Student Immersion Program Application / Prihláška Immersion Program Application - SR "*" indicates required fields Personal InformationName* First Middle Last Address* Email* Daytime Phone*Evening PhoneIdentification 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, jpeg, gif, png, Max. file size: 30 MB.ID Number*Rodné číslo Date of Birth* Month Day Year City of Birth* Current Year in Seminary*FirstSecondThirdFourthFifthNot currently enrolledAre you pursuing ordination in the Ministry of Word and Sacrament?*Ste kandidát duchovnej služby? Yes / Áno No / Nie Travel InformationHave you previously travelled to the United States and/or Canada?*Yes / ÁnoNo / NieIf 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?*Yes / ÁnoNo / NieIf yes, tell us where:Parent Contact InformationIn case of emergency, we require the following information in order to contact your family.Parent / Guardian Names*Rodičia alebo opatrovnik Parent's Phone*Rodičov telefonParent's Address* Essay QuestionsTo 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 & SignatureApplicant Signature / Podpis* Reset signature Signature locked. Reset to sign again HiddenAcademic Sponsor's Signature / PodpisI hereby endorse the application for this candidate, with the full weight, power and authority of the office of the academic dean of EBF UK. Reset signature Signature locked. Reset to sign again HiddenChurch Sponsor's Signature / PodpisI hereby endorse the application for this candidate, with the full weight, power and authority of the office of the general bishop, ecav-sk. Reset signature Signature locked. Reset to sign again Formal Certification*By signing this document you are agreeing that you have reviewed its contents and consent and express your approval of its submission, endorsing the candidate submitting it; You also consent to use electronic signatures instead of wet ink signatures and paper documents, and to receive notices and disclosures electronically. I have carefully reviewed this application, and wish to convey my expressed approval for it.CommentsThis field is for validation purposes and should be left unchanged.