Wagner University

Personal Information

First Name^*

Last Name^*

Birthdate^*

Address^*

City^*

State^*

Zip code^*

Country^*

Email^*

Contact Phone Number^*

Telephone number without spaces or special characters (example: 9092194158)

Sex^*

Marital Status^*

Spouse's Name

Spouse's Email

I am applying for:^*

How Did You Hear About Us

How did you hear about us?^*

Name for Referral Credit:

Scholarship Code

Church History

What church do you attend?^*

City^*

State^*

How long have you attended?^*

Pastor's Name^*

Education

Highest level degree earned^*

School Name^*

City, State^*

Years attended^*

Name of previous school attended

City, State

Years attended

Degree earned

Name of previous school attended

City, State

Years attended

Degree earned

Transcripts

You are required to provide an official transcript from the school of the highest level of education completed and your application process will not be finalized until we receive the official transcript.

However in order to continue processing your application, please upload your unofficial transcripts here or email them to sarah@wagner.university .

If you have any questions regarding this, please contact our admissions department: sarah@wagner.university

*Please send all official transcripts to
671 W. Arrow Hwy., Claremont, CA 91711
Attn: Admissions Department

Ministry/Leadership Experience

Attach resume here

A 10 year ministry/leadership resume is required in order to be accepted and to complete our application process. Please attach your current resume. You'll have an opportunity to update it, if needed. If you don't have a resume to submit with your application, go ahead and apply now. Once your application is received, we will email you confirming your application was received and give you further instructions.

Please note: You must still submit your resume before you are accepted into our degree program.

Educational Goal

What is your goal of education?^*

References

Peer Reference Name^*

Email^*

Association^*

Phone Number^*

Pastoral Reference Name^*

Email^*

Phone Number^*

Signature

Identification

Please attach a digital copy of a government issued ID such as a Driver's License, State issued Identification Card, Passport etc.

I hereby acknowledge that all of the information is accurate and correct to the best of my knowledge.^*

Please type your name above.
By typing in your legal name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form.