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 Michel Pauw michel_pauw@sil.org Firth Avenue L-10
SIL Ukarumpa, EHP 444
Papua New Guinea
+675 74847872 Male Married August 14, 1980 Barneveld Netherlands Passport Number NSFH8H822 Netherlands No Dutch Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 John Bruner Colleague and Coordinator for Interns that are trained by me. john_bruner@sil.org I’m a missionary (in Bible Translation) from a Reformed Church in the Netherlands Reformed > 10 years No No Your agency SIL PNG do-dlps_png@sil.org
Mr Devin Richard Schlote Devin devin_schlote@sil.org PO Box 1 (91)
Ukarumpa, EHP 444
Papua New Guinea
+67570250008 Male Married April 18, 1989 St. Louis Missouri United States of America Social Security Number 486021743 United States of America Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 John Bruner Colleague/Friend john_bruner@tsco.org Redeemer Fellowship Kansas City, Missouri Southern Baptist Convention 6 – 10 years Yes No No Your agency SIL-PNG do-dlps_png@sil.org
Mr Korry Reuben Korry ld-transconsultant1_png@sil.org P.O. Box 134
Ukarumpa, EHP 444
Papua New Guinea
67572484622 Male Married April 4, 1982 Kainantu Eastern Highlands Papua New Guinea Passport Number E232724 Papua New Guinea No Kamano Kafe Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 John Bruner supervisor john_bruner@sil.org Joshua Lutheran Lutheran Renewal > 10 years Yes Yes No Your agency SIL brian_migliazza@sil.org
Rev Daniel Teerman Daniel daniel_teerman@tsco.org 950 Southwood Drive
Highland Village, TX 75077
United States
4695589436 Male Married June 15, 1970 Holland Michigan United States of America Passport Number 488367992 United States of America Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Nikki Mustin CiT Mentor nikki_mustin@tsco.org The Village Non-Denom 1 – 2 years Yes Yes Yes Your agency Seed Company Bob_Carter@tsco.org
Dr Todd Moore Todd todd_moore@tsco.org 2501 Royal Glen Ct
Arlington, TX 76012
United States
+18178812615 Male Married December 3, 1970 Wayne Nebraska United States of America Passport Number 488527041 United States of America Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Bob Carter Senior Consultant and friend bob_carter@tsco.org Central Bible Church Independent Bible Church > 10 years No No Your agency Seed Co bob_carter@tsco.org
Mr Rodolfo Senn rodolfo_senn@sil.org Ave. Jorge Baeschlin s/n
Ruiz de Montoya, Misiones 3334
Argentina
+543517025487 Male Married September 3, 1961 Ruiz de Montoya Misiones Argentina National Identity Document 14449061 Argentina No Spanish Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Alec Harrison Supervisor alec_harrison@sil.org Comunidad Cristiana de Ruiz de Montoya Evangelica Free Church (closest to Baptist) 3 – 5 years No No Your agency SIL brian_migliazza@sil.org
Pastor André MALOZI MPANDZOU André andre_mpandzou@sil.org 193, rue MANGOFO, Quartier MAWATA , Pointe-Noire
Pointe-Noire, Pointe-Noire 5111
Congo
+242055239401 Male Married October 30, 1961 KINANGA-LONDE Congo Passport Number OA0524388 du 18 janvier 2022 Congo No Dondo No School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Thaliane ZAOU-GOMA Directeur SIL-COngo thaliane_zaou-goma@sil.org Eglise Evangélique du Congo Protestantisme > 10 years Yes Yes No Your agency SIL-CONGO director_congo@sil.org
Miss Amanda Ruth Thomas Amanda amanda_thomas@tsco.org Taman Sari Persada, Block B6 No. 10
Bogor, West Java 16166
Indonesia
+6281514213232 Female Single March 26, 1980 Portsmouth VA United States of America Passport Number 683345441 United States of America Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Bob Carter colleague bob_carter@tsco.org Bogor International Christian Fellowship non-denominational 6 – 10 years No No Your agency The Seed Company bob_carter@tsco.org
Please select ELLY OKOTH GUDO Elly ellygudo@gmail.com Po Box 44
Karen-Nairobi, NAIROBI 00502
Kenya
+254721902387 Male Married December 1, 1971 NANDI KENYA Kenya Passport Number AK0388991 Kenya Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 John Macaulay Macaulay Colleague & mentor john_macaulay@sil.org Karen Community Church Baptist > 10 years No No Your agency SC Ann_White@tsco.org
Ms Lydia Hedwig Hoeft Lydia Lydia_Hoeft@sil.org 313/1033 Ayer Tena
Addis Ababa, XXX 1033
Ethiopia
+251911739922 Female Single August 1, 1955 Schwalmstadt Germany Passport Number C7VCZKVFR Germany No German Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Rob Bustin supervisor lang_prog_ethiopia@sil.org International Evangelical Church, Addis Ababa free evangelical > 10 years No No Yourself
Pastor Petru Dumitru Pascalau Petru petru_pascalau@wycliffe.ro Drumul Sarandului 274E
comuna Osorhei
Alparea, Bihor 417361
Romania
+40749754430 Male Married February 11, 1969 Lazareni Romania Passport Number 055438955 Romania No Romanian Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Calin Mihoc Friend, member of the church committee that I attend with my family. calin.mihoc@outlook.com Biserica Baptista Providenta Romanian Baptist Denomination > 10 years Yes Yes No Your agency Wycliffe Romania director@wycliffe.ro
Mr Duk Geun Geun Cha duk-kun_cha@sil.org 202-401 HyoSung II Town, DangSanRo-42Giln7
YeongDeungPo-Gu
Seoul, Seoul 07215
Cambodia
+821031010148 Male Married November 30, 1962 ChangWon KyungNam Korea (South Korea) Passport Number M68329282 Korea (South Korea) No Korean Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Angela Wolthuis Reginal Area Director of Cambodia radc_msea@sil.org HanSoMang Church Presbyterian > 10 years Yes Yes No Yourself
Mrs Youngsoo Ko youngsoo_ko@sil.org 202-401, Dangsan-ro 42gil, 7
Yeongdeungpo-gu
Seoul, Seoul 07215
South Korea
+821027380148 Female Married September 24, 1964 Seoul Korea (South Korea) Passport Number M33188561 Korea (South Korea) No Korean Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Becky Beguette Language program coordinator becky_bequette@sil.org Hansomang church Presbyterian > 10 years No No Yourself
Mr Robert Aylate Kollo Gallo gallo_aylate@sil.org SIL Ethiopia
PO Box 313 / 1033 / Ayer Tena
Addis Ababa, Select State Ayer Tena
Ethiopia
+251913554708 Male Married August 30, 1968 Konso (Jarso) SNNPR Ethiopia Passport Number EP4492455 Ethiopia No Konso / Amharic Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Rob Bustin Supervisor rob_bustin@sil.org Tulu Dimtu Ethiopian Evangelical Church Mekane Yesus > 10 years No No Your agency SIL International brian_migliazza@sil.org
Mr Hyung-Joon Jung Joon hyung-joon_jung@sall.com GPO 8975, EPC 1174
Kathmandu, Lalitpur 01
Nepal
+9779818814945 Male Married March 5, 1964 Seoul Korea (South Korea) Passport Number M93418284 Korea (South Korea) No Korean Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Edward Beohm Supervisor ed_boehm@sall.com Jyoti Great Commission Fellowship (Nepal) Presbyterian > 10 years Yes Yes No Yourself
Please select John Miller john_miller@wycliffe.org 316 Souder Dr
Hurst, Texas 76053
United States
2142828971 Please select Married June 1, 1972 Midwest City Oklahoma United States of America Drivers License Number TX 00739740 United States of America Yes School of Hebrew SH BTC 101: Biblical Hebrew Training for Bible Translator Consultants $1,000.00 Roman Stefaniw Colleague roman_stefaniw@tsco.org Christ Chapel Bible Church, Ft Worth, TX Indepandant < 1 year Cross City Church, Euless TX Yes No No Your agency The Seed Company dan_jones@tsco.org

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