) 이름 Name. 당신은미국시민권자또는영주권자입니까? Are You a US Citizen or Permanent Resident? 동료 / 신앙멘토 (Colleague/Ministry Mentor) 범죄관련전과가있습니까? Have You Ever Been Convicted of a Felony? 비자로미국에거주하고있다면현재소지한비자의형태는? ( 예 : F-1, E-2, E-1,) If you are in the US on a visa, what is your visa type? (Example: F-1, F-2, E-1, etc.) Denpendent I-20 가필요한동반가족 ( 비자에써있는영문이름으로기입 ) Name: Relationship:. Name: Relationship:. Name: Relationship:. Name: Relationship:. 서약서 Statement of Intent 이지원서를통해만약합격을하게된다면, 학교의규칙을지킬것과, 크리스천으로서모범적인생활을하며영적, 학문적유대를위해힘쓰겠습니다. 그리고이지원서에허위사실이있을경우제적처리될수있음에동의합니다. It is understood in making this application that I agree, if accepted, to abide by the rules of the seminary and to seek to add to the spiritual and academic fellowship through exemplary personal conduct and Christian attitude. I also understand that any falsified statements in this application and supporting documents could result in the suspension of my student status. 서명 Signature 날짜 Date 비인종차별관행 Statement of Non-Discriminatory Practices 센트럴침례신학대학원은학교입학과정, 처우, 교직원채용에서인종, 피부색, 국적, 성별, 나이또는신체장애에대한차별이없습니다. Central Baptist Theological Seminary does not discriminate on the basis of race, color, national origin, sex, age, or handicap in admission, access to, treatment, or employment in its programs and activities. 2

3 목회학박사과정 / Doctor of Ministry 입학지원에필요한서류들 Required Parts of the Application 1. 입학원서 Application Form 2. 자기소개서 (1000자미만 3-4 쪽 ) Essay (maximum of 1000 words) 다음과같은내용을담을것. Covering the following topics: a. 자신의영적여정 Spiritual journey b. 목회강점 Ministry strengths c. 목회분야에어려움 Personal challenges in ministry d. 지원동기 Why you are applying 3. 추천서 4 개 - 지정된양식이없으므로추천인이서면으로작성하셔서학교로직접보내시면됩니다. Four letters of Recommendation - It is the applicant's responsibility to contact references - the letters should come directly from the following persons: colleague, pastor or denominational official, professor 4. 목회사역확인서 - 교회나교단으로부터서류가직접본교로발송되어야함. 학교지정양식사용 5. 이력서 Resume of work and academic experience 6. 대학과대학원성적증명서원본 ( 해당학교에서학교로직접보낼것 ) Official Transcripts of All Undergraduate and Graduate Work (send directly to seminary) 7. 그린장학금약정서-학교양식사용 Green Scholarship Agreement 8. 전도사또는목사안수증사본 Copy of Ministry License or Certificate of Ordination. 9. 입학전형료 ( 환불불가 ) - Application Fee - $50 ( 수표수신자 : CBTS) ( 급행으로입학허가서를원하는경우급행수수료가추가됩니다. If you want to expedite on admission process a premium processing fee will be added) F1 비자학생일경우아래서류첨부 (F1 student visa: required following documents.) 10. a - Affidavit of Financial Support ( 재정후원증명서 ) - 재정보증인이있는경우 ( 학교양식사용 ) b - Declaration of Financial Resources ( 재정증명서 ) - 재정을본인이담당하는경우 ( 학교양식사용 ) 11. 은행잔고증명서 - $16,000 이상가족한분추가시 $2,000씩추가계산 12. 본인 I-20 사본 ( 필요시가족 I-20 사본 ) 13. 여권의사진이있는면 Copy (I-20 가필요한가족포함 ) 14. 입국허가증 (Form I-94) 사본 ( 입학허가서및 I-20 발급을위해입학지원전형서류는원본이제출되어야합니다 ) 보내실주소 Send all application document to: Central Seminary Attn: Admissions Korean ( 한국부 ) 6601 Monticello Road. Shawnee, KS 아래개인정보는교육행정법제 9 항 (1972) 에근거해서만이용됩니다. 이개인정보를제공하는것은자발적이며정보제공을거절한다고해서불이익을당하지않습니다. The following information is used only in accordance with title IX of the education amendment of The information is voluntary and refusal to provide it will not subject you to adverse treatment. 성별 Gender 생년월일 Date of Birth 결혼유무 Marital Status 배우자와자녀이름 Name of Spouse and Children 인종 / 종족 ( 비자입국자는 비거주외국인 란에동그라미를하세요.) Race/Ethnicity (circle one if you are in the US on a visa, circle nonresident alien ) 비거주외국인 Nonresident Alien 알려지지않은인종 Race and Ethnicity unknown 히스패닉 Hispanics of any race 아메리칸인디언또는알래스카원주민 American Indian or Alaska Native 아시안 Asian 백인 White 흑인또는아프리카계미국인 Black or African American 혼혈 Two or more races 하와이원주민또는기타태평양연안도민 Native Hawaiian or Other Pacific Islander 3

4 목회사역확인서 - 박사과정 MINISTRY POSITION ENDORSEMENT FORM 지원자성명 Applicant s Name: 날짜 Date: 성 Last 이름 First 위사람은센트럴침례신학대학원에입학지원을했습니다. 입학을위해서는귀교회또는귀교회교단의인증이필요합니다. 이인증은귀교회가위학생의소명을확인하여신학교과정을추천하는의미입니다. The person named above is applying for admission to Central Baptist Theological Seminary. The endorsement of your church or denominational body is required for admission. Your endorsement affirms that you validate this student s call to a seminary education and will support them throughout their time in seminary. 교회또는교단이름 Name of Church or Denominational Body : 주소 Address: 저희, 교인들은 가 ( 이 ) 교회혹은교단이름지원자이름 센트럴신학대학원의박사과정에지원하는것을추천합니다. We, the members of (Name of Church or Denominational Body) endorse the decision of (Applicant s Name) to attend Central Baptist Theological Seminary in the Doctor of Ministry program. 대표자서명 Officiating Member s Signature: 인쇄체이름 Please print name: 직책 Officiating Member s Title: 날짜 Date : 전화번호또는이메일주소 Telephone Number or Address: * 질문이있으시면센트럴침례신학대학원입학처로연락주십시오. ( or enrollment@cbts.edu) *Should you have any questions, please contact the Director of Enrollment Services at Central Baptist Theological Seminary 4

5 학생비상연락망 / Student Emergency Information Current U.S Information / 미국현지주소 Name ( 이름 ) First: Last name: Address: Home Phone: Cell Phone: Emergency contact Information / 비상연락시한국연락처 Name ( 이름 ) First: Last name: Address: Home Phone: Cell Phone: Relationship ( 관계 ): Emergency contact Information / 비상연락시미국내연락처 Name ( 이름 ) First: Last name: Address: Home Phone: Cell Phone: Relationship ( 관계 ): 5

6 AFFIDAVIT OF FINANCIAL SUPPORT / 재정후원증명서 for support from a sponsor ( 재정보증인이쓰는서류양식 ) Student Information / 학생정보 NAME (first name): (last name): Date of Birth ( 생년월일 ): month: day: year: Current Address ( 현주소 ): Sponsor s Statement 재정후원자후원서약 To the Admission Office of Central Baptist Theological Seminary: 센트럴신학대학원앞 I,, am able and willing to support sponsor's full name, who intends to pursue student's full name higher education at Central Seminary. I assure the school of having suffcient funds to cover the cost of tuition, fees and other living expenses for two semesters during the student's course of study. I understand that two semesters of education at Central Baptist Theological Seminary $16,000, not including dependents. I have enclosed my bank statement showing the funds available. 나 위의학생 후원자이름학생이름학생의재정후원자로서학생이센트럴신학대학원에서의학업을위해필요한수업료, 생활비및각종비용을책임지겠습니다. 가족을제외한학생본인의비용은 $16,000 이상이되며, 후원에대한증명으로은행잔고증명을첨부합니다. Signature of Sponsor ( 후원자서명 ): Date ( 날짜 ): Mailing Address ( 우편주소 ): Phone ( 전화 ): ( 이메일 ): Memo: 6

7 DECLARATION OF FINANCIAL RESOURCES/ 재정지원서 for student's supporting themselves ( 재정을본인이담당하는서류양식 ) Statement 서약 To the Admission Office of Central Baptist Theological Seminary: 센트럴신학대학원앞 : I,, am able to provide ( 본인영문이름 ) my own financial support and support of any dependents during my studies at Central Seminary. I assure the school of having sufficient funds to cover the cost of tuition, fees and Other living expenses for at least two semesters during my course of study. I understand that two semesters of education at Central Baptist Theological Seminary, including tuition, fees, books, and living expenses can cost over $16,000, not including dependents. 나 는센트럴침례신학대학교에서공부하는 ( 본인이름 ) 동안내자신의재정지원및부양가족의지원을제공할수있습니다. 나는학교수업에필요한충분한자금을가지고, 제과정에서적어도두학기수업에필요한생활비, 수업료등각종비용을책임질것입니다. 나는등록금과수업료, 교재비, 생활비를포함하여센트럴신학대학원에서두학기수업이, 부양가족을포함하지않는이상 16,000 달러비용이소요될수있음을이해합니다. Signature of Student ( 학생싸인 ): Date ( 날짜 ): Printed Name ( 학생이름 ): Mailing Address ( 학생현주소 ): ( 이메일 ): Home Phone ( 전화 ): Cell Phone ( 휴대전화 ): Memo: 7

8 입학전형료 / Application Fee Student Information / 학생정보 Student Name ( 여권상영문이름 ): Address( 주소 ): Phone ( 전화 ): ( 이메일 ): Card Information / 신용 & 데빗카드정보 I hereby authorize Central Baptist Theological Seminary to process my credit card payment, as I provide the information above. 나는위의내용과같이센트럴신학대학원에본인의카드정보를제공하고결재를요청합니다. Type of Card 카드종류 : Visa, Master, Discover, America Express Exp.Date ( 유효기간 ): Card Number ( 카드번호 ): Card Security Code: Name on Card ( 카드상의영문이름 ): Card Holder Address ( 카드주소 ): Signature ( 카드주인싸인 ): Date ( 날짜 ): Amount ( 금액 ): $50.00 Express Admission Process Fee / 입학심사급행절차요청 학생들은본인의상황에따라입학전형료외에추가금액을지불하고 Express 절차를선택할수있습니다. Express A 를선택할경우에는담당자 ( 김주연 : ) 에게연락하시기바랍니다. An applicant can choose an Express Process by his/her choice by paying additional fee beside of an application fee. Please contact to an admissions coordinator (Juyeon Kim: ) when you choose Express A. 1. Express A: $150 원합니다 [ ] 입학허가서와전학신청서를이메일로발송됨 // 입학허가서와전학신청원본을 express mail 로받음 // 지원자는입학심사일을정해진 날자보다빠른날자로요청할수있음 (receive Acceptance Letter and FSAR through /// receive original Acceptance Letter and FSAR by express mail /// applicant can request the admission committee meeting earlier than scheduled date) 2. Express B: $100 원합니다 [ ] 입학허가서와전학신청서를이메일로발송됨 // 입학허가서와전학신청원본을 express mail 로받음 // 입학심사를정해진날짜에받음 (receive Acceptance Letter and FSAR through /// receive original Acceptance Letter and FSRA by express mail) 3. Express C: $50 원합니다 [ ] 입학허가서와전학신청서를이메일로발송됨 // 우편메일로입학허가서와전학신청원본을일반메일로받음 // 입학심사를정해진날짜에받음 (receive Acceptance Letter and FSAR through /// receive original Acceptance Letter and FSAR by regular mail) Express Mailing Service / 빠른우편서비스 4. I-20 빠른우편요청서 / I-20 Express Mailing Service Request Form ( 미국내 / in US): $30 [ ] 미국내에서 I-20 를 Express Mail 로받기를원하시면 $30 이차지됩니다. Applicant in the US needs to pay additional $30 if he/she wants to receive I-20 by Express Mail after his/her I-20 has been released to CBTS from his/her previous school. 전학생의경우 CBTS I-20 는이전의 학교로부터전학신청서와 I-20 가 CBTS 로옮겨진후에만들어집니다. 5. I-20 해외빠른우편요청서 / I-20 Overseas Mailing Service Request Form: $100 [ ] 미국외에서 I-20 를받는입학신청자는해외우편서비스요금 ($100) 을반드시내셔야합니다. 이해외우편서비스는 5 일안에우편물이도착하는 서비스입니다. An applicant who receives her/his I-20 outside of US must pay the Overseas Mailing Fee ($100). This overseas mailing service is a 5-day service. Express Mailing Fee: $ Express Admission Fee: $ Total ( 전체금액 ): $ 9 P a g e Subtotal( 일반입학전형료 ): $50.00

9 Student Name ( 학생이름 ): Degree Program ( 과정 ): Address 주소 : Phone 전화번호 : 이메일 : 그린자학금신청년도 : 년, 봄학기 or 가을학기 Past Semester's GPA 지난학기평점 : Cumulative GPA 전체평점 : Church 출석교회 : 출석교회목회자싸인 : Describe your current church involvement 현재섬기는교회사역 : 1. 그린장학금은재정적도움이필요한한국부학생들을돕기위한장학금이다. 그린장학금은매학기마다신청해야하며, 신청인의경제적 필요, 학점, 품행, 교회사역, 이웃에대한봉사등을고려하여수여한다. Green Scholarship helps needy students in Korean Program. An applicant should apply for the scholarship every semester, and the scholarship will be awarded on the basis of financial need, GPA, church involvement, and service to others. 2. 그린장학금은 DMin 과정은학점당 $275, MAMCS 과정은학점당 $160, MDiv, MATS, Diploma 과정은학점당 $210 의혜택의주어진다. The amount of Green scholarship is $275/credit for DMin program, $160/credit for MAMCS program, and $210/credit for MDiv/MATS/Diploma programs. 3. 장학금수혜자들은심사후결정되며, 탈락자들에게는한번의재심의기회가주어질수있다. Scholarship recipients will be determined after reviewing the applications. For those who do not qualify for any reasons, reconsideration may be given once. 4. 만약학교등록상태를유지하지못하거나학기중간에수업을철회할경우에는혜택을받은만큼의장학금을반환해야한다. ($275/credit for DMin, $160/credit for MAMCS, and $210/credit for MDiv/MATS/Diploma programs). The Green Scholarship will be removed if a student in the Korean Program does not maintain her or his enrollment or drop courses during the semester ($275/credit for DMin, $160/credit for MAMCS, and $210/credit for MDiv/MATS/Diploma programs). 5. 그린장학금신청자는아래의사항에동의해야하며, 아래사항들을지키지못할경우장학생의자격이상실되고, 그시점까지받은 장학금을반환해야한다 Applicants should agree the following statements. If the applicant does not abide by the following stated terms, this scholarship contract shall be terminated. At the time of termination, the student will become responsible for repaying the scholarship amount used up to that point. 나는하나님의부르심을따라준비된사역자가되기위해최선을다해학문에힘쓸것이며, 성도이자센트럴신학대학원학생으로서교회와공동체에서삶에모범이되도록노력하겠습니다. 신학대학원윤리강령 ( 학생핸드북에기재됨 ) 을지킬것이며, 말이나행동에있어서신학대학원의명예를훼손하거나실추시키는언행을하지않겠습니다. I will make every effort to equip myself for my divine calling. I will do my best to be a person of integrity and good example as a Christian and CBTS student in my church and community. I will abide by CBTS Covenant and Code of Ethics (found in the CBTS Student Handbook) and will not behave contrary to CBTS honor in words or conduct. 나는그린장학금에관한위의규정들을모두숙지했으며, 위의사항들에동의하여그린장학금을신청합니다. I have read the above policy about Green Scholarship. With agreement of the above policy and statements I apply for the scholarship. 학생서명 (Student s Signature): 날짜 (Date): 9

4. Scholarship Award Category: - Hangul Grand Scholarship: Certificate + Scholarship of $300 - King Sejong Scholarship: Certificate + Scholarship of $

4. Scholarship Award Category: - Hangul Grand Scholarship: Certificate + Scholarship of $300 - King Sejong Scholarship: Certificate + Scholarship of $ 2016 Korean Language Class Student Scholarship Korean Education Center in Los Angeles (KECLA) would like to inform outstanding Korean language class students to participate in 2016 Korean