Applications must be submitted electronically. When completed, please submit. Thank you! Full Name First Last Address Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip/Postal Code Phone Alternate Phone Email Which degree are you pursuing? Master of Divinity Master of Arts in Ministry Are you a full- or part-time student? Fulltime Part-time When do you expect to graduate? Have you completed 9 courses? Yes No What courses have you completed? Have you received any incompletes? Yes No What are the incompletes? Who is your adviser? Have you completed the required boundaries workshop? Yes No When and where did you complete your boundary training? Have you attended the field studies informational session? Yes No If your answer is "No", you must schedule an appointment with Rev. Dr. Joanne Lindstrom (firstname.lastname@example.org) or the Field Studies Team (email@example.com). Are you currently employed by a church? Yes No If yes, what is your position? Who is the pastor at that church? Please provide the name, address, phone, and email of the church. What is your denominational affiliation? Tell us about your home church. Please provide the church name, pastor's name, address, phone, and email. What is your ecclesiastical status? Inquirer Candidate Deacon Elder Other Denominational Leader/Governing Body to whom you are accountable? Please provide their name, title (if applicable), mailing address, phone number, and email.