Grace College and Theological Seminary

Graduate Counseling and Interpersonal Relations
Online Application

NOTE: This application is for Grace Graduate Counseling and Interpersonal Relations Department only. International applicants please use the Grace Graduate Counseling and Interpersonal Relations International Student Application. If you prefer to submit your application through the mail, download the application and forms. If you have questions, feel free to contact us at: 574-372-5100 Ext. 6397, 800-544-7223 Ext. 6397, or macslg@grace.edu. The $25 application fee is waived if you submit an online application.

The application deadline date for fall term is March 1. The application deadline for spring term is November 1.

INSTRUCTIONS

  • Complete and submit the Online Application Form (which includes your Personal Testimony, and Application Questionnaire and a Legal Questionnaire).
  • Download the Personal Questionnaire. This questionnaire is to be completed and submitted by the applicant to:
    Grace Graduate Counseling and Interpersonal Relations
    Attn: Dr. Tammy Schultz, Chair
    200 Seminary Drive
    Winona Lake, Indiana  46590
  • The Department Chair will contact you to schedule a Personal interview after receiving your Personal Questionnaire.

Download or obtain the following six items which are to be completed and/or requested and submitted by the appropriate persons or institutions directly to:

Director of Graduate and Adult Education Enrollment
Attn: Cindy Sisson
200 Seminary Drive
Winona Lake, Indiana  46590
Fax: 574-372-5143

  • Download the Personal Reference Form. Complete the top portion of this form and forwardit to a qualified individual (not a relative) who knows you well. It will be returned by your reference person directly to our Enrollment Office.
  • Downloade the Spiritual Life Reference Form. Complete the top portion of this form and forward it to your pastor or a spiritual mentor of your choice (not a relative). It will be returned by your reference person directly to your Enrollment Office.
  • Download the Transcripts Request/Student Evaluation. All Graduate Counseling and Interpersonal Relations applicants must submit official transcripts from all post-secondary institutions which they have attended. The transcripts must come directly from the school. Complete the top section of the Transcript Request/Student Evaluation form and send it to the Registrar of each post-secondary school you have attended. (You may need more than one of these forms.) The registrar will complete the remainder of teh form and return it with a copy of your official transcripts directly to the Director of Graduate and Adult Education Enrollment.
  • Limited Criminal History. If you are an Indiana resident, go to http://www.in.gov/isp/lch to request a Limited Criminal History report. Complete the information for the history and mark #11 (“Has volunteered services at a public school”) as your “Reason for Request.” This document will not automatically be sent to you. Please print a copy for your records and print a copy to mail to the Director of Graduate and Adult Education Enrollment (address above). If you are not an Indiana resident, to request a form go to http://www.checkcriminalbackgrounds.com and click on “state” to request a criminal background check.
  • Graduate Record Examination. The Graduate Record Examination (GRE) is the required examination for acceptance into the Graduate Counseling program at Grace. Request that your scores be sent directly to the Director of Graduate and Adult Education Enrollment. This examination should be taken as early as possible. Information about the GRE may be obtained by calling 609-771-7670 or online at www.gre.org. Grace code numbers are 1250.
  • Submit two recent photos of yourself (approximately 2"x3") or e-mail a recent digital photo of yourself to macslg@grace.edu.

After all nine parts to your application have been completed and received in our Enrollment Office, your application will be reviewed by the Admissions Committee.

 

Discrimination Policy

Grace admits students of any race, color, national and ethnic origin to the rights, privileges, programs, and activities generally accorded or made available to students at the school.

Grace does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school-administered programs.

Grace is committed to compliance with Title IX of the Federal Education amendments of 1972, except as claimed in religious exemption.

Grace does not discriminate against qualified individuals with disabilities in the recruitment and admission of students, the recruitment and employment of faculty and staff, and the operation of any of its programs and activities as specified by applicable federal laws and regulations.

ONLINE APPLICATION FORM

Enrollment Information
 

I am applying for (please check one)

M.A. in Counseling
M.A. in Interpersonal Relations


    

Date of anticipated initial enrollment:  

              Year  

 

Have you previously studied at Grace College? 

          Date(s) (if applicable)    to  

 

Have you previously studied at Grace Seminary?

          Date(s) (if applicable)    to  

 

Have you previously studied studied in the Graduate School in Counseling and Interpersonal Relations at Grace College?

          Date(s) (if applicable)    to  

 

Personal Information

Last Name First
Middle
Home Address
 
City State
Zip Country
Home Phone Work Phone
Permanent Address
 
City State
Zip Country
Home Phone Work Phone:

 

Date of Birth    Age  

Place of Birth     

Social Security Number

E-mail     

Gender      

 

Marital Status (mark all that apply):

Single Married Engaged Widowed Separated Divorced

Spouse's Name

 

Name(s) of Child(ren), Gender, and date(s) of birth

  

       Name:    Gender: (M/F)    BDay:

       Name:    Gender: (M/F)    BDay:

       Name:    Gender: (M/F)    BDay:

       Name:    Gender: (M/F)    BDay:

       Name:    Gender: (M/F)    BDay:

 

Ethnic Background: (optional)         

Native American Indian    Indian     Asian     Hispanic    Caucasian

 

Church Information   

 

Name Of Church
Church Address
 
City State
Zip Country
Denomination Length Of Membership (since)
Church Phone Pastor's Name

Educational Experience

The applicant must request the Registrar of each college, university, and seminary from which a degree has been or will be granted to forward an official transcript to the Director of Graduate and Adult Education Enrollment. If the program of study has not yet been completed, another transcript must be filed after the conclusion of current studies. Send a Transcript Request Form to each institution.

Download Transcript Request Form(s):
Transcript Form

List all schools attended since high school graduation in (year):

                                                                                                 

School                          Location                              Degree/Major     Dates

    to

    to

    to

    to

    to

 

When do you intend to receive your bachelor's degree (if you do not already have it)?
 

Academic honors, prizes, fellowships, etc., that you have received (including honor societies to which you have been elected):

 

Graduate Record Examination

You must submit scores for the Graduate Record Examination (GRE). 

I have taken or will take the examination on (Date mm/dd/yyyy)

Employment Experience

If currently employed, indicate position:

Please indicate any significant business, occupational, or military experience:

Organization Nature of Work Dates (month/year)
to
to
to
to

Influencing Factors

What are the significant factors that influenced your choice of Grace Department of Counseling and Interpersonal Relations?

Please check all that apply and specify which one, who, or what, as needed.

Advertising (specify):
Alumnus (who?):
CE National Programs (Specify):
Church / Pastor:
College Fair (where?):
Letters From Grace:
Grace Reps / Teams (who?):
Institutional Reputation:
Athletic Camps (which one?):
Campus Visit: (when?):
Relative (who?):
Current Student(s):
Calls from Grace:

Our Web site:

Other:

Friends / Relatives

Would you like information about becoming a student at Grace Graduate Counseling and Interpersonal Relations Department be to be sent to any friends or relatives?

Friend's Address
 
City State
Zip Country
Home Phone    

Anticipated Ministry

Please read the following statement thoughtfully before indicating your agreement:

Grace strives to create and promote an atmosphere that will encourage the student to develop the highest attainable degree of maturity within the framework of an evangelical Christian faith. The Christian life is primarily positive rather than negative. However, Grace College feels that a few specific standards are necessary in the best interest of the student body. In order to establish a wholesome environment, all students are asked to subscribe to these standards prior to admission. Any student who can accept these guidelines conscientiously will find Grace a congenial atmosphere in which to nourish Christian faith.

 

Grace Graduate Counseling and Interpersonal Relations Department holds that:

The Bible is the fully inspired Word of God, and its teachings are the final authority in matters of faith and life.

Jesus Christ should be the foundation and center of every individual's life.

As a life can never be complete without fulfillment in Christ Jesus and His Word, neither is knowledge complete except as it relates to God's eternal values.

An important aspect of student life at Grace is corporate worship and fellowship. Therefore, regular attendance at chapel and Sunday services (in an evangelical church) is required of all full-time students.

As part of Grace's commitment to a distinctive lifestyle and experience, students are to refrain from the use of alcoholic beverages, illegal drugs, tobacco, general misconduct, gambling, dancing, cheating, theft, coarse or obscene language, or any other conduct inconsistent with the goals and traditions of the college. Furthermore, Grace deplores those aspects of theatre, entertainment media, and literature which are morally degrading; students are to abstain from such activities.

It should be understood that any behavior which indicates that an enrolled student has little regard to living a life honoring to God, or whose conduct evidences a spirit of disregard for the Graduate Department’s standards, will be sufficient reason for disciplinary action or dismissal.

If admitted as a student to Grace Graduate Counseling and Interpersonal Relations Department, I will strive to: grow intellectually and spiritually; earnestly seek to abide by and maintain the standards of Grace College, and work to make a positive contribution to the campus environment.

 

I Agree (Check if you agree)

 

Please provide your PERSONAL TESTIMONY below:

APPLICATION QUESTIONNAIRE

What are your future career goals? Please check all that apply:

  1. Full-time counselor in local church       Full-time counselor, private practice  
    Pursue a doctorate    Mental health counselor
    Other (please specify)
     

State why you are interested in pursuing a degree at Grace Department of Counseling and Interpersonal Relations.

What experiences have you had that have led you to prepare for a future ministry in counseling?

List any seminars (speaker, topic, location) related to counseling that you have attended.

Do you have any experience counseling people?  If so, please describe.

If you had a degree from Grace Department of Counseling and Interpersonal Relations today, how would you see your training and personal abilities being used by the Lord?

Describe how you see the issues of biblical teaching and psychological study relating to each other

 

LEGAL QUESTIONNAIRE

    • Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations)? You will need to answer yes if you have entered into a plea agreement, including a deferred sentence or deferred judgment arrangement, in connection with a criminal charge.  

       

    • If you have been convicted of such an offense, please complete a statement or explanation (below), including nature of offense, date, court where conviction was entered and any other relevant information.

       

    • Have you ever been convicted of a sexual offense, offense relating to children or crime of violence (that is not covered in the question above)?
       

    • If you have been convicted of such an offense, please complete a statement or explanation (below), including nature of offense charged, date, law enforcement agency making the charge and any other relevant information.

       

    • Have you ever been reported to a social services agency, law enforcement authority, child abuse registry or similar organization regarding abuse or misconduct involving children?   

      If yes, please explain below...