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Esoteric
Theological Seminary

Doctorate Degree Application
(This information is kept completely confidential.)

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Personal Info:

Name: 

Address: 

City: 

State: 

Zip: 

Country: 

Phone: 

(we will NOT call you unless it’s dire…)

E-mail Address (Please type carefully): 


Type your email address again:  

Date of Birth:  MM/DD/YY

Gender:
 

Male 

Female   

Marital Status:
 

Single 

Married 

Divorced 

Too 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:

Doctor of Theology    ThD


Doctor of Divinity   DDiv

Doctor of Ministry   DMin

You may choose more than one Degree, the second and third Degrees
are half price.  Half price discount is also granted for
members of the same household.  The first person pays full
tuition and the second person pays half price if both apply
at the same time.

Please enter your name exactly as you want it to appear on your
Diploma.  This is a legal document, most people include their
middle name. 

Do you pledge to use your new credentials and professional status
for the Service of Humanity? 

Ordination:

We will ordain you as a minister for no charge with
your Doctorate Degree. What kind of minister title do you wish
to be ordained as?

Choose how you want to be Ordained (more than one is okay):


Spiritual Minister

Interfaith Minister


Psychic Minister

Esoteric Minister

Other Title–   Please describe: 

You may choose more than one title from the above list for an
additional $20 fee. (Separate certificates.)

Member Profile

The following questions are somewhat
optional, but we encourage you to answer them because they help
us build a picture of you and what has made you the person you
are. Souls appear and re-appear in “families” or “soul groups”.
They often follow family bloodlines, you ARE your ancestors. Past
lives are sometimes hard to believe in, but genetic memory is
very real. The things you are drawn to in life, flashbacks, and
deja vu are your genetic memory nagging you. We can better help
you get where you’re going if we have a complete profile of you
and your ancestral background.

What religion 

were you raised on?
Do you still practice its ways?

Fully 

Somewhat
Seldom 

Never
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:  {You can skip this section
if you have already filled in these questions on the Ordained
Minister’s Application.}


Kabbalah 
Esoteric Christianity
Runes
Rosicrucians

Gnosticism
Wicca or Earthbased Trads

Angels
Asatru/Heathenism

Buddhism
Ceremonial Magick
Tarot
Enochian

Goddess
Apocalyptic/ Prophecy studies

Druidry
Vedanta

Other areas of study not listed above: 

Please indicate those 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
Link from TheDreamZone.com

Friend, colleague, family member
Discussion List or Forum
Link from any other website

Search Engine Query

Facebook
Katia’s Esoteric Christianity Blog 		Other source: (please describe)

Payment information:


  Please check the box next to the items you are ordering.

The Doctorate Degree fee is $600 (includes Priority Mail shipping
of your Documents)

Pay $600 now.

Pay $300 now and $50 per month for 6 months (Certificate is shipped
to you now)


Wallet ID credentials are included at no extra charge upon request.


Beautiful white hardback Interfaith Minister’s Manual.  We have
them available immediately (they take 4-6 weeks from minmanualAmazon).
It includes ceremonies and rituals from strict Catholic to Native
American. The cost is $31, which includes Priority Mail shipping.



Check this box only if you want Rush shipping.  Cost varies,
depending on where you are.

    Payment Methods


    Visa or MasterCard


    Discover

    Check or Money Order made payable to Esoteric Interfaith Church,
    Inc.

Your application will be reviewed and you will be notified immediately
upon acceptance.  Don’t forget to also send
us your 4000-word thesis on any spiritual topic.

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)
 




PLEASE NOTE:   If the
above Send Now button isn’t working, choose an option below.
OPTIONS:

(1)  Copy and
paste the above application into an email and send to us at

Ordain
Council

(2) Print this
page, fill in by hand and snail
mail or fax to us (email
us for fax number). 		Esoteric Interfaith Church, Inc.
7257 NW 4th Blvd #78
Gainesville, FL 32607

(3) If you are unable to copy the
application form above, go to this text
only version of the Application and email it to us.

Then please go here to make your payment:
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