Salutation First Name Middle Name Last Name Suffix Preferred Name Email Address Address Phone Gender Marital Status Date of Birth City of Birth State of Birth Country of Birth Identity document type Identity Document Number Nationality / Citizenship Is English your native / birth language? What is your native / birth language? Are you proficient in English (Spoken, Written & Read)? Which Jerusalem Seminary school are you applying for? Available School of Hebrew Courses Total Cost Referrer’s First Name Referrer’s Last Name Referrer’s relationship to you Referrer’s Email Name of current congregation / fellowship where you are either a member or are in current attendance. Which denomination or movement is the congregation / fellowship associated with? How long have you been attending? Which congregation / fellowship did you previously attend? Are you a licensed minister? Are you ordained? Have you previously enrolled as a student with Jerusalem Seminary? Who will be paying your course fee? Which organization will be sponsoring your course payment? Email of the responsible agency representative
Mr Ronald Wayne Radke Ron ron_radke@sil.org 310 S HORNE ST
Duncanville, TX 75116
United States
+1 4692743503 Male Married September 5, 1958 Detroit MI United States Passport Number 488765866 United States Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Brian Migliazza supervisor brian_migliazza@sil.org New Vida Church of God Church of God (Anderson, IN, USA) > 10 years No No
Mrs Silvia Allen Silvia silvia_a@pike34.net 30A Eastwood Road
Ilford, Essex IG3 8XA
United Kingdom
+447503636827 Female Divorced September 7, 1964 Bologna Italy Drivers License Number AF82510508 Italy No Italian Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Judi Merrifield colleague judi_merrifield@sil.org Lifeline Church Free Evangelical 6 – 10 years No No
Mr Joseph Ryan Davis Ryan ryan_davis@sil.org 7920 Fawn Ln.
Waxhaw, NC 28173
United States
+12298731051 Male Married May 27, 1985 Augusta GA United States Social Security Number 260670688 United States Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Bill Bivin Mentor/Advisor bill_bivin@sil.org Transformation Church Non-denominational < 1 year Funston Baptist Church No No Your agency Wycliffe/SIL – Brian Migliazza brian_migliazza@sil.org
Mr Keem Cheng Leong Keem keem@pike34.net 210 SERANGOON CENTRAL
#08-268
SINGAPORE, Singapore 550210
Singapore
+6582906376 Male Married November 24, 1968 Singapore Singapore Singapore Passport Number K1965236D Singapore Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Thomas Pinson Colleague thomas_pinson@sil.org Bartley Christian Church Independent > 10 years No No Your agency SIL brian_migliazza@sil.org
Mr Mikael Bister Mikael mikael_bister@sil.org 24 Beach Rd, Apartment 1
Muizenberg, Western Cape 7945
South Africa
+27768077318 Male Married March 17, 1967 Hållnäs Sweden Passport Number 35197939 Sweden No Swedish Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Jonathan Vandenbroek Supervisor jonathan_vandenbroek@sil.org Connect Church Muizenberg Independent < 1 year Pentecostal Church, Skövde, Sweden No No Your agency SIL International brian_migliazza@sil.org
Dr Rick R Floyd Rick Floyd rick_floyd@sil.org 16135 Sunny Ct.
Whittier, California 90603
United States
5626653364 Male Married August 16, 1954 Dallas TX United States of America Passport Number 539458638 United States of America Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Brian Migliazza colleague in SIL brian_migliazza@sil.org Grace EV Free, La Mirada, CA same > 10 years No No Your agency SIL brian_migliazza@sil.org
Mr Wilfred Nelles Ball Wilfred wilfred_ball@tsco.org 3925 Primrose Lane
Vineland, Ontario L0R 2C0
Canada
19056998265 Male Married April 20, 1952 Oakville Ontario Canada Passport Number GB064989 Canada Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Mathieu Brideau Minister mathieu.brideau@gmail.com Grimsby Bible Church Sovereign Grace Fellowship of Baptist Churches > 10 years No No Your agency The Seed Company bob_carter@tsco.org
Mr Brian Kelly brian_kelly@tsco.org 8645 Vista Grande Dr
Dallas, TX 75249
United States
+14695064196 Male Married July 13, 1972 Huntington Beach CA United States Passport Number 673866838 United States Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Bob Carter Colleague bob_carter@tsco.org Faith Bible Church Non-denominational 6 – 10 years No No Your agency Seed Company bob_carter@tsco.org
Mr Roger Lynn Stone Roger Roger_Stone@sil.org 1097 E 2100 Rd
Eudora, KS 66025
United States
+1 7855424226 Male Married May 23, 1972 Lawrence KS United States Social Security Number 514921177 United States Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Kermit Titrud mentor Kermit_Titrud@sil.org River City Church Free Methodist > 10 years No No Your agency SIL International brian_migliazza@sil.org
Please select Milton Lewis Watt Milton milton_watt@tsco.org 1205 South Lyndale Street
Siloam Springs, AR 72761
United States
4795998087 Male Married June 14, 1955 Seattle Washington United States of America Passport Number 506214805 United States of America Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Jim Winters Supervisor (with Seed Company) jim_winters@tsco.org Siloam Springs Bible Church, Siloam Springs, AR, U.S. Evangelical Free Church 6 – 10 years No No Your agency The Seed Company (TSCO) bob_carter@tsco.org
Mr John Michael Miller Mike j_michael_miller@sil.org 315, Paris Ave.
Rockford, Illinois 61107
United States
8155404481 Male Married July 15, 1952 Norfolk Virginia United States Passport Number 565857225 United States Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Brian Migliazza Co-worker brian_migliazza@sil.org First Free Evangelical Church of America Evangelical Free Church of America > 10 years No No Your agency SIL brian_migliazza@sil.org
Mrs Feruza Krason feruzauz@gmail.com 52 Central St
Ipswich, MA 01938
United States
+19789985774 Female Married June 5, 1976 Tashkent Uzbekistan Passport Number 488702240 United States No Uzbek Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Robert Bugenhagen Supervisor robert.bugenhagen@svk.fi First Presbyterian Church Northshore Presbyterian 6 – 10 years No Yes Your agency SIL International robert.bugenhagen@svk.fi
Mrs Rebecca Lee Elaine Bequette Becky becky_bequette@sil.org 446 Lakepark Trail
Oviedo, FL 32765
United States
+85590876674 Female Married August 24, 1971 Daegue City Korea (South Korea) Passport Number 566833080 United States Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Rundell Maree Mentor rundell_maree@sil.org The Foundry (online because we live overseas) non-denominational 3 – 5 years No No Your agency Brian Migliazza (SIL) brian_migliazza@sil.org
Mr Alfred Njinyoh njinyo_alfredanna@yahoo.com SIL, B.P 1299
Yaounde, Center Region N/A
Cameroon
237675321908 Male Married October 20, 1976 Djottin Cameroon Passport Number 0740104 Cameroon No Nooni Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Chris Smoes Supervisor translation_cameroon@sil.org Church of Christ Lassin Church of Christ > 10 years Yes No No Your agency Brian Migliazza brian_migliazza@sil.org
Miss Katja S Mueller Kate katja_mueller@sil.org Siegenweg 30
Burbach, NRW 57299
Germany
+4915201005158 Female Single January 4, 1974 Ilmenau Thuringia Germany Passport Number C7VCZ6TV3 Germany No German Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Chana Franchy Supervisor chana_franchy@sil.org Free Evangelical FEG > 10 years No No Your agency SIL chana_franchy@sil.org

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