Online Registration for Inside Perkins

Last name:

First name:

Address 1:

Address 2:

City:

   State:

Postal Code

Home Phone:

Work Phone:

Other Phone:

E-mail:

  *Email is required.

Date of Birth:

Gender:

Male  Female

Denomination:

  AdventistAfrican Methodist EpiscopalAnglicanAssembly of GodBaha'iBaptistBuddhistCatholicChurch of GodChurch of ChristChristian Methodist EpiscopalChristian Reformed ChurchChristian ScienceChristian, Disciples of ChristEpiscopalEvangelicalHinduMoslem, Muslim, IslamJewishJehovah's WitnessLutheranMetropolitan Community ChurchMennoniteMormon, Latter-Day SaintsMethodist, UnitedNazareneNon-Denominational, ChristianOrthodox-Greek, Russian, SyrinOtherPrefer not to report religionPresbyterian (PCA)PentecostalPresbyterian (PCUSA)Friends QuakerUnited Church of ChristUnited BrethenUnity ChurchUnitarianWesleyan Church

Annual Conf: (if UMC)

    Alaska MissionaryNoneAlabama-West FlaNorth AlabamaArkansasBaltimoreCalif - NevadaCalif - PacificDakotasDetroitDesert SouthwestFloridaNorth GeorgiaSouth GeorgiaHolstonIowaIllinois Great RiversNorthern IllinoisNorth IndianaSouth IndianaKansas EastKansas WestKentuckyLousianaWest MichiganMinnesotaMississippiMissouriNew MexicoNew YorkNorth Central New YorkWestern New YorkEast OhioWest OhioOklahomaOK Indian MissionaryOregon-IdahoCentral PennsylvaniaEastern PennsylvaniaWestern PennsylvaniaPacific NorthwestPuerto RicoPeninsula-DelawareRed Bird MissionaryRio GrandeRocky MtNorth CarolinaSouth CarolinaTennesseeTroyTexasCentral TexasNorth TexasNorthwest TexasSouthwest TexasVirginiaWest VirginiaWisconsinWyomingYellowstoneNebraska  *Annual Conference is required

Are you a College Graduate?

Yes  No

College/University:

Degree:

Date of graduation:

Is this a second career for you?

Yes  No

Degree Interest:

  Master of DivinityMaster of Theological StudiesMaster of Church MinistriesMaster of Sacred MusicNondegreeUndecided

Campus:

    DallasHouston/Galveston

Expected Enrollment Date:

Fall 2009Spring 2010Fall 2010Spring 2011Fall 2011Fall 2012Spring 2012
Our application deadline has been extended. We are currently accepting admissions applications for the Fall term. (domestic only)

Inside Perkins Event Date

  April 17-18, 2009 ( Dallas)October 1-2, 2009 (Dallas)October 19, 2009 (Houston)February 21-22, 2010 (Dallas)March 15 (Houston)April 16-17, 2010 (Dallas)

Will you need guest housing?

  Yes  No

Arrival day and time:

Departure day and time:

Transportation needed to/from airport?

Yes  No 

Flight Information Pending

If Yes: Arrival/Departure Information

Will a guest be joining you?

Yes  No  ($25 per Dallas guest)

Guest's name:

Dietary or Other Special Needs:

Would you like us to send you an admissions packet?:

 Yes  No   

Providing the following information is voluntary. The information you choose to provide will be used in a nondiscriminatory manner, consistent with applicable civil rights laws, solely for required reporting under federal and/or state laws.

Ethnicity:

  African-American/Black, Non-HispanicWhite, Non-HispanicNative-American/Alaskan NativeAsian-American/Pacific IslanderHispanicMultiethnicOtherNoneInternational