Church Member Certificate by cyg16960

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									                         TEAM MEMBER APPLICATION
                        Certificate in Small Church Leadership
                           A Two-year non-degree program

Minister: ______________________________________Phone:_________________
Local Church:___________________________________Phone:________________
Address:____________________________________________Zip:______________
Please list all enrolling team members. (please do not include rotation slot participants)
Team Member:____________________Team Member:________________________
Team Member:____________________Team Member:________________________
Team Member:____________________Team Member:________________________
Team Member:____________________Team Member:________________________

Location you are interested in:
Maine: _____ Portland area _____ Bangor area New Hampshire area: _____
Vermont area:_____ Western Mass. area :_____ Connecticut area: _____

Name of your denominational leader:_______________________________________
         (Superintendent, Conference Minister, Bishop. Etc.)
Will you be seeking scholarship support from your denomination?:_______________

                               Tuition Fees And Information
Tuition fee for the first year should be paid in full before the second year program
begins. Payment arrangements can be made for tuition or rotation slots.
____Individual: $650.00 per year
____Two people from the same church or cluster group: $625.00 per person per year
____Three people from the same church or cluster group: $600.00 per person per year
____Four people from the same church or cluster group: $575.00 per person per year
     There is a one-time non-refundable application fee of $40.00 per church.
          Continuing Education Units (CEU’s) are available upon request
                           at an additional fee of $45.00.
                                         Total Amount enclosed:_____________
                                 Please make checks payable to: Bangor Theological Seminary.


   For more information please call Rev. Sue Davenport at 1-800-287-6781ext 124.
   Please return with participant information forms and rotation slot application if any to:
                      Certificate in Small Church Leadership
                           Bangor Theological Seminary
                                  300 Union Street
                                 Bangor, ME 04401
                1-800-287-6781 - www.bts.edu - smallchurch@bts.edu

								
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