Fillable STUDENT INFORMATION FORM

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STUDENT INFORMATION FORM

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The STUDENT INFORMATION FORM form is 2 pages long and contains:

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  • 1 check-box
  • 97 other fields

Country of origin: US
File type: PDF

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STUDENT INFORMATION FORM
Instructions:
1. Complete BOTH SIDES of this form, including the Denomination Release Waiver on the reverse side.
2. Be sure to select the denomination on the back that best describes your affiliation. UMC students, please provide a Conference.
3. Return completed form to the Office of the Registrar.
Last Name
First Name
Middle Name
Preferred Name
Student ID
Degree Program
PREFERRED
MAILING
ADDRESS
Street
Apartment
City
State
Zip
Phone or Campus Extension
Cell Phone
PERMANENT
ADDRESS
(IF DIFFERENT
FROM
PREFERRED)
Street
Apartment
City
State
Zip
OTHER
INFORMATION
Alternate Email Address
Work Phone
Campus Box
Relationship
Phone
Signature
Date
□
PRIVACY RIGHT: In compliance with the Family Education Rights and Privacy Act of 1974, as
amended (PL-90-247), you may elect to keep your information private by checking this box.
Office of the Registrar
4500 Massachusetts Avenue, NW • Washington, DC 20016
PHONE 202-885-8650
EMAIL registrar@wesleyseminary.edu
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signature
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Denominational Affiliation
The following is a list of denominations provided by the Association of Theological Schools (ATS). Please confirm the appropriate code
on your community directory information. If your denomination is not listed, please specify under OTHER.
Denominational Affiliation
Denomination
Code
Adventist Bodies
Advent Christian Church
ACC
Seventh-day Adventist
7DAY
Anglican
Anglican Church of Canada
ANGL
Episcopal Church, The
EPIS
Reformed Episcopal Church
EPIR
Baptist
American Baptist Churches in the USA
BAPA
Baptist General Conference
BAPG
Baptist Missionary Association of America BAPM
Conservative Baptist Association of America
BAPC
General Association of Regular Baptist Churches
BAPG
General Baptist Convention, NC BAPT
Independent Baptist
BAPI
National Baptist Convention
BAPN
National Baptist Convention, TN
BAPE
Progressive National Baptist Convention
BAPP
North American Baptist Conference
BAPR
Seventh Day Baptist General Conference
BAP7
Southern Baptist Convention BAPS
Baptist-Other
BAPO
Brethren
Brethren in Christ Church
BREC
Brethren Church (Ashland, OH)
BREA
Church of the Brethren
BRET
Christian Brethren (Plymouth Brethren)
BREP
Christian and Missionary Alliance
CMA
Church of God (Anderson, Indiana)
COGA
Church of Christ-Christian Churches
Christian Church (Disciples of Christ) DISC
Christian Churches and Churches of Christ
CHCH
Churches of Christ
CHCR
Churches of God, General Conference COGG
Church of the Nazarene
NAZ
Conference of Congregational Christian Churches
CONG
Evangelical Congregational Church
EVCC
Evangelical Covenant Church
EVCV
Evangelical Free Church of America
EFC
Friends, Religious Society of
FRND
Jewish
JEW
Lutheran
Evangelical Lutheran Church
ELC
Evangelical Lutheran Church in America ELCA
Lutheran Church-Missouri Synod
LUTM
Wisconsin Evangelical Lutheran Synod
LUTW
Lutheran-Other
LUTH
Mennonite
General Conference Mennonite Church
MENG
Mennonite Brethren Church in North America
MENB
Mennonite Church MENC
Mennonite-Other
MENO
Methodist
African Methodist Episcopal AME
African Methodist Episcopal Zion
AMEZ
Christian Methodist Episcopal
CME
Free Methodist
METF
Independent Methodist
METI
Korean Methodist
KMC
United Methodist Church
UMC
Wesleyan Church WES
Methodist-Other
METO
Moravian Church in America
MORA
Muslim MUSM
Nondenominational
N-D
Orthodox
Greek Orthodox Archdiocese in N/S America
ORTG
Orthodox Church in America
ORTA
Orthodox-Other
ORTH
Pentecostal
Assemblies of God
ASSM
Church of God (Cleveland, TN)
COGT
Church of God in Christ COGC
Foursquare Gospel Church
4SQR
Presbyterian
Associate Reformed Presbyterian Church PREA
Cumberland Presbyterian Church
PREC
Evangelical Presbyterian Church
PREE
Orthodox Presbyterian
PREO
Presbyterian Church in America
PCA
Presbyterian Church (U.S.A.)
PCUS
Reformed Presbyterian
PRER
Reformed
Christian Reformed Church
CRC
Reformed Church in America
REF
Roman Catholic
RC
Salvation Army
SALV
Swedenborgian Church
SWED
Unitarian Universalist
UU
United Church of Christ
UCC
Universal Fellowship of Metropolitan Community Churches
MCC
Other:
OTHR
UNITED METHODIST STUDENTS:
Please list annual conference:
IMPORTANT INFORMATION – PLEASE READ
Denominational affiliation is not considered “Directory
Information” under the Family Education Rights and
Privacy Act. Therefore, Wesley Theological Seminary
must have express permission from students to publish
or release this information. Please sign the release
waiver below if you wish to include your denominational
affiliation with your directory information. Please contact
the Registrar’s Office for more information.
RELEASE WAIVER
I give permission for Wesley Theological Seminary to
include my declared denominational affiliation with my
directory information. This includes publishing my
affiliation in the Community Directory and release of my
directory information to representatives from this
denomination, if requested by such representatives.
_____________________________________________
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_____________________________________________
Signature
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STUDENT INFORMATION FORM

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Completed 15 March 2022

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