2021 Enrollment Form 2021 WJ Licensing School Enrollment Form This is the enrollment form for the 2021 session of the Western Jurisdiction Licensing School. In addition to this online form, if you have not already mailed in a registration form and your fees, you will need to download and complete the new Signatures and Fees Form. We must receive your payment of the $900 course fee before you can begin classes in May. The link for the current form is on the registration page. Name* First Middle Last Registration and fees:*Please select one of the following I have already registered and paid. I am beginning the registration process with this form Today's Date* MM DD YYYY Email*Email is our primary method of communication, please use an email address that you check regularly. If you do not have an email account there are a number of free services such as gmail and hotmail that will allow you to set one up. Please set up an account before you finish registering. Enter Email Confirm Email Phone*What is the best number to reach you (cellphone preferred).Date of Birth* MM DD YYYY Address*Please enter your mailing address if it is different than your physical address. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Conference*Which conference are you a part of?Alaska MissionaryCalifornia-PacificCalifornia-NevadaDesert SouthwestMountain SkyOregon-IdahoPacific NorthwestOther ConferenceOther Conference*Please list the conference and jurisdiction you are attending from, example (North Georgia; Southeastern).District*Please list your district eg South or River.Are you a Certified Candidate for Ministry in the UMC?*In order to be eligible for appointment as a Licensed Local Pastor you must be a certified candidate for ministry in your conference.Yes, I am a certified candidateNo, I am not a certified candidatePredominant Racial/Ethnic Background:Optional (This information will be used only in accordance with the Title IX of the Education Amendments of 1972.)American Indian or Alaska NativePacific IslanderAsianAfrican AmericanHispanicWhite/non-HispanicOtherPredominant Racial/Ethnic Background: OtherHow do you identify your racial/ethnic background.LanguageMany of our students speak English as a second or third language. Please let us know your first language, or the language you use the most in your day to day life.EmailThis field is for validation purposes and should be left unchanged. Share this:TwitterFacebookLike this:Like Loading...