First Name:
Last Name:
Please provide your current address:
Address:
City:
State:
CHOOSE A STATE
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Fed. States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Province du Quebec
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Zip:
Class level you expect to be by next Fall term based on credits earned:
Freshman (0-29 credits)
Sophomore (30-59 credits)
Junior (60-89 credits)
Senior (90 credits and above)
Student ID #:
Gender:
Male
Female
Country of Citizenship:
U.S.
China
Korea
African Country
Other:
If 'Other' or an African country, please indicate which:
Ethnicity (US citizens only - select all that apply):
African-American/Black
Asian-American
Caucasian
Hispanic/Latino
Native American
Other
State of permanent residence (US citizens and resident aliens):
Ohio
New York
Pennsylvania
Other:
Were you or are you a participant in the Big Brothers or Big Sisters mentoring program?
Yes
No
Were you or are you a participant in the First Tee Metropolitan mentoring program?
Yes
No
Are you a participant in the HEOP program at Nyack College?
Yes
No
Indicate the Nyack intercollegiate athletic team(s) on which you will participate during the next academic year:
Men's Soccer
Men's Basketball
Men's Golf
Men's Cross Country
Men's Baseball
Women's Soccer
Women's Basketball
Women's Cross Country
Women's Volleyball
Women's Softball
Are either of your parents an alumnus of Nyack College?
Yes
No
Are you licensed or pursuing licensing with the C&MA?
Yes
No
Do you plan on entering into full-time Christian ministry as a career?
Yes
No
Do you plan on serving in full-time ministry with the C&MA denomination?
Yes
No
Are you a member or adherent of a C&MA church?
Yes
No
If yes, please indicate the following:
Church Name:
Church City:
Church State:
Indicate the C&MA district in which the church is located:
Metropolitan
New England
Western PA
Other:
Are you an M.K. (missionary's kid)?
Yes
No
If yes, state the denomination/mission organization with which your parent(s) are ministering or have most recently ministered:
C&MA
Other:
Please name the country or field in which your parent(s) are ministering or have most recently ministered:
Are you a P.K. (pastor's kid)?
Yes
No
If yes, state the denomination in which your parent(s) are ministering or have most recently ministered:
C&MA
Other:
Please give the church name, city, and state of their current/most recent pastoral position:
Area of intended ministry:
International Ministry
North American Ministry
Undecided
If you selected "international ministry," indicate your intended mission field/country:
Africa
China
Indonesia
Undecided
Other:
If you intend a ministry career, indicate your planned focus:
General pastoral ministry
Youth Ministry
Children's Ministry
Missions
Christian Education Ministry
Christian Higher Education (college/univ teaching/admin)
Evangelism
Christian Communications (radio/TV/publishing)
Ministry in a Para-church Context (eg. in an organization not connected with a local church but which exists to assist the ministry of the local church)
Music Ministry
Undecided
Other:
If you do not plan a career in full-time Christian ministry, indicate the general field of your intended profession:
Nursing
Business
Education
Music
Psychology/Counseling
Other:
Major Field of Study:
Are you an Interdisciplinary Studies major?
Yes
No
Double majors and Interdisciplinary Studies major should indicate both a first and second major otherwise only indicate one major field of study.
First Major:
Second Major:
Brief Essay (Two Paragraphs) Please describe your professional, career, or ministry goals and (if applicable) graduate school plans. Give information about contributions to the college community and off-campus ministry and community service endeavors.
Mephiboseth Scholarship (Only complete this section if you meet eligibility requirement of having a physical impairment that is likely to continue indefinitely)
Do you have a physical impairment?
Yes
No
Please describe your physical disability and how it makes employment during the academic year less likely.
HP: