Pastoral Counseling Center
Online Christian Counseling Degrees
"You shall know the truth and the truth shall set you free" John 8:32
Christian Counseling Education Christian Counseling Training Education & Training For Christian Counseling
BA MA PhD Christian Counseling Degrees
Become An NCCA Certified Christian Counselor

Enrollment Application

Welcome future student.  Pray, then please help us get to know you by completing this free, confidential application.

Full Name
Address 1
Address 2
Zip/Postal Code
E-Mail Address

Home Phone Date of Birth  
Cell Phone Gender Male Female  
Fax Number Marital Status  

High School Diploma Awarded By: Year & Major  
Associates Degree Awarded By: Year & Major  
Bachelors Degree Awarded By: Year & Major  
Masters Degree Awarded By: Year & Major  
Doctoral Degree Awarded By: Year & Major  

The date you became a Christian
Do you hold ministerial credentials?
If so, when & by whom ?
Church Member?  Church Name: 
Do You Have A Felony Conviction? If so, describe below.
Spouse's Name (if applicable)
Your Current Occupation
Applying To Which Program :

Why do you want to become a counselor?

How do you know you were called into the counseling ministry?

What training in counseling have you had already?

Share your experience dealing with other people's spiritual and emotional issues...

Please share your immediate goals for your counseling ministry:

Do you plan to be involved with an existing ministry,
or are you considering establishing a counseling ministry?

Please share how you discovered Pastoral Counseling Center
 (Google, Yahoo, Charisma, Ministry Today, Bing,  etc.)...

Your remarks, questions, suggestions or anything else we should know...

Are you ready to begin?

Note to those NOT actually submitting an application:

Please be aware that the contents of this form are simply emailed. The responses do NOT become a part of an online database.  Submitting an application full of links to other websites will simply be disposed of, wasting your time, and doing you no good what-so-ever. God Bless You