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 Country
Conference*
Which conference are you a part of?
Other 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 candidate
- No, I am not a certified candidate
Predominant Racial/Ethnic Background:
Optional (This information will be used only in accordance with the Title IX of the Education Amendments of 1972.)
Predominant Racial/Ethnic Background: Other
How do you identify your racial/ethnic background.
Language
Many 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.
Email
This field is for validation purposes and should be left unchanged.

2021 WJ Licensing School Enrollment Form

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