2008 In-Service Courses Application 

(course selection is at the bottom of the form)


 

 Last Name  Suffix: e.g. Jr, Sr, II   E-mail Address

 First Name    Middle Name (Required)  Title

 Maiden Name   Male Female    Birth date (m/d/y)

Address CityStateZip(Required)

 Home phone#:   Social Security number including dashes   

  Are you married?  Yes          No 

Racial/Ethnic Origin:

Black, Non-Hispanic  Native American or Alaskan Native 
Asian or Pacific Islander Hispanic
White, Non-Hispanic Other

  Citizenship: U.S. Citizen     U.S. Permanent Resident (Resident Number)

    Your enrollment status is

 If you checked Synodical Certification or Synodical Re-Certification, please indicate your Area of Study:

What was your last year of enrollment at: DMLC   MLC   NWC WLS

    If you are currently serving in a congregation, complete the following:

    Congregation      City/State  

Are you member of a WELS congregation?YesNo

    If YES, what is the name of the congregation?

What is your present occupation?

Are you a student at another institution? YesNo
    If yes, what is the name of the institution?

Are you a college graduate? Yes  No
    If yes, what is the name of the institution?
    Month/Year of graduation:

Have you graduated from high school?    If yes, provide Name, City, State: 

Do you have a valid state teaching license?   If yes, for which state?

Have you applied for entrance into the MLC Graduate Program?YesNo

What is your purpose for taking this course?

   Course Registration. Course tuition is $210/credit (Graduate @$225/credit). 

    Course 1:       

    Course 2:      

    Course 3:        

 

    Tuition and  Fees:

Item Fees
Tuition $210/Undergraduate credit
 
Registration Fee  $10
Particular workshops may have additional fees  

Upon receipt of your InService Courses Application, your tuition, fees,
housing, and meal plans, etc., will be calculated, and a bill will be forwarded to the mailing address given above. 
We are not able to process payment by credit card - we apologize for any inconvenience this may cause.
   

Registration Deadline is May 26, 2008
Course cancellation decisions will be made on May 27, 2008

Payment in full is due June 1, 2008. If you need an extension, contact Julie Balge, the Administrative Assistant to the Office of Continuing Education. 
When you click "submit" (just below), you will receive an email confirmation that your application has been received.
if  you do receive this email confirmation, please report the problem to : balgejl@mlc-wels.edu   

                 Last updated 10-19-2006