NCYAMA Online Course Registration (Non-Credit, Fall 2011) Survey

1. For which NCYAMA course are you registering?

For which NCYAMA course are you registering? Evangelization of Inactive/Disaffected Young Adults (Fall 2011)

Other (please specify)

*

2. To register for the course, please fill out the following fields.

To register for the course, please fill out the following fields. Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

3. Are you a young adult (age 18 to 39) yourself?

Are you a young adult (age 18 to 39) yourself? Yes

No

Prefer not to answer

4. Are you currently a ministry graduate student at another college or university?

Are you currently a ministry graduate student at another college or university? Yes

No

5. If you marked "YES" to the question above, please tell us the name of your university/college, your degree program, and how far along in your coursework you are now. If you marked "NO," you may skip this question.

If you marked "YES" to the question above, please tell us the name of your university/college, your degree program, and how far along in your coursework you are now. If you marked "NO," you may skip this question.

6. What area of church ministry are you currently engaged in or that most relates to the reason for taking this class/workshop? (you may answer with more than one option)

What area of church ministry are you currently engaged in or that most relates to the reason for taking this class/workshop? (you may answer with more than one option) Diocesan Paid Professional Staff

Diocesan Volunteer Ministry Work

Parish Paid Professional Staff

Parish Volunteer Ministry Work

College Campus Paid Professional Staff

College Campus Volunteer Ministry Work

Catholic Ministry Organization Paid Staff

Catholic Ministry Organization Volunteer Work

Vocations Ministry Paid Staff

Vocations Ministry Volunteer Work

Academic Institution - Paid Instructor/Staff

Other Ministry Work (please specify)

7. How many years have you worked or been involved in church ministry at your current location?

How many years have you worked or been involved in church ministry at your current location? 1-2 years

3-5 years

5-9 years

10-20 years

20-35 years

Over 35 years

8. Why are you interested in taking a course on the evangelization of inactive and disaffected young adults? (in knowing this background info, the course will be able to meet the needs of the students and participants)

Why are you interested in taking a course on the evangelization of inactive and disaffected young adults? (in knowing this background info, the course will be able to meet the needs of the students and participants)

Your registration is not yet complete. The cost for this course for non-credit-seeking participants is $600 for the 14-week fall semester. Once we receive payment, you will receive confirmation of your registration.

Please make your check payable to "Loyola University Chicago" but send the payment to: NCYAMA c/o Paul Jarzembowski, 101 W. Airport Rd., Romeoville, IL 60446. This registration and payment are due no later than August 25, 2011.

NCYAMA Online Course Registration (Non-Credit, Fall 2011)Exit this survey

NCYAMA Online Course Registration (Non-Credit, Fall 2011)
Exit this survey