New Student Advisor Assignment Form

Name*
First Middle Last
Preferred Name
Gender Pronoun*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email*
Birthday*
MM slash DD slash YYYY
Degree Program*
In two sentences can you say what you hope to do in the future?*
Do you anticipate being low residence (working from afar) or high residence (working at the school)? If low, what time zone are you in?*
Do you have a religious/spiritual affiliation?*
Please list outside interests, vocations or passions that seem relevant to your school experience.*
How do you best learn?*
What growing edges would you want your advisor to know? (a sentence or two)*
What strengths would you want your advisor to know? (a sentence or two)*

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Name*
Phone*
Email*
Program Of Interest*
Consent
By checking this box, I agree that Starr King School for The Ministry may call and/or text me occasionally about educational programs and events at the phone number provided. You may opt-out at any time.
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Email
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