Enrollment Application
I am registering for the diakonia program
Select one
Clear choice
Faith Formation
Faith and Service
Cont. Ed
Other:
Onsite Class Location:
or
Self-Study
First / Last name
Address
Preferred Phone Number:
Email address:
Home Congregation:
Enter the name of your place of worship
Denomination:
Congregation Address:
Pastor name:
By signing below, I agree that the diakonia Florida Steering Committee shall, at its sole discretion, have both the authority and the duty to take disciplinary action whenever the behavior of any student(s) materially interferes with or substantially disrupts maintenance of a proper learning atmosphere with the program, up to and including expulsion of any offending student. Additionally, I agree that my name, address, phone number and other contact information may be distributed to classmates and other church-wide and synod agencies as may be deemed necessary by the Steering Committee. I also agree that photographs or video taken during the diakonia program may be used for publicity purposes. If check is returned I will be responsible for the bank fees.
Signature
Clear
I have discussed my intention to enroll in
diakonia
with my pastor.
Your Pastor's Signature:
Clear
A non-refundable $35.00 registration fee must accompany this application for all Faith Formation, Faith and Service, or Continuing Education. Use our online payment or make checks payable to "diakonia Florida"
Course tuition fees are due before the start of each course.
Course fees are listed on our web page: https://diakoniafl.org/course-listing
Financial Aid us available. Partnership between the students, the student's congregation and the program is encouraged. A Financial Aid Application is available online at https://diakoniafl.org/sch-of-lay-min-forms-1
Send all paper applications and registration payment checks to:
Ed Bornman, c/o St John Lutheran Church, 1600 S. Orlando Ave., Winter Park, FL 32789
Verification
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