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1 1 입학지원서작성요령 (Guidelines for Application) 입학지원서패키지에는다음의서류들이구비되어있습니다. Application for Admission ( 입학지원서 ) 3개의 Reference Evaluation ( 추천서 ) 기타서류 신앙고백서 학업계획서 목회경험서 이력서 입학지원서류 Check List I. 입학신청서 (Application for Admission) 작성요령 Program of Interest School of Theology (SOT) 밑의 Korean Language Doctor of Ministry Program에표시하십시오. 만약학위취득없이청강으로만등록을원하시면 Doctor of Ministry Non-Credit에표시하십시오. Which Quarter Do You Plan to Begin Studies? 풀러신학교는 Quarter제로운영됩니다. 학업을시작하고자하는학기와년도를선택해주십시오. Fall: 10월 -12월 Winter: 1-3월 Spring: 4월 -6월 Summer: 7월-9월 아래에있는번호는입학신청서 (application for admission) 에있는번호와일치하는내용에대한것입니다. 1. Last name을쓰는칸에는성을, First name에는이름을쓰십시오. Middle name 칸에는아무것도적지마십시오. 예 : 홍길동 -> Last: Hong First: Gil Dong ( 중간에한칸을띄어주십시오 ) 2. Preferred First Name 칸은비워두십시오. 3. 1항에써넣은영문이름이외에공식적인문서에서 ( 예 : 여권혹은영문성적증명서 ) 사용한적이있는다른영문이름이있다면써넣으십시오. 4. Gender에는남자분이면 M에, 여자분이면 F에표하십시오. M 은 Male ( 남자 ), F는 Female ( 여자 ) 의첫글자입니다.

2 2 5. Social Security Number( 미국의주민등록번호 ) 가없으시면공란으로남겨두십시오. 6. Current mailing address 에는현재의거주지, 혹은우편물을받아보시길원하시는주소를쓰십시오. 한국주소의경우에는번지수 - 동 - 구의순서로쓰시고, State 난은비워놓으십시오. Zip code 난에우편번호를, Country 난에는 Korea 라고써넣으십시오. Permanent address에는왼쪽의주소와는다른곳에서거주하고있으시다면그곳의주소를추가로적으십시오. 7. 집과일하시는곳전화번호를쓰시되, 괄호안에는한국의시군별지역번호를쓰십시오. 번호앞의 0은쓰지마십시오 ( 예 : 서울의경우 02 대신 2를쓰십시오 ). Permanent Phone Numbers는무시하십시오. 8. 이메일주소를쓰십시오. 9. 어떤방법으로연락을받기를원하시는지표시하십시오. 10. 생년월일을쓰십시오. 11. 출생지도시 (City) 혹은출신도 (State) 를쓰시고, Country 에는 Korea 라고쓰십시오. 12. Citizenship 국적을써주십시오. 미국시민은아니지만영주권이있는경우에는 Yes에표시하십시오. 그리고영주권사본을입학신청서와함께제출하셔야합니다. In Process의경우에는 International Services Office에연락하시기바랍니다. 영주권이없는경우에는현재소지하고있는비자의종류를밝혀주시고, 비자의사본을입학신청서와함께제출하여주십시오. 현재국적외에다른국적을소유하고계신적이있으면 Yes 에표해주시고나라이름을기입해주십시오. 미국시민권자시면공란으로놔두시면됩니다. 13. Ethnic Survey 에서한국인은 Asian/Pacific Islander 에표하시면됩니다. 14. 지난 5 년동안의사역경력을쓰십시오. 가장최근의것부터쓰시기바랍니다. 15. 범죄기록이있으면 Yes 에, 그렇지않으면 No 에표시하십시오. 16. 현재소속된교단을구체적으로적어주십시오. 예를들어예장통합의경우, Korean Presbyterian 이라고만적지마시고 Korean Presbyterian (Tong-Hap) 이라고적어주십시오. 17. 사역하고계시는교회나기관이름을적어주십시오. 18. 현재사역지에서의직함을적어주십시오. 19. 전임으로사역하신기간을적어주십시오.

3 3 20. 이부분은적지않으셔도됩니다. 21. 안수를받으신경우, 안수를준교단이나기관, 안수를받은년도를적어주십시오. 22. 의사소통에가장편한언어를적어주십시오. 23. 영어권대학에서학사학위를마치셨으면 Yes, 그렇지않으면 No 에표시하십시오. 24. 대학을포함한그이후의학위를마치신학교, 학교위치 ( 도시, 국가 ), 기간, 학위의종류를쓰십시오. 입학서류를제출하실때, 이모든학위에대한성적증명서 ( 졸업을하지않은경우에도 ) 를제출하셔야합니다. 성적증명서는해당기관에서발급하여공식봉투에넣어져봉해진그대로제출되어야합니다. 그렇지않은성정증명서는인정되지않습니다. 또, 인터넷으로발급받는 E-Transcript도인정되지않습니다. 25. 학부 ( 대학 ) 평점이 4.0 기준으로 3.0 이상되면 Yes 에표시하십시오. 26. 이전에풀러신학교에서수업을듣기위해입학원서를내신적이있으면 Yes 에표하시고, 프로그램과입학허가여부, 그리고신청했던달과년도를명시해주십시오. 그아래항목은, 예전에풀러신학교에서과목을수강했던적이있으시면 yes에표기해주시고수강년도를적어주시면됩니다. 27. 풀러신학교에입학신청을해서거부된적이있거나, 퇴학, 학사경고, 등을받은적이있으시다면 Yes에표시해주시고, 그에대한사유서를첨부해주십시오. 28. 추천서를작성해주는분들에대한정보를주십시오. 추천서는 Pastoral Reference ( 현재시무교회혹은전시무교회의지도목사님혹은동료목사님이작성하는추천서 ), Professional Reference ( 담임목사나교단지도자가작성하는추천서 ), 그리고 Academic Reference ( 학업능력을알고있는교수가작성하는추천서 ), 3개가필요합니다. Academic Reference와 Professional Reference는같은양식을사용합니다. 추천서를써주시는분들은목사님과 1년이상알고지내시는분이어야합니다. 추천해주시는분들의이름, 주소, 전화번호를적어주십시오. 가족은추천서를쓰실수없습니다. 29. 풀러신학교에입학신청을하도록영향을준사람이있으면그사람에대해이름, 직업, 주소를써주십시오. 반드시적을필요는없는사항입니다. 여기까지다적으셨으면입학신청서 15페이지로가시기바랍니다!!! 맨위의 Acknowledgement 부분을읽으십시오. 본인이필요한모든서류를다보내겠으며, 이서류들은다시본인에게반환되지않고학교에보관된다는것, 개인에대한정보는어떤다른목적으로사용되지않을것이라는점, 그리고이서류에기록된모든내용이사실임을약속한다는내용입니다. 읽으신후, 서명을하시고서명한날짜를적어주시기바랍니다. 서명이되지않은입학신청서는인정되지않습니다. Optional Question은무시하셔도됩니다. 입학전형료를크레딧카드로내시기원하시면카드정보를적어주십시오.

4 4 II. 기타서류작성요령 1. 신앙고백서 A와 B 문항에대해각 1페이지 (250자) 가량으로작성하십시오. 신앙고백서는한글로쓰셔도괜찮습니다. 하지만이름은반드시영문으로적어주십시오. 2. 학업계획서와연구계획서연구계획서와목회경험서는한글로쓰셔도괜찮습니다. 그러나이름은반드시영문으로적어주십시오. 3. 이력서는한글로작성하셔도됩니다. III. REFERENCE EVALUATION ( 추천서 ) 작성요령 Reference Evaluation form 위쪽부분 (Instruction to the Applicant) 은본인이작성해야합니다. Last name, first name을적어주십시오. Social Security Number가있으신분들은마지막 4자리숫자를적어주십시오. 생년월일을적으실때는월 / 일 / 년도순입니다. 입학하기를원하는학기와년도를적어주시고 Program에는 SOT KDMin이라고쓰십시오. To the Applicant 부분은추천서와관련된법조항에대한설명입니다. 본인이나중에읽어볼권리를스스로포기한다는조항 (I agree to waive access to this statement.) 에표하시면이추천서를읽어보거나, 복사를하거나, 내용수정을요구할수없게됩니다. 대부분의경우이러한권리를포기한다는난 (I agree to waive access to this statement) 에표시하여추천서작성을하는사람에게완전히맡기는것이통례입니다. 둘중하나에표하시고, 서명과서명날짜를적어주십시오. 세개의추천서위쪽부분을위의설명대로작성하신후추천서를작성해줄분에게전달하십시오. 추천자에게작성후에는해당기관내지는교회의공식봉투에넣어서완전히봉한후, 봉한자리에서명을해달라고부탁하십시오. 일단이렇게작성된추천서는봉해진채로다른서류들과함께혹은별도로제출되어야합니다. 봉인이손상된추천서는효력이없습니다. 추천서는입학신청서 28번에적힌 3명으로부터받으시면됩니다. 가족과친지는추천서를작성하실수없습니다.

5 SPECIAL NOTE TO PROSPECTIVE APPLICANTS {application for admission} KOREAN DOCTOR OF MINISTRY PROGRAMS (Before completing and submitting your application for admission along with the application fee, please read and consider the following information.) 1. Fuller Theological Seminary is an evangelical, multidenominational, international and multiethnic community. It is dedicated to the equipping of men and women for the manifold ministries of Christ and his Church. Please review the seminary's official statements ( before proceeding. 2. Admission to Fuller Seminary is competitive. Merely meeting minimal academic entrance requirements does not mean that an applicant will be automatically admitted. The admissions committee carefully reviews an applicant's entire application file and may also consider other available public information that is deemed relevant. 3. Please review Fuller Seminary's Statements of Community Standards found at These seven statements are affirmed by all trustees, faculty, administrators, staff, and students of the seminary. Adherence to Fuller's ethical and behavioral standards is a continuing condition of student enrollment, if admitted. PROGRAM OF INTEREST (choose one program only) School of Theology (SOT) Korean Language Doctor of Ministry Program chose one option: Biblical Studies and Preaching Pastoral Counseling and Care Theology, Ministry, and Culture General Korean Doctor of Ministry Visiting Student Korean Doctor of Ministry Non-Credit WHICH QUARTER DO YOU PLAN TO BEGIN STUDIES? (choose one term only) September (Fall) January (Winter) March (Spring) June (Summer) YEAR (choose only one year): WHERE DO YOU WISH TO BEGIN YOUR STUDIES? (choose one campus only) Main Campus (Pasadena, CA) Other [list location]: 8

6 PERSONAL INFORMATION 1. FULL LEGAL NAME (INTERNATIONAL APPLICANTS: Please enter your full name as it appears on your passport.) Last/Family/Surname First (given name) Middle 2. PREFERRED FIRST NAME 3. OTHER FULL NAME(S) ON PREVIOUS RECORDS (if different from above) 4. GENDER: Female Male 5. U.S. SOCIAL SECURITY NUMBER (if applicable) 6. CURRENT POSTAL ADDRESS (until: ) Home Work Street PERMANENT ADDRESS (if different than current address) Street City City State/District/Province ZIP/Postal Code State/District/Province ZIP/Postal Code Country Country 7. CURRENT PHONE NUMBERS Home ( ) Work ( ) Cell ( ) Fax: work home ( ) PERMANENT PHONE NUMBERS (if different than current numbers) Home ( ) Work ( ) Cell ( ) Fax:( ) 8. ADDRESSES Primary Address: work home Additional Addresses (optional): 9. PRIMARY CONTACT PREFERENCE: Home Phone Work Phone Cell Phone 10. BIRTHDATE Month Day Year 11. BIRTHPLACE City State/District/Province Country 12. CITIZENSHIP What is your nation of citizenship? If you are not a U.S citizen, are you a U.S. Permanent Resident? Yes No In Progress If "Yes," please submit a copy of your Resident Alien Card (Green Card) with your application. If In Progress, please contact the International Services Office at iso@fuller.edu regarding your status and required documentation. If "No" and you are currently residing in the U.S., please indicate your visa status: F-1 H-1 H-4 J-1 J-2 R-1 R-2 Other Please contact the International Services Office to determine your eligibility to study at Fuller before proceeding (see Certificate of Eligibility (Form I-20) Application Instructions at the end of this application packet for contact information). 9

7 If "No" and you are currently residing outside of the U.S., please see Certificate of Eligibility (Form I-20) Application Instructions at the end of this application packet and complete and submit the Certificate of Eligibility (Form I-20) Application to the International Services Office. Have you ever been a citizen of another nation? Yes No If "Yes," name of nation 13. ETHNICITY AND RACE (Race and ethnicity information is used for statistical purposes only. For more information on the meaning of these categories, please visit Are you Hispanic or Latino? Yes No Race: (Regardless of your answer to the previous question, please mark one or more races to indicate what you consider yourself to be.) American Indian or Alaskan Native North American Indian or Alaskan Native Central or South American Indian Native Hawaiian or other Pacific Islander Native Hawaiian Other (Samoan, Guamanian, etc.) Asian Chinese Japanese Korean South Asian (Indian, Pakistani, etc.) Southeast Asian (Filipino, Vietnamese, etc.) Other Asian Black or African American African Caribbean Central American European South American Other Black or African American White or Caucasian European Middle Eastern North African Other White or Caucasian Hispanic or Latino Caribbean Central American European Mexican South American Other Hispanic or Latino 14. EMPLOYMENT HISTORY Please list your employment history during the past 5 years, beginning with the most recent. Job Title Employer City State/ Province Begin Date End Date or Nation 15. HAVE YOU EVER BEEN CONVICTED OF, ENTERED A PLEA FOR, OR DO YOU HAVE FELONY CHARGES PENDING AGAINST YOU? Yes No If "Yes," please attach an explanation that includes the charge or pending charge, the court, the date of conviction, and the disposition of the case. Please also send a stamped, certified copy of the court file to the address below. Administrative Director of Admissions Office of Admissions Fuller Theological Seminary 135 N Oakland Ave Pasadena, CA USA CURRENT MINISTRY 16. WHAT IS YOUR CURRENT DENOMINATIONAL AFFILIATION? (Please be as specific as possible, e.g., Presbyterian Church of America or PCUSA, rather than simply "Presbyterian.") 17. NAME OF CHURCH/ORGANIZATION: 10

8 18. POSITION HELD: 19. YEARS IN FULL-TIME MINISTRY: 20. IF YOU ARE A LICENSED MINISTER, NAME OF LICENSING BODY: YEAR: 21. IF YOU ARE ORDAINED, NAME OF ORDAINING BODY: YEAR: LANGUAGE SURVEY 22. WHAT IS YOUR NATIVE LANGUAGE? 23. WAS ENGLISH THE MEDIUM OF INSTRUCTION AT ALL POST-SECONDARY INSTITUTION(S) ATTENDED? Yes No As a Korean Language Doctor of Ministry applicant, you are not required to submit an English language test score for admission to Fuller. If you are interested in taking any classes in English and your native language is not English or your medium of instruction for all post-secondary education is not English, you must either submit an official Test of English as a Foreign Language (TOEFL) score of at least 100 (internet) or 600 (paper) taken within the past two years or the International English Language Testing System (IELTS), Academic Format, with a minimum score of 7.0 taken within the past two years. ACADEMIC BACKGROUND 24. PRIOR INSTITUTIONS ATTENDED All Doctor of Ministry applicants (excluding Visiting and Non-Credit applicants) must submit official transcripts of all undergraduate and graduate academic work. In the following section, please list all institutions attended. Attach additional pages if necessary. Please see Additional Application Instructions on page 7 for transcript submission instructions. If you need information and/or clarification about accreditation, please contact the Office of Admissions. Name of institution Location Dates attended Degree earned 25. MY CUMULATIVE GRADUATE GRADE POINT AVERAGE (GPA) IS AT LEAST 3.0 ON A 4.0 GRADING SCALE. Yes No Unsure 26. HAVE YOU PREVIOUSLY APPLIED TO FULLER THEOLOGICAL SEMINARY? Yes No If "Yes," please specify: Program Were you accepted? Yes No Have you previously enrolled in classes at Fuller Theological Seminary? Yes No If "Yes," what year(s)? 27. HAVE YOU EVER BEEN DENIED ADMISSION TO, BEEN DISMISSED FROM, OR BEEN ON ACADEMIC OR DISCIPLINARY PROBATION AT ANY SEMINARY OR GRADUATE SCHOOL? Yes No If "Yes," please attach an explanatory statement. 11

9 REFERENCES & INFLUENCERS 28. PLEASE LIST REFERENCES BELOW. Consult the Application Checklist section on pages 3-6 for the type and number of references required for your particular program. Only list names for those references you are required to submit. Please see Additional Application Instructions on page 7 for reference instructions. Pastoral Reference: Professional Reference 1: Professional Reference 2: Academic Reference: Name Address Phone 29. WHAT PERSON(S) MOST INFLUENCED YOUR DECISION TO APPLY TO FULLER? (optional) Name Address Phone (Check if Fuller alum) ESSAYS 30. RELIGIOUS AUTOBIOGRAPHY Please type and attach your response to the statement below. Your response should convey an accurate current representation of yourself and your Christian experiences. Reflect on your past Christian experience, including the most significant spiritual event/influence in your life, the role of Christ in your religious experience, and the effect your faith has on your worldview, your involvement in Christian service, your perceived gifts/calling for ministry, and your reason(s) for attending your church. (minimum 250 words; maximum 500 words) 31. ADDITIONAL APPLICATION QUESTIONS If your program of interest is listed below, please type and attach responses. Korean Language Doctor of Ministry Program a) Statement of Experience. The purpose of the Doctor of Ministry degree is to enhance the practice of ministry for persons engaged in ministerial leadership. Describe your ministry experience, including names and nature of ministry, dates/years and position. Briefly evaluate your personal ministry, identifying perceived strengths and areas needing improvement. (Approximately 250 words in length) b) Statement of Purpose. Describe a core ministry passion or need that has prompted your interest in the Doctor of Ministry Program. How do you hope the program will address this concern? (Approximately 250 words in length) Korean Doctor of Ministry Visiting Student Doctor of Ministry Visiting Student status is designed for doctoral students who are currently enrolled in good standing at another graduate institution, but want to have transcript evidence of course work done at Fuller for transfer to the institution of primary enrollment. a) Reflect on how attending Fuller Theological Seminary will complement your present Christian experience and/or help you to achieve your future professional and vocational goals. (minimum 250 words; maximum 500 words) b) Are you currently enrolled in a doctoral program and in good standing at another graduate institution? Yes No Name of institution: 12

10 c) Please list desired course(s) below: Course number Course title Course start date Please note that listing desired courses above does not guarantee admittance as a Doctor of Ministry Visiting Student nor enrollment in a particular class. Korean Doctor of Ministry Non-Credit (Audit) a) Reflect on how attending Fuller Theological Seminary will complement your present Christian experience and/or help you to achieve your future professional and vocational goals. (minimum 250 words; maximum 500 words) b) Do you hold an ATS-accredited Master of Divinity degree, or a 96-unit Master of Arts degree in theology, religion, etc.? Yes No Unsure c) Please list desired course(s) below: Course number Course title Course start date Please note that listing desired courses above does not guarantee admittance as a Doctor of Ministry auditor nor permission to audit a particular class. ACKNOWLEDGEMENT By signing and dating below, I acknowledge the following: 1. Once submitted, the application and all supporting documents become the property of Fuller Theological Seminary and will not be returned to me. 2. I certify that this application form was completed by me and that information provided by me is true, correct, and complete. I understand that any misrepresentation, falsification, or material omission of information in any part of my application for admission, or orally during a pre-admission interview (if applicable) may result in me being denied admission, or if already admitted, being dismissed. 3. If admitted, I understand that continual adherence to the ethical and behavioral standards affirmed by the seminary's Statements of Community Standards is a continuing condition of enrollment (please see Signature Date (continued on next page) 13

11 OPTIONAL QUESTION How did you first hear about Fuller? (Check all that apply) Pastor Fuller alum Current student, faculty, or staff Relative Graduate School Fair Conference Website Google Yahoo! Bing Fuller website Facebook Twitter Allelon.org Christianconnector.com Christianity Today Seminary Guide Emergentvillage.org Gradschools.com GradView.com Petersons.com Other website: Magazine Christianity Today Christian Century Journal of Student Ministry Leadership Journal Relevant Sojourners Youth Worker Journal Other magazine: Other: APPLICATION FEE PAYING YOUR APPLICATION FEE BY CREDIT CARD If you would like to pay your application fee by credit card, please complete the following information. Fuller accepts VISA or MasterCard only. VISA MasterCard Full name as it appears on the credit card Account Number Expiration date 14

12 {pastoral reference evaluation} INSTRUCTIONS TO THE APPLICANT Please complete the following before distributing the form. NAME OF APPLICANT Surname (family name) First Middle LAST 4 DIGITS OF SOCIAL SECURITY NUMBER (U.S. only) BIRTHDATE Month/Day/Year APPLICATION FOR QUARTER PROGRAM/CONCENTRATION NOTE: The following references are NOT acceptable: References from neighbors, friends, relatives, personal therapists, or employees who report directly to the applicant References from those who have known the applicant less than 1 year TO THE APPLICANT: I understand this evaluation is to be received and maintained in confidence by Fuller Theological Seminary for admission and consideration for graduate status. I hereby expressly waive any and all rights I have of access to this evaluation under the Family Education Rights and Privacy Act of 1974, the California Information Practices Act of 1977, and any or all other laws, regulations, or policies. I understand that the rights I am waiving include, but are not limited to, the right to inspect and review this form; the right to have a copy of this form made for my use; the right to request an amendment of this form. I agree to waive access to this reference evaluation. I do not agree to waive access to this reference evaluation. Signature of applicant Date INSTRUCTIONS TO THE RECOMMENDER The applicant named above has applied for admission to Fuller Theological Seminary and has requested that you provide a reference. We would be grateful if you would give your frank evaluation of the applicant by responding to the following questions. Fuller Theological Seminary is a professional graduate school which strives to prepare men and women for various forms of Christian ministry. Each applicant is evaluated using several criteria, including Christian experience, personal character, academic record and potential, ministerial promise, and references. Please note above whether the applicant has agreed, or has not agreed, to waive access to your reference evaluation. To avoid delays in processing the application, please promptly mail, (as a scanned attachment), or fax this completed form to: Office of Admissions, Fuller Theological Seminary, 135 N. Oakland Ave., Pasadena, CA USA admissions@fuller.edu Fax: (626) If mailing this form, please be sure to sign and seal the flap of the envelope. TO BE COMPLETED BY THE RECOMMENDER 1. RELATIONSHIP TO THE APPLICANT a. How long have you known the applicant? Years Months b. How well do you know the applicant? Casually Well Very Well c. Check the context(s) in which you know the applicant: As a member/attender of my church where I am in leadership As a colleague in ministry leadership As an employee under my supervision As a student in one or more than one college or graduate school course As a student engaged in research or independent study under my direction Other (please specify) 2. ASSESSMENT OF APPLICANT S ABILITIES a. How would you rate this individual compared to others who have applied to graduate school? Top 10% Top 20% Top 30% Top 40% Top 50% Below 50% Can t assess b. Is the applicant's scholastic record, as you know it, an accurate reflection of the quality and range of his/her skills and competencies? Yes No If you choose No, please attach an explanatory statement.

13 3. PLEASE CHECK THE FOLLOWING DESCRIPTIONS THAT APPLY TO THE CANDIDATE. Below Average Average Above Average Unknown Social Appropriateness Emotional Stability Personal Maturity Composure Cooperation Teamwork Responsibility Initiative Communication Articulateness Creative Instinct Academic Potential Critical Thinking Skills Leadership Qualities Professional Ability Spiritual Maturity Church Involvement Parachurch Involvement (if applicable) 4. PERSONAL EVALUATION OF THE APPLICANT (Attach additional pages if necessary.) a. The special assets this applicant has for graduate study and the ministry are: b. If this candidate is admitted to Fuller, his/her chief need for personal development or improvement will be: c. Additional comments (optional): RECOMMENDATION (Must be completed by the recommender) Please check one of the following: Recommend with enthusiasm for admission Recommend for admission Recommend, but with reservation Do not recommend for admission Name of recommender (please print or type) Position or job title Name of church, organization, business, or institution Address City State Zip Country Phone: Office ( ) Home/Mobile ( ) Signature Please check if you are a Fuller faculty member Fuller alum (Degree and year of graduation: ) Date Thank you again for your contribution. Please see previous page for submission instructions.

14 INSTRUCTIONS TO THE APPLICANT Please complete the following before distributing the form. {academic/professional reference evaluation} NAME OF APPLICANT Surname (family name) First Middle LAST 4 DIGITS OF SOCIAL SECURITY NUMBER (U.S. only) BIRTHDATE Month/Day/Year APPLICATION FOR QUARTER PROGRAM/CONCENTRATION NOTE: The following references are NOT acceptable: References from neighbors, friends, relatives, personal therapists, or employees who report directly to the applicant References from those who have known the applicant less than 1 year TO THE APPLICANT: I understand this evaluation is to be received and maintained in confidence by Fuller Theological Seminary for admission and consideration for graduate status. I hereby expressly waive any and all rights I have of access to this evaluation under the Family Education Rights and Privacy Act of 1974, the California Information Practices Act of 1977, and any or all other laws, regulations, or policies. I understand that the rights I am waiving include, but are not limited to, the right to inspect and review this form; the right to have a copy of this form made for my use; the right to request an amendment of this form. I agree to waive access to this reference evaluation. I do not agree to waive access to this reference evaluation. Signature of applicant Date INSTRUCTIONS TO THE RECOMMENDER The applicant named above has applied for admission to Fuller Theological Seminary and has requested that you provide a reference. We would be grateful if you would give your frank evaluation of the applicant by responding to the following questions. Fuller Theological Seminary is a professional graduate school which strives to prepare men and women for various forms of Christian ministry. Each applicant is evaluated using several criteria, including Christian experience, personal character, academic record and potential, ministerial promise, and references. Please note above whether the applicant has agreed, or has not agreed, to waive access to your reference evaluation. To avoid delays in processing the application, please promptly mail, (as a scanned attachment), or fax this completed form to: Office of Admissions, Fuller Theological Seminary, 135 N. Oakland Ave., Pasadena, CA USA admissions@fuller.edu Fax: (626) If mailing this form, please be sure to sign and seal the flap of the envelope. TO BE COMPLETED BY THE RECOMMENDER 1. RELATIONSHIP TO THE APPLICANT a. How long have you known the applicant? Years Months b. How well do you know the applicant? Casually Well Very Well c. Check the context(s) in which you know the applicant: As a student in one or more than one college or graduate school course As a student engaged in research or independent study under my direction As an employee under my supervision As a member/attender of my church where I am in leadership As a colleague in ministry leadership Other (please specify) 2. ASSESSMENT OF APPLICANT S ABILITIES a. How would you rate this individual compared to others who have applied to graduate school? Top 10% Top 20% Top 30% Top 40% Top 50% Below 50% Can t assess b. Is the applicant's scholastic record, as you know it, an accurate reflection of the quality and range of his/her skills and competencies? Yes No If you choose No, please attach an explanatory statement.

15 3. PLEASE CHECK THE FOLLOWING DESCRIPTIONS THAT APPLY TO THE CANDIDATE. Below Average Average Above Average Unknown Social Appropriateness Emotional Stability Personal Maturity Composure Cooperation Teamwork Responsibility Initiative Communication Articulateness Creative Instinct Academic Potential Critical Thinking Skills Leadership Qualities Professional Ability Spiritual Maturity Church Involvement Parachurch Involvement (if applicable) 4. PERSONAL EVALUATION OF THE APPLICANT (Attach additional pages if necessary.) a. The special assets this applicant has for graduate study and the ministry are: b. If this candidate is admitted to Fuller, his/her chief need for personal development or improvement will be: c. Additional comments (optional): RECOMMENDATION (Must be completed by the recommender) Please check one of the following: Recommend with enthusiasm for admission Recommend for admission Recommend, but with reservation Do not recommend for admission Name of recommender (please print or type) Position or job title Name of church, organization, business, or institution Address City State Zip Country Phone: Office ( ) Home/Mobile ( ) Signature Please check if you are a Fuller faculty member Fuller alum (Degree and year of graduation: ) Date Thank you again for your contribution. Please see previous page for submission instructions.

16 INSTRUCTIONS TO THE APPLICANT Please complete the following before distributing the form. {academic/professional reference evaluation} NAME OF APPLICANT Surname (family name) First Middle LAST 4 DIGITS OF SOCIAL SECURITY NUMBER (U.S. only) BIRTHDATE Month/Day/Year APPLICATION FOR QUARTER PROGRAM/CONCENTRATION NOTE: The following references are NOT acceptable: References from neighbors, friends, relatives, personal therapists, or employees who report directly to the applicant References from those who have known the applicant less than 1 year TO THE APPLICANT: I understand this evaluation is to be received and maintained in confidence by Fuller Theological Seminary for admission and consideration for graduate status. I hereby expressly waive any and all rights I have of access to this evaluation under the Family Education Rights and Privacy Act of 1974, the California Information Practices Act of 1977, and any or all other laws, regulations, or policies. I understand that the rights I am waiving include, but are not limited to, the right to inspect and review this form; the right to have a copy of this form made for my use; the right to request an amendment of this form. I agree to waive access to this reference evaluation. I do not agree to waive access to this reference evaluation. Signature of applicant Date INSTRUCTIONS TO THE RECOMMENDER The applicant named above has applied for admission to Fuller Theological Seminary and has requested that you provide a reference. We would be grateful if you would give your frank evaluation of the applicant by responding to the following questions. Fuller Theological Seminary is a professional graduate school which strives to prepare men and women for various forms of Christian ministry. Each applicant is evaluated using several criteria, including Christian experience, personal character, academic record and potential, ministerial promise, and references. Please note above whether the applicant has agreed, or has not agreed, to waive access to your reference evaluation. To avoid delays in processing the application, please promptly mail, (as a scanned attachment), or fax this completed form to: Office of Admissions, Fuller Theological Seminary, 135 N. Oakland Ave., Pasadena, CA USA admissions@fuller.edu Fax: (626) If mailing this form, please be sure to sign and seal the flap of the envelope. TO BE COMPLETED BY THE RECOMMENDER 1. RELATIONSHIP TO THE APPLICANT a. How long have you known the applicant? Years Months b. How well do you know the applicant? Casually Well Very Well c. Check the context(s) in which you know the applicant: As a student in one or more than one college or graduate school course As a student engaged in research or independent study under my direction As an employee under my supervision As a member/attender of my church where I am in leadership As a colleague in ministry leadership Other (please specify) 2. ASSESSMENT OF APPLICANT S ABILITIES a. How would you rate this individual compared to others who have applied to graduate school? Top 10% Top 20% Top 30% Top 40% Top 50% Below 50% Can t assess b. Is the applicant's scholastic record, as you know it, an accurate reflection of the quality and range of his/her skills and competencies? Yes No If you choose No, please attach an explanatory statement.

17 3. PLEASE CHECK THE FOLLOWING DESCRIPTIONS THAT APPLY TO THE CANDIDATE. Below Average Average Above Average Unknown Social Appropriateness Emotional Stability Personal Maturity Composure Cooperation Teamwork Responsibility Initiative Communication Articulateness Creative Instinct Academic Potential Critical Thinking Skills Leadership Qualities Professional Ability Spiritual Maturity Church Involvement Parachurch Involvement (if applicable) 4. PERSONAL EVALUATION OF THE APPLICANT (Attach additional pages if necessary.) a. The special assets this applicant has for graduate study and the ministry are: b. If this candidate is admitted to Fuller, his/her chief need for personal development or improvement will be: c. Additional comments (optional): RECOMMENDATION (Must be completed by the recommender) Please check one of the following: Recommend with enthusiasm for admission Recommend for admission Recommend, but with reservation Do not recommend for admission Name of recommender (please print or type) Position or job title Name of church, organization, business, or institution Address City State Zip Country Phone: Office ( ) Home/Mobile ( ) Signature Please check if you are a Fuller faculty member Fuller alum (Degree and year of graduation: ) Date Thank you again for your contribution. Please see previous page for submission instructions.

18 KOREAN DOCTOR OF MINISTRY PROGRAM RELIGIOUS AUTOBIOGRAPHY NAME: Reflect on your past Christian experience, including the most significant spiritual event/influence in your life, the role of Christ in your religious experience, and the effect your faith has on your worldview, your involvement in Christian service, your perceived gifts/calling for ministry, and your reason(s) for attending your church. (minimum 250 words; maximum 500 words),,,, ( ). 1

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