Nyack Christian Education | AGSC Online Application

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AGSC Online Application

1. Application Information

Application For:

Full-time (12+ Credits)
Part-time

Location:

Nyack, NY
New York City

Enrollment Semester:

Fall
Spring
Summer

Enrollment Year:

Graduate Housing (Nyack Only):

Yes
No

Classification:

New Student
Transfer From:

Non-Degree Student
Readmission

Dates of last attendance:

2. Degree Information

Master of Arts:

Mental Health Counseling
Marriage and Family Therapy (Rockland Campus Only)

3. Personal Information

Title:

First Name:

Middle Name:

Last Name:

Maiden/Previous Name:

SSN:

Date of Birth:

Gender:

Ethnicity (Requested for federal reporting but optional)

Hispanic/Latino?

Yes
No
Withheld

Choose one or more of the following:

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Withheld

Citizenship:

Country of Citizenship:

Visa Status:

Need student visa
Have visa

Visa Type:

If you are presently in the US please send a copy of your visa with your application.

Is English your primary language?:

Yes
No

Primary Language:

Have you served
in the military?:

Yes
No

Dates of Service:

Do you expect to use
the veteran's benefits
in your training?:

Yes
No

What other graduate schools, if any, are you considering?

Have you ever been dismissed from an academic Institution?

Yes
No

If yes, provide details:

Have you ever received professional counseling?

Yes
No

If yes, provide details:

List memberships held in honorary and/or professional organizations:

List significant work/volunteer experience which may relate to your graduate training:

Marital Status

Marital Status:

Single
Married
Widowed
Divorced
Separated

4. Address Information

Current Mailing Address:

Street:

City:

State:

Zip Code:

Country:

Phone (Home):

Phone (Work):

Phone (Cell):

Email Address:

Permanent Mailing Address: (If different)

Street:

City:

State:

Zip Code:

Country:

5. References

Please fill out the top section of each reference form and present to an individual who has known you for over one year and is not a relative, along with a postage paid envelope for the campus you are applying to.

Pastoral Reference:

Email:

Phone:

Academic Reference:

Email:

Phone:

General Reference:

Email:

Phone:

6. Educational Background

List ALL academic institutions you have attended since high school. You are responsible for having official transcripts sent directly from each institution to the Office of Admissions. Please Note: A preliminary admission decision may be made on the basis of the work you have completed. However, you must have a final transcript showing the conferral of your degree sent to AGSC before your initial enrollment.

Previous Institutions Attended
School	City/State	Degree Received	Program	Attended	Graduated

7. Church Information

Church Currently Attending:

Denomination:

Church Street Address

City:

State:

Zip Code:

Church Phone #:

How long have you attended?:

Name of Pastor:

Church Contact Person:

Are you a member?:

Yes
No

Have you confessed Jesus Christ as your Savior and Lord?

Yes
No

If yes, when?:

8. Additional Information

How did you hear about NYACK/AGSC?

Alumni
Faculty
Magazine/Newspaper Ad
Parent(s)
Student(s)

Radio Station
Internet/Nyack Website
Pastor
Direct Mailing
Other

Details:

Who/what influenced you to apply?

9. Calling to Counseling

Please type short responses to the following questions.

1. Why do you want to become a professional counselor?

2. What kind of calling for counseling ministry has God given to you?

3. What attributes/personal qualities describe you that you feel will make you an effective therapist?

4. How do you need to grow as a person in order to be a competent counselor?

5. Have others regularly sought you out for counsel or affirmed that they think you should consider becoming a counselor?

10. Christian Experience

Please type a Christian Experience Statement in 1-2 pages, using the following two questions as a guideline. Please include your name, address, phone number, date of birth, and program for which you are applying at the top of your essay. E-mail this document to admissions.grad@nyack.edu or mail it to Admissions, 1 South Boulevard, Nyack, NY 10960.

Have you accepted Jesus Christ as your personal Savior? If yes, please state your conversion experience, fundamentals of your personal faith and present pattern of personal growth as a Christian.
Present a personal biography including a discussion of significant events and influences which have helped develop you present values and approach to life. What is God's call upon your life? How do you see Alliance Graduate School of Counseling fitting into God's call on your life? What do you visualize your ministry/profession looking like five years after graduation? Include any additional information you would like to mention if you were talking to us personally about your calling and ministry goals.

11. Lifestyle Agreements and Statements

We believe that the Bible is the authority for doctrine and living and that personal purity and piety of personal life should be the goal of each Christian. Men and women who aspire to Christian leadership must develop standards and values, which are rooted in the Word of God. ATS/AGSC students often form groups for mutual support and spiritual growth. They associate with a local church for worship and service. ATS/AGSC seeks candidates for admission whose life-style and personal demeanor commend them to ministry.

Family Education Rights and Privacy Act Statement:

The Family Education Rights and Privacy Act of 1974 permits enrolled college and seminary students access to certain credentials in their files. Because of the importance of preserving the confidentiality of letters of recommendation, the Family Education Rights and Privacy Act permits an educational institution to suggest that an applicant may waive his or her right of access to letters of recommendation. Signing such a waiver is not required as a condition of admission, receipt of financial aid from, or receipt of any other services or benefits from ATS or AGSC.

In order that the institution may have valid recommendations, it is suggested that the applicant consider waiving his or her right to see such letters of recommendation. Please be assured that letters of recommendation (along with transcripts and your own application) are used solely to determine an applicant's qualification for admission. Alliance Theological Seminary & Alliance Graduate School of Counseling will furnish (upon the applicant's request) the names of all individuals supplying references. However, the identity of those to whom he or she gives reference forms is generally known to the applicant. Signing the waiver statement on the reference form is all that is necessary on your part.

Statement of Faith:

ATS and AGSC are committed to a thoroughly evangelical Christian view of humanity and the world.

We Believe:

There is one God, who is infinitely perfect, existing eternally in three persons: Father, Son and Holy Spirit. Jesus Christ is true God and true man. He was conceived by the Holy Spirit and born of the Virgin Mary. He died upon the cross, the Just for the unjust, as a substitutionary sacrifice, and all who believe in Him are justified on the ground of His shed blood. He arose from the dead according to the Scriptures. He is now at the right hand of the Majesty on high as our great High Priest. He will come again to establish His kingdom of righteousness and peace. The Holy Spirit is a divine person, sent to indwell, guide, teach, empower the believer and convince the world of sin, righteousness, and of judgment.  The Old and New Testaments, inerrant as originally given, were verbally inspired by God and are a complete revelation of His will for the salvation of man. They constitute the divine and only rule of Christian faith and practice. Man was originally created in the image and likeness of God; he fell through disobedience, incurring thereby physical and spiritual death. All men are born with a sinful nature, are separated from the life of God, and can be saved only through the atoning work of the Lord Jesus Christ. The portion of the impenitent and unbelieving is existence forever in conscious torment; and that of the believer, in everlasting joy and bliss. Salvation has been provided through Jesus Christ for all men; and those who repent and believe are born again of the Holy Spirit, receive the gift of eternal life, and become the children of God.  It is the will of God that each believer should be filled with the Holy Spirit and sanctified wholly, being separated from sin and the world and fully dedicated to the will of God, thereby receiving power for holy living and effective service. This is both a crisis and a progressive experience wrought in the life of the believer subsequent to conversion. Provision is made in the redemptive work of the Lord Jesus Christ for the healing of the mortal body. Prayer for the sick and anointing with oil are taught in the Scriptures and are privileges for the church in this present age. The church consists of all those who believe on the Lord Jesus Christ, are redeemed through His blood, and are born again of the Holy Spirit. Christ is the Head of the Body, the church, which has been commissioned by Him to go into all the world as a witness, preaching the gospel to all nations. The local church is a body of believers in Christ who are joined together for the worship of God, for edification through the Word of God, for prayer, fellowship, the proclamation of the gospel, and observances of the ordinances of baptism and the Lord's Supper. There shall be a bodily resurrection of the just and the unjust; for the former, a resurrection unto life; for the latter, a resurrection unto judgment. The second coming of the Lord Jesus Christ is imminent and will be personal, visible and premillennial. This is the believer's blessed hope and is a vital truth which is an incentive to holy living and faithful service.

YES, I have read and agree with the Statement of Faith.
NO (Explain in separate letter)

Standard of Conduct:

ATS & AGSC recognize the value of maintaining standards that contribute to the atmosphere on campus, foster fellowship with a wide range of Christians and, in many instances, assist in strengthening our Christian testimony to our community. Students and employees are asked to be supportive of these standards. ATS/AGSC is for earnest Christians who are sensitive to the principles of Christian living that are found in the Bible. The Bible establishes basic principles for Christian character and behavior.
These include the following:

-The Lordship of Christ over all of life and thought. This involves a life of faith in wholehearted obedience
to the moral teaching of the Bible and careful stewardship in all of life.
-The responsibility to love God with our whole being and to love our neighbors as ourselves. Unselfish
love should be the motive in all decisions, actions, and relationships.
-The responsibility to pursue righteousness and practice justice and mercy to everyone.
-The need to exercise our freedom responsibly within the framework of God's Word, with loving regard for
the sensitivities of others. 
-Regular participation in church worship and activities, which forms a necessary context for Christian living.

A Christian lifestyle is expected of all members of the ATS community. It consists of practicing Christian virtues and avoiding attitudes and actions that the Bible condemns as sinful. Christian virtues that members of this learning community are expected to exhibit include humility, honesty, a forgiving spirit, faith, hope and love. Attitudes that the Bible condemns and ATS regards as
spiritually or morally unacceptable include greed, jealousy, pride, lust, bitterness, uncontrolled anger, and prejudice based on race, sex, or socio-economic status. In addition, drunkenness, stealing, profanity, unfair discrimination, dishonesty, occult practices, illegal activities, and sexual sins such as pre-marital sex, homosexuality, and adultery are unacceptable.

Students are expected to exercise discernment and moderation in daily living, and to abstain from all activities that tend to be morally degrading. Tangible evidence of maturing Christian convictions and discerning judgment is expected of each student. These standards apply to the student, both on campus and off campus while enrolled in any of the programs of the institution.

ATS reserves the right to dismiss a student who, in its judgment, does not conform to stated regulations governing student conduct, or to the expressed principles, policies, programs and expectations of the school. Your signature indicates your commitment to abide by these standards while enrolled at Alliance Theological Seminary/Alliance Graduate School of Counseling.

YES, I have read and will abide by the Standard of Conduct.
NO (Explain in separate letter)

I affirm that the information set forth in my application and any materials I provide pertaining to my admission and/or financial aid are true and complete. I agree that if, in the judgement of Nyack, any misrepresentation or omission has been made in this application or related materials, such misrepresentation/omission of information shall be sufficient cause for rejection prior to admission and dismissal if I am admitted as a student.

YES, I affirm the above.

Pressing the "Submit" button constitutes a signature.

Notice of Nondiscriminatory Policy: Alliance Theological Seminary does not discriminate on the basis of race, color, national and ethnic origin, age, sex, or handicap in admission, participation, or employment in campus programs or activities. The programs are operated in compliance with Title IX of the Education Amendments of 1972, Section 506 of the Rehabilitation Act of 1973, Title VI of the Civil Rights Acts of 1964, and all other relevant statutes and regulations.