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2018 Full Member Examination Response Form

2018 Full Member Examination Response Form

Please complete this survey as soon as possible. It must be completed by Close of Business on June 26, 2017.

Question Title

* 1. Candidate Information

Name: *

Home Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Question Title

* 2. Candidate Phone Numbers

Home Phone

Cell Phone

Work Phone

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* 3. I have received the packet of materials regarding Full Member Examination from the Registrar for Full Membership of the Board of Ordained Ministry. It is my intention to submit materials in hopes of attending the 2018 Full Member Exam.

Yes

No

Question Title

* 4. I have received the packet of materials regarding Full Member Examination from the Registrar for Full Membership of the Board of Ordained Ministry. However, it is my intention NOT to submit materials in order to attend the 2018 Full Member Examination. Instead, I hope to attend a later Examination for the following reason(s): (list year)

Question Title

* 5. I have received the packet of materials regarding Full Member Examination from the Registrar for Full Membership of the Board of Ordained Ministry. However, I do not believe I am eligible to attend the 2018 Exam for the following reasons: