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528 Fax: 510/845-8948 E-mail: admissions@psr.edu Reference Form Web site: www.psr.edu TO BE COMPLETED BY THE APPLICANT Name (last/first/middle) Phone Email Program to which you are seeking admission: ❑ Master of Divinity (MDiv) ❑ Certificate of Sexuality and Religion (CSR) ❑ Master of Theological Studies (MTS) ❑ Certificate of Special Studies (CSS) ❑ Doctor of Ministry (DMin) ❑ Certificate of Swedenborgian Theology (CST) ❑ Certificate of Advanced Professional Studi.

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