Fellowship Application 19-20

1
Name:* This field is required
First Name
Last Name
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2
Cell Phone Number:* This field is required
Area Code
Phone Number
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3
E-mail Address:
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4
Summer Address: (if different than Permanent Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Enter
5
Permanent Address:* This field is required
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Personal Background
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7
Describe yourself in 100 words or less:* This field is required
0/100
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8
Please share a brief account of your faith journey.
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9
Please describe interests, skills, and experiences that are relevant to your desire to participate in this program (i.e. vocational interests, area of study, previous work or volunteer experience, specific passions and skills)
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Normal
Large
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Ok
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10
Program Questions
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11
As we consider placement matches, please rank the following areas of interest (3 per group: Very Interested, Somewhat Interested, Not Interested)
Not Interested
Somewhat Interested
Very Interested
Children & Youth (congregational youth ministry, afterschool programs)
Community Organizing (outreach to communities, collective organizing)
Criminal Justice System (jail ministry, reentry programs for the formerly incarcerated)
Ecology, Food, Care for Creation (community gardens, conservation programs)
Ecumenical & Interfaith Work (interfaith dialogue, ecumenical collective action)
Healthcare & Elderly Care (work in nursing homes, mental health facilities, etc.)
Hunger & Food (food pantries, community meal programs)
Immigration (work with refugee resettlement, English as a second language programs)
Music (church music, vocal or instrumental, composing and leading worship ensembles)
Public Policy & Advocacy (speaking with legislators, educating public)
Children & Youth (congregational youth ministry, afterschool programs)
Community Organizing (outreach to communities, collective organizing)
Criminal Justice System (jail ministry, reentry programs for the formerly incarcerated)
Ecology, Food, Care for Creation (community gardens, conservation programs)
Ecumenical & Interfaith Work (interfaith dialogue, ecumenical collective action)
Healthcare & Elderly Care (work in nursing homes, mental health facilities, etc.)
Hunger & Food (food pantries, community meal programs)
Immigration (work with refugee resettlement, English as a second language programs)
Music (church music, vocal or instrumental, composing and leading worship ensembles)
Public Policy & Advocacy (speaking with legislators, educating public)
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
Not Interested
Somewhat Interested
Very Interested
1 of 10
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12
Describe your personal work style (1)Scale - 4 options
Follow a predefined path vs forge my own trail
Follow a Predefined Path
Forge my own trail
Follow a predefined path vs forge my own trail
Follow a Predefined Path
Forge my own trail
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Enter
13
Describe your personal work style (2)Scale - 4 options
Reach out to New People VS Stay with Familiar Community
Reach out to New People
Stay with Familiar Community
Reach out to New People VS Stay with Familiar Community
Reach out to New People
Stay with Familiar Community
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Enter
14
Describe your personal work style (3)Scale - 4 options
Work with my hands VS Develop Relationships
Work with my hands
Develop Relationships
Work with my hands VS Develop Relationships
Work with my hands
Develop Relationships
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Enter
15
Describe your personal work style (4)Scale - 4 options
Speak one-on-one VS Lead a group
Speak one-on-one
Lead a group
Speak one-on-one VS Lead a group
Speak one-on-one
Lead a group
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Enter
16
Describe your personal work style (5)Scale - 4 options
Use a skill I already have VS Experience New Opportunities
Use a skill I already have
Experience New Opportunities
Use a skill I already have VS Experience New Opportunities
Use a skill I already have
Experience New Opportunities
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Enter
17
Describe your transportation situation (choose one)
I have access to a car on campus and can use it for my placement
I am willing to commute to my ministry site via public transportation (less than 30 minutes via bus)
I need a ministry site that is within walking distance of campus
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