JS Short Term Course Application

Identification & Personal Details

Salutation *

First Name *

Middle Name

Last Name *

Suffix

Preferred Name

Gender *

Marital Status *

Date of Birth *

City of Birth *

State of Birth

Country of Birth *

Email Address *

Address *

Address

Street address

Address line 2

City

State/Province

Zip/Postal Code

Country

Phone *

Do not include spaces or brackets. Please include International Dialling Code e.g +1 (USA) or +972 (Israel)

Emergency Contact

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency contact's relationship to you *

Emergency contact's phone number *

Do not include spaces or brackets. Please include International Dialling Code e.g +1 (USA) or +972 (Israel)

Emergency contact's email *

Passport / Visa Information

Please copy all information accurately from your passport or relevant documentation.

Full Name as it appears in your passport

Passport Number

City of issue

Date of issue

Expiry Date

Father's First Name

Mother's First Name

Previous Last Name (if any)

Date of Intended Arrival in Israel

Date of Intended Departure from Israel

Please Note:

If you need a visa in order to travel to Israel, the costs and arrangements are your responsibility.
If you would like us to provide Visa application support or consultation, we can provide these services for a $75 fee.

Would you like JS to provide Visa application support/consultation?

Yes please

No thank you

English proficiency

Is English your native / birth language? *

Yes

What is your native / birth language? *

Are you proficient in English (Spoken, Written & Read)? *

Yes

Short Term Course selection

Please indicate which Short Term Course/s you are interested in

May 9-20, 2022 – “Discovering Jesus in His Jewish Context”

October 16-27, 2022 – Rediscovering Yeshua and the Land of the Bible

Will you be attending as a first-time visit seminarian?

Yes

Course options

Full round-trip ex-USA $5385

Land only ex-USA $4585

Course options

Full round-trip ex-USA $3785

Land only ex-USA $2985

Total Cost

Congregational Affiliation

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? *

Yes

Are you ordained? *

Yes

Background Information

Which organization do you represent, if any? *

What is your motivation for attending courses with JS?

Please mention any earlier studies in theology or ministry training that you have participated in.

Write a little about your experience in Christian ministry

What do you hope to gain from the course?

Payment Details

Payment Method *

Credit Card

Paypal

Cardholder's First Name *

Last Name *

Credit Card *

Billing Address *

Billing Address

City

State/Province

Zip/Postal

Country

Total Cost

Terms & Conditions

Jerusalem Seminary's Lifestyle Commitment.

I have read and agree with Jerusalem Seminary's Lifestyle Commitment above

Jerusalem Seminary's Statement of Faith

I have read and agree with Jerusalem Seminary's Statement of Faith above

Jerusalem Seminary's Registration Cancellation and Tuition Refund Information.

I have read and agree with Jerusalem Seminary's registration cancellation and refund policy above

By taking this course you agree that:

this course will be recorded and may appear in a public forum in order to promote the JS vision of ministry training from Jerusalem.
the material provided in Jerusalem Seminary courses will be for my use only and I will not copy, transfer or supply the material to any third party.

* For any special concerns please be in contact with the Jerusalem Seminary administration.

Jerusalem Seminary admits students without regard to race, color, sex, national or ethnic origin, disability, age, or veteran status with respect for personal dignity.