Cross-Cultural Living and Ministry Course Registration Form

Cross-Cultural Living and Ministry Course Registration Form

$550 ($450 if taken with a language acquisition course)
Name*

First NameLast Name
Nickname or name you wish to be called
Email*
example@example.com
Date of birth*

MonthDayYear
Date
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone number*
Email*
example@example.com
Agency or Organization *
How did you hear about this course?

My sending agencyICCT newsletter or websiteFacebookA friend or colleagueOther
In what language would you like to take the course?*

EnglishSpanish
In which month do you plan to begin the course? (Courses are offered at the beginning of each month except for August and December.)*
At what pace would you like to take the course?*

1 module (2-3 hours) per week over 11 weeks2-3 modules (6-8 hours) per week over 4-5 weeksNot sure
Background Information
Have you ever taken another ICCT course? If so, which course and when?*
E.g., "Yes, I took SLA for Beginning Learners in the summer of 2019."
Have you ever had difficulty in hearing or speaking your native language? If yes, please describe.*
E.g., "Yes, I wear hearing aids."
Have you ever had difficulty in reading or writing your native language? If yes, please describe.*
E.g., "Yes, I have a reading disability."
Besides your native language, have you ever used another language for everyday communication? If yes, please describe.*
E.g., "Yes, I lived in Spain for a study abroad semester and took classes in Spanish."
What significant cross-cultural experiences have you had? Please list them below and state the effect that you believe these experiences will have on your future cross-cultural learning.*
E.g., "I had a month-long cross-cultural internship in Belgium in 2016 in which I attended a national church, took classes in language and culture acquisition, and did cultural observations."
Please describe any previous coursework you have had in cross-cultural communication, cultural anthropology, missions courses with a culture component, etc.*
In your academic study, did you major or minor in a foreign language? If so, which language(s)?*
In which country or countries do you expect to work?*
Briefly describe what your role will be in the target culture.*
Learning Contract
If you are accepted for enrollment in this course, do you agree to do the required work and give more time if needed?*
If you are accepted for enrollment in this course, do you agree to do all required assignments in a timely manner?*
Will you have other heavy responsibilities such as work, church commitments, or travel during the time you plan to take this course? If yes, list your commitments and the approximate amount of time involved.*
Thank you for your registration. We will send you an email verifying your acceptance and including payment information. Once your payment has been received, you will be given access to the course. If you have any questions, please contact us at icct@wheaton.edu.
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Cross-Cultural Living and Ministry Course Registration Form

Background Information

Learning Contract

Thank you for your registration. We will send you an email verifying your acceptance and including payment information. Once your payment has been received, you will be given access to the course. If you have any questions, please contact us at icct@wheaton.edu.