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Foundations for Christian Discernment
Student Application for Online FCD Group

If you have trouble with this form, you may send your information by email to: infofcd@hopeanglican.us

Or, you may use regular mail to send the PDF version of theform to:

The Rev. Kathryn Jeffrey
Foundations for Christian Discernment
29 Nord Circle Road
North Oaks, MN 55127

Or you may call her at (651) 815-5702.

After completing the on-line form press the "Mail Now" button to send us the form electronically.

Full Name

Preferred Title Mr., Mrs., Ms, The Rev., Dr., Other_

Address

City

State 2 letters

Zip

Telephone(s)

Your Email

Date of birth mm/dd/yyyy please

Denomination

Highest Education Level Completed

High School

College (specify degree and major)

Bachelor's

Master's

Doctorate/Professional

Other

Current line of work:

Why are you interested in enrolling as an FCD student?

Technology questions:
1. Does your internet connection allow you to reliably browse the web? Yes,   No.

2. Do you have a high speed internet connection? Yes,   No.

Reference: (clergy preferred)

             Contact information:


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THANK YOU!

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