Date________________________
Name in full____________________________________________
Address _____________________________________________________
Date of Birth __________________ Place of Birth________________________
Ordained Priest/Minister (year)__________ Diocese/Judicatory______________________
College___________________ Degree _________________ Date____________________
Graduate or Professional
School_____________________ Degree _______________ Date____________________
Theological Seminary
_________________________ Degree _______________ Date_______________________
Classification:
Special Student____________
Auditor__________
Seminarian ________________ (Need Permission of Seminary)
Housing needs: [Please inform Director's Office of needs by April 1]
Single quarters___________
Family quarters____________
Number in family (give ages and sex of children) ____________________________
___________________________________________________________________
Enclose $25.00 non-refundable application fee. Mail to Director's Office at above address.
Pre-registration must be completed by May 1.
Return to the Advanced Degrees home page