Pastor Scholar Application

Fields with asterisks are required.
First Name:

Last Name:

Street Address:

City:
State/Province/Region:
Postal/Zip Code:

Country:
*Email:

Home Phone:

Office Phone:

Cell Phone:

How should we contact you?

email

phone

mail

*Date of Birth (MM/DD/YYYY):


*Course Number:

*Course Name:

*Professor:

*Semester:

Spring

Fall

Is this course intended to fulfill a requirement for ordination?

Yes

No

Highest Relevant Degree

School:

Degree:

Date of Graduation:


*Briefly state your reasons for seeking admission into the Pastor/Scholar program addressing your qualifications for participation and your specific hopes for how the Pastor/Scholar program will impact your faith and work.

Comments or Requests

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