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Prospective Students
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Personal Information
Please enter the information requested below. Note that fields displayed in
bold
are required fields.
Prefix:
Mr.
Rev.
Pastor
Dr.
Mrs.
Miss
NONE
First Name
(as it should appear on your name tag):
Last Name:
Address1:
Address2:
City:
State / Province:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Not in U.S.
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavat
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territories
*None of the above*
Zip / Postal Code:
Country:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Email Address:
Event Information
Are you a college student, ministerial student, or a prospective seminary student? (Tuition rate of
$20.00
)
Yes
No
If married, will your wife be attending the Conference with you?
(A charge of
$30.00
will be added to your transaction)
Yes
No
Prefix:
Mrs.
NONE
First Name:
Number of children over age 12 attending:
This option is only for minor/dependent children, not adult children and friends. (A charge of
$20.00
will be added to your transaction for each child over 12)
Enter registered children's names as they should appear on their tags, separated by commas.
Number of children age 5 and under who require babysitting services:
(A charge of
$45.00
per child will be added to your transaction (weekly fee only)
Number of individuals attending the Tuesday night catered dinner:
(A charge of
$8.00
per person will be added to your transaction, children under 4 eat free)
Number of individuals attending the Wednesday catered lunch:
(A charge of
$7.00
per person will be added to your transaction, children under 4 eat free)
Other Information
Name of your Church/Ministry Organization: (do not include its city if it matches your city address above, please, as it will already be on your name tag)
Are you attending your first Spring Theology Conference?
Yes
No
I am a...
Please Select
Pastor
Elder
Deacon
Church Member
Student (non-GPTS)
Media Representative
Teacher
Other
How did you hear about the Greenville Seminary Spring Theology Conference?
none
Brochure
Internet Reference
E-mail Advertisement
WORLD Magazine Advertisement
Friend
Other
Specify other:
Are you a prospective Greenville Seminary student?
Yes
No
If yes (above), will you be attending free pizza lunch for prospective students on Tuesday, March 9?
Yes
No
Would you like us to send you a GPTS promotional video?
VHS
DVD
Number of videos:
Would you like us to send you a 2006-2009 Academic Catalog?
Yes
No
Would you be willing to make GPTS information available in your Church?
Yes
No
Would you like us to send you information about financially supporting GPTS?
Level of support:
No
Individual
Church
 
Presbytery
Would you like us to add you to the Greenville Seminary announcement e-mail list?
Yes
No
Comments/Questions