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Personal Information
Full Name
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Address
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City/State/Zip
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Phone
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Email
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Date of Birth
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General Information
Are you a member of a Nebraska United Methodist Church?
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Yes
No
Which Church?
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Are you a pastor of a Nebraska United Methodist Church?
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Yes
No
Which Church?
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What Great Plains District are you currently residing?
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How long have you lived in this District?
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Do you plan to serve in the Great Plains Area Conference?
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Yes
No
In what capacity?
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Are you a certified candidate?
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Yes
No
Do you have a mentor?
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Yes
No
What is their name?
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High School
High School
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Start Date
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Graduation Date
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GPA
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College
College Name
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Start Date
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Graduation Date
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GPA
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Area of study or Degree obtained
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Seminary
Seminary Name
Start Date
Graduation Date
Degree
GPA
Are you a...
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New Student
Continuing Student
Returning from Inactive Status
How are you taking classes?
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In Person
Online
Both In Person and Online
How many credit hours are you enrolled?
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Current Employment
Name of Organization
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Position Held
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Start Date
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Financial Information
What is the total tuition cost for the year you are enrolled?
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Scholarships, Grants, Financial Assistance
List all scholarships, grants and financial assistance you are now receiving or for which you have applied?
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Please include Name/Type (scholarship, grant, loan), Source, Amount Requested/Received
What is the amount that you need?
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Call to Ministry Information
This is for seminary scholarship applicants only.
What type of ministry position are you seeking?
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What have you done to prepare for a position in ministry?
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