Bachelor Degree Application


    (This information is kept completely confidential.)

    Personal Info:



    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?



    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:


    Esoteric Christianity




    Wicca or Earthbased Trads




    Ceremonial Magick




    Apocalyptic/ Prophecy studies



    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

    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, AZĀ  85901