Bachelor Degree Application

BACHELOR DEGREE APPLICATION

(This information is kept completely confidential.)

Personal Info: Name:
Address:
City: State:
Zip: Country:
Phone: (we will NOT call you unless it's dire...)

E-mail Address (Please type carefully):


Date of Birth:


Gender: MaleFemale


Marital Status:SingleMarriedDivorcedToo long a story for this space


Number of Children:Boy(s) Girl(s)


Partner's Name:


Please check the degree you would like to receive:

Bachelor of Arts in Religious Studies B.A.R.S.Bachelor of Science in Religious Studies B.S.Bachelor of Arts in Metaphysical Studies B.A.Bachelor of Science in Metaphysical Studies B.S.Bachelor of Divinity B.Div.Bachelor of Science in Divinity B.Div.Bachelor of Theology B.Th. or Th.B.Bachelor of Science in Theology B.Th. or Th.B.Other

Please enter your name exactly as you want it to appear on your Diploma. This is a formal document, you should include your middle name.


Member Profile

The following questions help us build a picture of you and what has made you the person you are. We can better help you get where you're going if we have a complete profile of you and your spiritual background.

What religion were you raised on?
Do you still practice its ways? FullySomewhat SeldomNever
How does your immediate family feel about your chosen spiritual path? Opposition? Approval?

Please check any of the following areas you have studied or "dabbled" in:

Kabbalah Esoteric Christianity Runes Rosicrucians
Gnosticism Wicca or Earthbased Trads Angels Judaism
Buddhism Ceremonial Magick Tarot Enochian
Goddess Apocalyptic/ Prophecy studies Druidry Vedanta/Hinduism
Other areas of study not listed above:

Please list the subjects above that you are most interested in learning MORE about:

More about you Your occupation:
Special Skills:
Hobbies, etc.?
How did you hear about us? In a book Bride or Groom who asked me to perform their marriage
Friend, colleague, family member Discussion List or Forum Link from any other website
Search Engine QueryFacebook Katia's Esoteric Christianity Blog Other source: (please describe)

Payment information:

The Bachelor degree tuition is $300 (includes free ordination, wallet cards and Priority Mail shipping for all)

After you submit your application, you will be directed to the tuition payment page. After tuition you should email your 2000 word research paper on your spiritual topic to the Seminary.

Please review your application above and if you are happy with it, click on the button below.
(Print this now before you click "Send" if you want to keep a copy of this application for your records)

If your computer browser doesn’t like the Send Now button above, you may send your application by choosing an option below:

OPTION (1) Copy and paste the above application into an email and send to us at Seminary@northernway.org

OPTION (2) Print this page, fill in by hand and snail mail or scan and email to us.

Esoteric Interfaith Church, Inc.
650 N. Penrod Rd. #216
Show Low, AZ  85901

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