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Student Orientation Guide - Northeastern Seminary

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Course Checklist - M.A.<strong>Student</strong> Update FormTransformational Leadership – 53 creditsNote with an asterisk (*) the information you do not want published (released to the public). Please printclearly (see Privacy Act in <strong>Student</strong> Catalog – Directory Information).NameAddressCity State/province Postal codePrimary phone:Phone 2:Phone 3: Home Mobile Work Home Mobile Work Home Mobile WorkEmailAlternate emailEmergency contactRelationshipPhoneLocal church membership/pastorateDenominationCheck as many as apply: Employed as pastor or assistant pastor Lay or lay leader in local church Employed by secular or para-church organization Employed full-time by local church Ordained Plan to become ordained Ordaining denomination or church body (name)Current degree program: MAT MATSJ MATL M.Div. M.Div/MSW Part-time/Non matriculated D.Min.Expected term date at course completion: Fall 20____Spring 20____SignatureDate<strong>Northeastern</strong> <strong>Seminary</strong> 2265 Westside Dr, Rochester, NY 14624 www.nes.edu 24

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