MESOM Registration

Student Information

Student's Name *

First

Last

Email Address *

Would you like to receive email updates from the Maine School of Ministry? *

Yes
No

This is in addition to any official communications regarding your enrollment or your course(s).

Primary Phone Number *

Is this a cell phone number? *

Yes
No

Would you like to receive occasional text updates from the Maine School of Ministry? *

Yes
No

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Have you taken or audited a course with us previously? *

Yes
No

How did you hear about the Maine School of Ministry? *

Other - How did you hear about the Maine School of Ministry? *

Briefly describe how/where you heard about the Maine School of Ministry

Which of the following best descibes you? *

Other - Which of the following best describes you? *

Briefly describe your classification (e.g. your title, role, profession, etc.)

Course Selection

What course(s) are you interested in taking this semester? *

Intro to New Testament (1) - Gospels and Acts
Pastoral Care in an Embodied Faith

Course Options (Intro to New Testament (1) - Gospels and Acts) *

Full Course (Credit Student) - $ 350.00

Registration deadline: Aug. 28, 2023

Course Options (Pastoral Care in an Embodied Faith) *

Full Course (Credit Student) - $ 350.00

Registration deadline: Aug. 12, 2023

Payment Options

Scholarships are available for those with demonstrated need. Would you like to apply for a scholarship? *

Yes
No

Request for scholarship must be received by registration deadline. For Intro to New Testament I, registration deadline is Aug. 28, 2023. For Pastoral Care in an Embodied Faith, registration deadline is Aug. 12, 2023. Email mhimschoot@img.2b3.myftpupload.com to request a form.

Method of Payment *

Credit/Debit Card
Check (Mail-In)

Select your method of payment, all outstanding payments are due prior to the first course meeting.

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Total

$ 0.00

Registration for the Maine School of Ministry

Student Information

Course Selection

Payment Options

Maine Conference Office

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