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.)

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4. Your Denomination:

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5. Your clergy status: (ordained, comissioned, etc...)

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6. Your current congregation(s):

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7. Position Title:

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8. How long have you served in this setting?

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9. Date of birth:

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10. Race/Ethnicity

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11. Preferred mailing address: (Required.)

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12. Preferred telephone number: (indicate if work, cell, home, other) (Required.)

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13. Optional second telephone number: (indicate if work, cell, home, other)

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