Application Through Hispanic Eyes 1Demographic Information2Participant Questions3Program Specific Essay Questions 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? Yes No This program is not offered to people that identify as Latine/Hispanic.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 do you currently work?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 UnionJesuit School of Theology of Santa Clara UniversityLutheran School of Theology at ChicagoMethodist Theological School in OhioMcCormick Theological SeminaryNorth 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 SouthwestUnion 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 Work(Required)Which best describes your role?(Required) Faculty Staff Administrator Other Other role(Required)What is your current title(Required) What experiences with Latine students and communities do you bring to the Through Hispanic Eyes Workshop?(Required)What tools do you want to gain from this cohort and workshop? How do you hope to tangibly apply them in your role?(Required)Why does this Through Hispanic Eyes Workshop matter for ATS institutions, especially at this time of racial reckoning in our society?(Required)
