Application for Czech Students

Student Immersion Program

Application / Prihláška

Immersion Program Application - CZ

"*" indicates required fields

Personal Information

Name*

First Middle Last

Address*

Email*

Daytime Phone*

Evening Phone

Identification Photo*

Please attach a photo of yourself for identification. The photo must have been taken in the format used for your passport or visa.

Accepted file types: jpg, png, gif, jpeg, Max. file size: 8 MB.

ID Number*

Rodné číslo

Date of Birth*

City of Birth*

Current Year in Seminary*

Are you pursuing ordination in the Ministry of Word and Sacrament?*

Ste kandidát duchovnej služby?

Yes / Áno

No / Nie

Travel Information

Have you previously travelled to the United States and/or Canada?*

If yes, tell us approximately when this was:

If yes, also tell us where you visited:

Do you have any family or friends in the United States or Canada?*

If yes, tell us where:

Parent Contact Information

In case of emergency, we require the following information in order to contact your family.

Parent / Guardian Names*

Rodičia alebo opatrovnik

Parent's Phone*

Rodičov telefon

Parent's Address*

Essay Questions

To be answered in English. Please answer each of the following questions to the best of your ability and understanding.

How did you become aware of and interested in this program?*

Briefly describe how Seminary has refined you as an individual...*

What experience do you hope to gain from this program?*

How do you think a congregation in the U.S. would benefit from your insights?*

In what ways do you think a congregation in Slovakia will benefit from the insight you gain from this program?*

Certification & Signature

Applicant Signature / Podpis*

I hereby certify that the above information is true and accurate to the best of my knowledge. I understand that by submitting this application, it will be transmitted electronically to Evanjelická bohoslovecká fakulta UK and to my respective endorsing church, both of whom will be able to review my application in full.

Academic Sponsor's Signature / Podpis*

I hereby endorse the application for this candidate, with the full weight, power and authority of the office of the academic dean of EBF UK.

Church Sponsor's Signature / Podpis*

I hereby endorse the application for this candidate, with the full weight, power and authority of the office of the general bishop, ecav-sk.

Comments

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