Application Praxis of Accompaniment 1Demographic Information2School Information3Program Specific Essay Questions4Letters of Recommendation This field is hidden when viewing the formProgram ID(Required)Salutation(Required) Ms. Mrs. Mx. Rev. Minister Pastor Dr. Other Other salutation(Required)Name(Required)Middle NameLast Name(Required)SuffixEmail(Required) Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number(Required)Date of Birth(Required) MM slash DD slash YYYY Pronouns (If Used)Gender(Required) Male Female Genderqueer / Non-Binary Other Other gender(Required)Do you identify as Hispanic / Latina / o / x?(Required) Yes No If you have the privilege of knowing this information, from which Latin American country(ies) do your ancestors come from?(Required)What is your ethnicity?(Required)How do you identify racially? Select all that apply.(Required) White Black / African Diaspora Asian Indigenous / First Nations Some other Race Some other Race(Required)Which languages do you speak? Select all that apply.(Required) English Spanish Portuguese Garifuna Haitian Creole Other Other language(Required)What is your religion, denomination, and/or faith tradition?(Required)Are you ordained or initiated in your faith tradition? Yes No In Process Other Other(Required) Where are you a registered student?(Required)Select oneAustin Presbyterian Theological SeminaryBerkeley School of TheologyBethany Theological SeminaryBexley Seabury SeminaryBoston College School of Theology/MinistryBoston University School of TheologyBrite Divinity SchoolCandler School of Theology, EmoryChicago Theological SeminaryChristian Theological SeminaryChurch Divinity School of the PacificClaremont School of TheologyColumbia Theological SeminaryConcordia Seminary in St. LouisDominican School of Philosophy and TheologyDrew UniversityDuke Divinity SchoolGarrett Evangelical Theological SeminaryGraduate Theological UnionIliff School of TheologyJesuit School of Theology of Santa Clara UniversityLutheran School of Theology at ChicagoMcCormick Theological SeminaryMethodist Theological School in OhioNorth Park Theological SeminaryOblate School of TheologyPacific Lutheran Theological SeminaryPacific School of ReligionPalmer Theological SeminaryPerkins School of Theology, SMUPittsburgh Theological SeminaryPrinceton Theological SeminarySacred Heart Seminary / School of TheologySan Francisco Theological Seminary, RedlandsSeminary of the SouthwestTruett Seminary / Baylor UniversityUnion Presbyterian SeminaryUnion Theological SeminaryUnited Lutheran SeminaryUniversidad Interamericana de Puerto RicoUniversity of Notre DameVanderbilt University Divinity SchoolVillanova UniversityWake Forest University School of DivinityWartburg Theological SeminaryWesley Theological SeminaryYale Divinity SchoolOtherOther registered(Required)Which degree are you currently pursuing? Select all that apply.(Required) B.A. M.Div. M.A. M.T.S. S.T.M. M.S.S.W. J.D. Ph.D. Th.D. D.Min. Other Other degree(Required)Which best describes you?(Required) Full Time Student Part Time Student Other Other(Required)Year in Program(Required) First Year Second Year Third Year Fourth Year Fifth Year Other Other year(Required)Year in which you plan to graduate(Required) 2025 2026 2027 Other Other plan(Required)If you are accepted to this program, this will be your___ time attending the program? First Second Third Other Other time(Required)Does your institution currently offer any courses that train students to serve in pastoral care and/or chaplaincy roles in Latin America?(Required) Yes No I’m not sure Describe the courses that your institution offers.(Required) Describe any experiences you have had in pastoral care or chaplaincy—whether formal or informal. How have these experiences shaped your vocational discernment?(Required)What do you hope to gain from this course at this stage in your academic career?(Required) All students applying to this program must have one letter of recommendation from a faculty member at their institution. Applications without recommendations will not be considered for admission.Recommender 1Institutional Title of Faculty Recommender(Required)Email Address of Faculty Recommender(Required) First Name of Faculty Recommender(Required)Last Name of Faculty Recomender(Required)Recommender 2Institutional Title of Faculty Recommender(Required)Email Address of Faculty Recommender(Required) First Name of Faculty Recommender(Required)Last Name of Faculty Recomender(Required)
