Applicant Details *

First Name

Last Name

Phone *

(###)

###

####

Are you a current student at McCormick Theological Seminary? *

Yes

No

Please check which of the following best describes your current role. (Select all that apply.)

Community Volunteer

Community Activist/Organizer

Staff or Volunteer at a non-profit or secular/non-ministry related organization

Associate Pastor of a congregation

Lay-leader in a congregation or denomination

Other: Please Specify below

How did you learn about the MCHP at McCormick Theological Seminary? (Select all that apply)

Trauma Healing Initiative (THI) website

Email Announcement

Social Media Announcement

During academic advising (for current MTS studentst)

Referral through the Presbytery of Chicago

Referral through the Illinois Conference of United Church of Christ

Other