Lewis Fellows Application 2020
Lewis Fellows Application 2020
The Lewis Fellow Program provides an intensive post-graduate leadership development opportunity for young clergy conducted in a cohort setting.
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1.
Your name as you prefer it to appear in print:
(Required.)
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2.
Name you prefer to be called by colleagues:
(Required.)
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3.
Email address:
(Required.)
4.
Your Denomination:
5.
Your clergy status: (ordained, comissioned, etc...)
6.
Your current congregation(s):
7.
Position Title:
8.
How long have you served in this setting?
9.
Date of birth:
10.
Race/Ethnicity
Native American/American Indian/Alaskan Native
African American/Black
Asian or Pacific Islander
Causcasian/White
Hispanic/Latino
Multi-Racial
Other (please specify)
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11.
Preferred mailing address:
(Required.)
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12.
Preferred telephone number: (indicate if work, cell, home, other)
(Required.)
13.
Optional second telephone number: (indicate if work, cell, home, other)