Certificate Program Enrollment Form

Certificate Program Enrollment

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Birth Date mm dd yyyy *

Certificate Program *

Certificate of Unitarian Universalist Studies Certificate of Multi-Religious Studies Both

How did you hear about the certificate programs? *

Educational Institutions: (Please include the name of the institution, degree type and date of graduation.) *

Spiritual Institutions or Faith Communities: (Please include some names of groups who have known you.) *

Why are you interested in this Certificate Program at Starr King School for the Ministry, and are you preparing for a specific credentialing process, Chaplaincy, Ministerial Fellowshiping, Religious Education Credentialing, etc.? *

What experiences have prepared you towards undertaking of graduate-level work at SKSM? *

What particular areas of this religious study most impassion you? What do you expect to challenge you the most? *

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