CONCORDIA HOUSE OF STUDIES
APPLICATION FOR ENROLLMENT FOR RETURNING STUDENTS
Enrollment Intention
Semester Spring Fall Summer Year 2009
Church Work Program Lutheran Teacher Diploma Specific Ministry Pastor Program (SMP) Please Choose one Pre-Sem Lay Ministry Personal Enrichment Other Church Work
Choose your class and location
ORL -THL330 Our Living Faith Online - THL203 Old Testament Please choose one
Personal Data
First Name Middle Initial Last Name
Updated Information (please complete only if you have changed address/email since last semester)
Permanent Address:
City: State: ZIP:
Local Address:
Home Telephone:
Other Phone:
e-mail address:
You will receive an e-mail from the Florida-Georgia District office following the receipt of this application. If you don't receive an e-mail with 72 hours, please call (toll free) 1-877-457-5556 Ext. 5 to confirm receipt of your application.