La Plaza Public Theology Institute
Application
Applicant Details:
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Format: (000) 000-0000.
E-mail
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example@example.com
Recommendations: Please supply the proper denominational/church recommendation:
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Bishop
DS
Pastor
Please upload recommendation letter
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Please provide a 200 to 300 word account of your experience in advocacy and justice work:
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Is there anything that would impede you from participating for an in person training
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Yes
No
Maybe
If yes, please explain:
Academic History
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Bachelor
Masters
Doctor
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What is your understanding of public theology and what is the public theological question you are engaged with in your context?
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Please list accessibility and/or dietary needs
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Please provide the name of colleague who has witnessed your work
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