Doctorate Degree Application

Doctorate Degree Application

    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:

    Doctor of Theology Th.D.Doctor of Divinity D.Div.Doctor of Ministry D.Min.Doctor of Sacred Music D.S.M.

    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.


    We will ordain you as an Interfaith Minister at no charge with your Doctorate Degree. You may opt for an additional title ($20 each), but you must have the Interfaith Minister designation because that is a requirement of our program due to the appropriateness of the word Interfaith to the study of World Religions.

    Choose how you want to be Ordained (more than one Minister title is okay for additional fee of $20 each. Separate certificates):

    Interfaith MinisterSpiritual MinisterPsychic MinisterEsoteric Minister

    Other Minister Title of your design:

    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)

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

    Your application will be reviewed and you will be notified immediately upon acceptance. Don't forget to send us your one or two page spiritual history.

    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 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 the Seminary

    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 Road, Suite 216
    Show Low, AZ 85901

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