Online Application - The Robert E. Webber Institute for Worship Studies

Personal Data
Title:
First Name:*
Last Name:*
Middle Initial:
Mailing Address:*
City:*
State (for non-US residents place your information in the Country form below):*
Zip:
e-mail:*
Home Phone Number:
Cell Phone Number:
Country:
First Language (if other than English):
Date of Birth (MM-DD-YYYY):
Marital Status:
Gender:
Of which ethnic group are you a member (optional)?:
How did you hear about IWS? :
If other, please tell us how (if referral, use this space to tell us who referred you):
Set up Username and Password:
Please enter a password:
Ministry Information:
Name of Church, school or organization
Position:
Address:
City:
State (for non-US residents place your information in the Country form below):*
Work Zip:
Work Phone:
Work Fax:
Work Email:
Your church denomination/background:
Licensed:
Ordained:
Previous Education:
Name of First School
Year(s) Attended (e.g. 2001-2005):
Degree Program:
Name of Second School (if applicable)
Year(s) Attended (e.g. 2005-2007):
Degree Program:
Name of Third School (if applicable)
Year(s) Attended (e.g. 1983-1988):
Degree Program:
Name of Fourth School (if applicable)
Year(s) Attended (e.g. 1999-2000):
Degree Program:
Applying For:
Degree Program:
Regular or Extended Schedule?:
Enrolling:
What year?:
Online Signature
I certify that the information provided to the Institute for Worship Studies (IWS) is accurate and truthful, and that I have read the IWS catalog and understand the regulations governing IWS. I am in agreement with the policies and standards of IWS and am willing to uphold them and live by them if accepted as a student to IWS. I further acknowledge that no other representations have been made to me in writing, electronically, or orally other than what is stated in the IWS catalog. (type your name here):*
Todays Date (YYYY-MM-DD):*