MESOM Registration January Term - Maine Conference United Church of Christ

Student Information

Student's Name *

First

Last

Email Address *

Would you like to receive email updates from the Maine School of Ministry? *

Yes
No

This is in addition to any official communications regarding your enrollment or your course(s).

Primary Phone Number *

Is this a cell phone number? *

Yes
No

Would you like to receive occasional text updates from the Maine School of Ministry? *

Yes
No

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Have you attended a MESOM Course with us previously? *

Yes
No

How did you hear about the Maine School of Ministry? *

Other - How did you hear about the Maine School of Ministry? *

Briefly describe how/where you heard about the Maine School of Ministry

Which of the following best descibes you? *

Other - Which of the following best describes you? *

Briefly describe your classification (e.g. your title, role, profession, etc.)

Payment Options

January 2025 - UCC Polity, History, and Theology Tuition *

2025 Maine-Local Subsidized Tuition UCC Polity, History, and Theology - $ 350.00
2025 Beyond-Maine Tuition UCC Polity, History, and Theology - $ 500.00

Deadline to register December 4, 2024

Scholarships are available for Maine students with demonstrated need. Would you like to apply for a partial scholarship? *

Yes
No

An application form for scholarship assistance must be completed and submitted to the Dean, Malcolm Himschoot by Dec. 4th. Email mhimschoot@maineucc.org to request a form.

Method of Payment *

Credit/Debit Card
Check (Mail-In)

Select your method of payment, all outstanding payments are due prior to the first course meeting.

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Total

$ 0.00

Registration for the Maine School of Ministry

Student Information

Payment Options

Maine Conference Office

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