United Methodist Course of Study in Israel Registration 200?-200?

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Even before you send your information we want to say thank your for registering with the United Methodist Course of Study in Israel. Please fill in the form below and press the "Send Registration" button to submit your information. In order to complete your registration you must send your registration fee of $250 to:

Jerusalem Institute for Biblical Exploration
85 County Oak Drive, Humboldt, Tennessee 38343, United States
Email: cpagejibe@aol.com
Phone: 731-697-8277

Please make your check for $250.00 and payable to the "The Jerusalem Institute for Biblical Exploration".

For ways we can help you get together the necessary funds, click here.

Name Of Group: UM Course of Study in Israel
Departure Date: (dates TBA)
Departure City: Newark or New York

Please complete the following form and press "Send Registration".

Last Name:

First Name:

Title:

Gender:

Address:

City:

State:

Postal Code:

Country Code:

Area Code:

Phone Number:

Country:

Birth Day:

Birth Month:

Birth Year:

Roomate:

Match me with a Roomate: Yes
No Smoking Preference: Non-smoking
Smoking Are you a US Citizen? Yes
No Non-US Citizens must submit, to JC, copies of: Visa, Exit and Re-entry papers, 60 days prior to departure.

Select the following information that would tell us more about yourself and what you hope to get from your study with us:

Conference:

District:

Conference Status: Select all that apply.

Full-time local pastor
Part-time local pastor
Probationer
Associate
Elder
Diaconal
Student
Lay Person
Multiple items may be chosen.

Course Credit: Select all that apply.

Advanced Course
3rd Year Courses (301 and 303)
6 CEUs (with assignments)
4 CEUs (no assignments)
Multiple items may be chosen.

Educational Background: Select highest level achieved.

High School or GED
Some College
College Graduate
Some Graduate Study
Graduate Degree
Multiple items may be chosen.

College Years:

College Degree:

Graduate Years:

Graduate Degree:

Please use this box to send further information about yourself. (Not Required)

About Yourself:

APPLICATION DEADLINE: SEPTEMBER 1, 2002

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Last updated October 29, 2005