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Smith’s Christian University

Application for admission

All information is strictly confidential and is subject to a criminal background check.

Program (s) applying for:
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Applicant’s name:
Address
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Status:
Spouse’s name:
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Passport Information

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Emergency Contact

Name:
Relationship:
Address

Reference

Name:
Address
Name
Address

3) Co-Worker/Friend/Teacher

Name
Address
Address
Is your Pastor in agreement with your plan:

Please answer the following questions on separate paper (If needed)

  1. How did you hear about us?
  2. Why do you want to be a minister?
  3. What do you believe is the ethical implication of being a minister?
  4. What area of ministry attract you?
  5. What does the statement, “We are all ministers” mean to you/
  6. What previous area of interest do you see yourself integrating with your ministry experience?
  7. In the past twelve (12) months, what experiences have you had, i.e., seminar, workshop, books and or tapes?
  8. What are you expecting from the ministry in term of education knowledge, practical knowledge and personal growth?
  9. Give a brief description of your religious/spiritual background to present.
  10. Describe your professional and educational history (includes highest level of education achieved, list current licenses and/or certifications) (Please include a copy and attach it to this form).
EDUCATION HISTORY: Please list your educational history, starting first with your high school attendance, then any vocational, college/university/seminary studies completed.
NAME OF SCHOOL CITY & STATE
YEARS ATTENDED (MM/DD/YYYY)
DEGREE EARNED (Diploma/GED/Degree
AREA OF STUDY
SEMINARY & CEU HISTORY: Please list any Continuing education programs you may have attended starting with the most recent first, then going back. Use additional paper if necessary.

NAME OF SEMINAR OR TRAINING CITY & STATE

YEARS ATTENDED (MM/DD/YYYY)

CERTIFICATE EARNED

NUMBERS OF HOURS EARNED

MILITARY HISTORY:

  1. Evaluate yourself as ministry applicant. What areas of expertise do you have and how do you see the ministry enhancing your skills? (Please attach any prior minister licenses or credentials).
  2. Do you have any health consideration we need to be aware of or any food allergies?
  3. Describe your mental/emotional health history, e.g., therapy, hospital, medical treatment, etc.
  4. Do you have any criminal history? Please list the charge or conviction, time served. (Probation or Parole?)
  5. Please list your employment history, include the name, address, phone number, and list of your duties.
give permission for Smith’s Christian University to distribute the student’s class list including my address and phone number to my fellow students for the purpose of working out carpools to retreats etc.
give permission for the Smith’s Christian University to conduct a criminal, employment and reference background check.
I understand that payment of the required school tuition fee or 50% deposit must be made in $US dollars prior to or upon my first day of study. Payment must be made in full by graduation/ordination to receive certificate of completion. Further, I agree to meet in a timely manner, prior to the completion of school, all personal expenses incurred during my involvement with Harvest Reapers International. If I am accepted, I will abide by the rules, commitments and schedules of the school.
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All other applicants please read and sign below
I understand that payment of the required school tuition fees must be made in $US dollars and due by the 15th day of each month. If the payment is not received by 15th day of the month, a $10 late fee will be added to the amount owed. I also understand that if no payment is made at the end of two months, that I will be required to exit the program.
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All applicants please read and sign below.
I understand that all tuition and fees are considered donations which are tax deductible and are non-refundable. Special note regarding expenses – All personal expenses are the responsibility of the student, i.e.; cap & gown and invitations.
I/we do hereby release Smith’s Christian University, its staff, agents and volunteer assistants from any liability whatever arising out of any injury, damage or loss sustained by said persons during the course of involvement with Smith’s Christian University.
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Signature of parents or guardian, if applicant is under 18 years of age.
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I certify that all the information in this application is complete and accurate.
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FOR OFFICIAL USE ONLY

Enrolled for:
Amount Received/method:

Smith’s Christian University

PRIVACY PROTECTION ACT OF 1974

1. PURPOSE: (School Policy/Privacy Act).
2. SCOPE:
a. This policy applies to all organization’s employees, management, contractors, students and volunteers
b. This policy describes the organization’s objectives and policies regarding maintaining the privacy of school information, property and ensures confidentiality.
PRIVACY RULE: (Smith’s Christian University Policies, Procedures and Statements. The effects, the privacy and confidentially.)
a. Materials and all recording cannot be sold and published for personal gain.
b. Materials and all recordings cannot be distributed to any outside parties or organizations.
c. Penalties for unauthorized reproduction, distribution, or exhibition of copyright school materials may result in serious action by the school.
d. When counseling it is not to be shared with no one at any time including friends, family members, and spouses also do not use for publishing purposes or any recordings it is prohibited and violates the Safeguard and Privacy Act Law.
e. All ministers when counseling must respect their client or client’s privacy do not consult anyone regarding any information between minister and client unless written consent by client and president.
f. Ministers are not to give any harmful advice or counseling that would end in dangerous results.
4. RESPONSIBILITIES:
a. President and Vice President
(1) Establish program objectives
(2)Establish program objectives
(3)Provide training for work and outside field
(4)Enforce sanctions
(5)Designate Privacy Official
b. President and Privacy Official
(1) Develops privacy policies and procedures
(2) Coordinates and implements policy through organization’s department
(3) Oversees training
(4) Receives and processes privacy complaints
(5) Processes individual rights requests
1. Right to access/copy School Procedures/transcripts
2. Right to amend school property
3. Right to restrict use/disclosure
4. Right to confidential communications
5. Right to an accounting of disclosures
6. Right to file a complaint
(6)Ensures Retention of Privacy Policies and Procedures, complaints, and investigate Materials to meet Compliance Requirements. c. Legal Counsel (or Privacy Official)
(1) To ensure Smith’s Christian University documents protection, school policy and regulations

5. Privacy Protection Act of 1974
c. Vice President and Corporate Compliance Officer
(1) Assist in development and execution of the Copyright and Privacy Policy Act and promulgation of operating procedures.
(2)Assists and support for Privacy Official
(3)Provides Support for Privacy Protection Policy Act compliance activities
g. All Employee’s, Students and Volunteer’s Responsibilities

Understand and comply with school policies, confidentiality and Privacy.


SE AND/OR DISCLOSURE OF PROTECTED SCHOOL MATERIALS AND PROCEDURES


a. Legal Ordinance (Client Confidentiality, Material and Recordings cannot and should not be Published. Sold and Distributed without written permission or consent from the President or Vice President.)
a. Legal Ordinance (Client Confidentiality, Material and Recordings cannot and should not be Published. Sold and Distributed without written permission or consent from the President or Vice President.)
6. LEGAL RIGHTS (Smith’s Christian University have legal counsel to obtain.)
a. Right to access/copy Transcript and Recordings
b. Right to amend school Property
c. Right to restrict use or disclosure
d. Right to confidential communications
e. Right to accounting of disclosure
f. Right to file a complaint

7. SANCTIONS: VIOLATION OF SCHOOL PRIVACY AND POLICY PROCEDURES CAN BE FINED UP TO $25,000.00 IF FOUND GUILTY.)
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Privacy Protection Policy Act 1974

Smith’s Christian University




Is a 501C3 and nonprofit organization. All proceeds are considered NONREFUNDABLE FEES.

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Welcome to Smith Christian University, where we believe in making Christ-centered learning accessible, flexible, and enjoyable!

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  • 754-234-3005

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