Southeast School of Ministry > School Admission

Feel free to fill out the online form below. Once submitted you and the school will receive a confirmation email.
Or if you prefer you can download the admissions form and email it to .

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip Code:

Email:

Home Phone:

Cell Phone:

City/State of Birth:

Date of Birth:

Gender:

Marital Status:

Occupation/Profession:

Highest level of education achieved: Check one box below.

Not High School Graduate
High School or GED
Vocational School
INSTE Level 1
INSTE Level 2
College Degree-Undergrad (2 Year)
College Degree-Undergrad (4 Year)

Name of the church you presently attend:

Denomination:

Church Address:

Church City:

Church State:

Pastor's Name:

Pastor's Email:

Does your pastor support you enrolling in SESOM?

Please give a brief description of your salvation experience:

Why do you want to study at SESOM?

Signature:

Date:

By typing my name in the signature box above, I am affirming that everything on this form is accurate and truthful.