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Foundations for Discernment of Christian Ministry
Student Application for Pilot Online FDCM Group

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

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

The Rev. Kathryn Jeffrey
Foundations for Discernment of Christian Ministry
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            
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 FDCM 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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