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? Are you planning to take the courses for Credit or Audit purposes Available School of the Bible Courses for Credit Available School of the Bible Courses for Audit Available School of Hebrew Courses for Credit Available School of Hebrew Courses for Audit 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?
Mr Christoph Meier-Fürstenwerth Christoph c.meier@immanuel-gemeinde.de Seestr. 68
Leonberg, Baden-Württemberg 71229
Germany
+17656756713 Male Married November 5, 1980 Leonberg Germany Passport Number C878WCGW2 Germany No German Yes School of the Bible Credit SB THEO 304C: Israel Matters: A Theology of People and Land $450.00 Markus Krumbein Friend and colleague in our leadership team in Church markus.odongo@gmail.com Immanuel Church Leonberg Charismatic > 10 years Yes Yes Yes
Mr Richmond Blando Rich richmondbb@gmail.com Jl. Mas Prada No. D5
Jakarta, Jakarta Selatan 12220
Indonesia
62817828862 Male Married August 8, 1971 Manila Philippines Drivers License Number 71081205974572 Philippines Yes School of the Bible Credit SB BIB 404C: The Gospel of Matthew in its First Century Jewish Context $450.00 Jordan Acuestas Pastor jacuestas1@gmail.com The Collective Full Gospel 6 – 10 years No No
Mrs Lacey Beth Phillips lphillips@firstdecatur.org 1240 Talon Lane
Forsyth, IL 62535
United States
12176535347 Female Married March 30, 1983 Danville IL United States of America Social Security Number 356-78-8367 United States of America Yes School of the Bible Audit SB HIST 404A: Early Christian Worship in its Jewish Context $350.00 Wayne Kent Senior Pastor wkent@firstdecatur.org First Christian Church – Decatur, IL Christian Church (non-denominational) 6 – 10 years Yes Yes No
Mrs Lisa Whitaker jlgwhit67@gmail.com 2638 Southwoods Drive
Roanoke, VA 24018
United States
+1(540)797-4645 Female Married November 24, 1967 Bluefield United States Drivers License Number T24678266 United States Yes School of the Bible Audit SB HIST 404A: Early Christian Worship in its Jewish Context $350.00 Mark Graham Pastor/Boss mark@stjohnlutheran.org St. John Lutheran Church North American Lutheran Church (NALC) > 10 years No No
Ms Emma Kuipers Emma_Kuipers@sil.org 1 Jewett Lane
South Hadley, MA 01075
United States
+1 413-535-9723 Female Single September 11, 1976 Northampton MA United States Passport Number 530814315 United States Yes School of Hebrew Audit SH HEB 404A: Unfolding Proverbs: Translation and Context $450.00 Judy Heath translation coordinator of SIL Chad and friend Judy_Heath@sil.org Stony Brook Community Church interdenominational > 10 years No No
Miss Shirley Bell shirley.bell93@yahoo.com Hida 6/47
Ashqelon, Israel 7828736
Israel
+972559742022 Female Single November 27, 1981 Bat Yam Israel National Identity Document 052324985 Israel No Hebrew Yes School of the Bible Audit SB HIST 404A: Early Christian Worship in its Jewish Context $350.00 Attila Dimeny church elder attila_d@hotmail.com Grace and Peace reformed 1 – 2 years No Yes
Rev Fletcher Matandika Fletcher Matandika fmatandika@gmail.com 167 Wright Crescent
Niagara-on-the-Lake, ON L0S 1J0
Canada
+1-647-482-1077 Female Divorced October 17, 1977 Lilongwe Malawi Passport Number MWA049466 Malawi No Chichewa Yes School of the Bible Audit SB THEO 304A: Israel Matters: A Theology of People and Land $350.00 Robert Cousins Ministry Colleague RCousins@tyndale.ca Christ Community Church The Reformed Church in America < 1 year The Vancouver Associated Presbyterian Church Yes Yes No
Mrs Stephanie Campbell scampbell@firstdecatur.org 9 Powers Lane Place
Decatur, IL 62522
United States
2175204820 Female Married November 1, 1980 Decatur IL United States Social Security Number 324726279 United States Yes School of the Bible Audit SB HIST 404A: Early Christian Worship in its Jewish Context $350.00 Lacey Phillips supervisor lphillips@firstdecatur.org First Christian Church Christian Church > 10 years No No
Mrs Wanda Williams wgw1223@yahoo.com 2575 Usener Rd
Fredericksburg, TX 78624
United States
7135042888 Female Married July 8, 1951 Laurel MS United States of America Drivers License Number 12909333 United States of America Yes School of the Bible Audit SB BIB 404A: The Gospel of Matthew in its First Century Jewish Context $350.00 Ann-Marie Fileccia Friend affileccia@gmail.com First Baptist church in Fredericksburg Baptist > 10 years No No
Pastor Tim Shaw Tim tim@fbcnewaygo.com 105 W 96th St
Grant, MI 49327
United States
+16163073702 Male Married November 3, 1984 Brandon Florida United States of America Drivers License Number S000793738846 United States of America Yes School of Hebrew Credit SH BHLL 101C: Biblical Hebrew as a Living Language (Level 1) $600.00 Rick Borman Co-worker rsborman@gmail.com First Baptist Church GARBC 1 – 2 years Yes Yes No
Mr Raymond Kent Rick rickkentlcsw@gmail.com 23 Elm Street
Le Roy, NY 14482
United States
5852245179 Male Married July 20, 1977 Framingham MA United States Social Security Number 015600665 United States Yes School of the Bible Credit SB BIB 404C: The Gospel of Matthew in its First Century Jewish Context $450.00 Vern Saile Pastor vern@northgatefmc.com Northgate Free Methodist Church Free Methodist Church 6 – 10 years No No
Mr William Jordan O’Brien Will will@stjohnlutheran.org 1338 Roanoke Blvd
Salem, VA 24153
United States
+15405296163 Male Married November 29, 1990 Fort Meyers Florida United States of America Drivers License Number A69788030 United States of America Yes School of the Bible, School of Hebrew Credit SB HIST 404C: Early Christian Worship in its Jewish Context SH BHLL 101C: Biblical Hebrew as a Living Language (Level 1) $1,050.00 Mark Graham Pastor Mark@stjohnlutheran.org St. John Lutheran Church North American Lutheran Church 6 – 10 years No No
Mr John Talbot john@talbot.im Glenaspet
Patrick Road
St Johns, Isle of Man IM4 3BP
Isle of Man
+447968802588 Male Married July 28, 1952 Meriden United Kingdom Passport Number 760964481 United Kingdom Yes School of the Bible Audit SB BIB 404A: The Gospel of Matthew in its First Century Jewish Context $350.00 David Pileggi Friend pileegi@netvision.il Variuos Various > 10 years No No
Mr David Lassanske lassanske.david@gmail.com 3961 Dunes Parkway
NORTON SHORES, MI 49441
United States
6163228877 Male Married January 6, 1981 Bay City Michigan United States of America Drivers License Number L252135067020 United States of America Yes School of the Bible Audit SB HIST 404A: Early Christian Worship in its Jewish Context $350.00 Eric Schrotenboer friend eric@ericschrotenboer.com none currently n/a < 1 year Trinity Lutheran Church (LCMS) No No
Mr John Talbot john@talbot.im Glenaspet
Patrick Road
St Johns, Isle of Man IM4 3BP
Isle of Man
+447968802588 Male Married June 28, 1952 Meriden England United Kingdom Drivers License Number 302105/3 United Kingdom Yes School of Hebrew Audit SH HEB 404A: Unfolding Proverbs: Translation and Context $450.00 David Pileggi Friend pileggi@netvisioon.il Various Various > 10 years No Yes
Mr Paul Campbell Iii Paul pb3ministries@gmail.com 7309 Estes st
Roanoke, VA 24019
United States
+15403146316 Male Married April 19, 1982 Phillipsburg New Jersey United States Drivers License Number T69749963 United States Yes School of Hebrew Credit SH BHLL 101C: Biblical Hebrew as a Living Language (Level 1) $600.00 Will O’Brien Friend will@stjohnlutheran.org Hope of Israel congregation Messianic Jewish > 10 years No No
Pastor John Frederick Rogers III John johnrogers8306@gmail.com 2841 Tamiami Trail
Crestview, FL 32539
United States
+18508262260 Male Married March 6, 1960 Ely FL United Kingdom Social Security Number 120586418 United States of America Yes School of the Bible Credit SB THEO 304C: Israel Matters: A Theology of People and Land $450.00 Gerry Johnson Friend/Co-pastor gerryj7@hotmail.com Living Word Ministries, Fort Walton Beach, Florida Hebraic Roots > 10 years Yes Yes No
Please select Nicole Yvette Yoder Nicole yonicole@netvision.net.il Korea HaDorot 10א
Apt. 3
Jerusalem, Israel 93387
Israel
0528721641 Female Single November 18, 1969 Salem OR United States of America National Identity Document 336110556 United States of America Yes School of the Bible Credit SB THEO 304C: Israel Matters: A Theology of People and Land $450.00 Gary Alley Pastor & Friend gary.alley@gmail.com Narkis St. International Congregation Non-denominational > 10 years No No
Mr Matthew Beer Matt mattbeer@mac.com Yishai 21
Apartment 5
Jerusalem, Jerusalem 9354418
Israel
+972523892221 Male Married July 26, 1979 Montreal Canada National Identity Document 339737256 Israel Yes School of the Bible Audit SB THEO 304A: Israel Matters: A Theology of People and Land $350.00 Zach Stevenson Colleague zach@150cherryst.com None Locally (yet) Non-Denominational 3 – 5 years No No
Pastor Jessica Heileman jaheileman.81@gmail.com 5505 N Humble Camp Rd
Dickinson, TX 77539
United States
4094576341 Female Married March 11, 1981 San Antonio TX United States of America Drivers License Number 11419528 Yes School of the Bible Credit SB THEO 304C: Israel Matters: A Theology of People and Land $450.00 Richard Pifer friend/church richardpifer@lyc.com The Legacy Church Pentecostal 6 – 10 years Yes No No
Mrs Debra Benade Debbie debbiebenade@yahoo.com 4 Mosfilothonos Street
Evretou Dam
Peristernona, Paphos 8810
Cyprus
+35796767659 Female Married December 13, 1973 Kimberley South Africa Drivers License Number 20080026PNTS South Africa Yes School of the Bible Credit SB THEO 304C: Israel Matters: A Theology of People and Land $450.00 Sandra Delport Friend sandy1mitchell@hotmail.com Polis Community Church Calvary Church 3 – 5 years No No
Mr John Talbot john@talbot.im Glenaspet
Patrick Road
St Johns, Isle of Man IM4 3BP
Isle of Man
+447968802588 Male Married January 28, 1921 Meriden England United Kingdom Drivers License Number 302105/3 United Kingdom Yes School of Hebrew Credit SH BHLL 101C: Biblical Hebrew as a Living Language (Level 1) $600.00 David Pileggi Friend pileggi@netvision.co.il Various Various > 10 years No Yes

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