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Philadelphia Council of Clergy
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Student Registration
Complete the form below. Your registration is emailed directly to the program office.
First Name *
Last Name *
Email *
Phone *
Mailing Address
Church / Ministry Affiliation
Years in Ministry
Payment Option *
— Select —
Pay in Full — $1,500
3 Payments of $500
5 Payments of $300
Deposit Only ($150) — arrange balance with office
Preferred 1-on-1 Zoom Session Time *
— Select —
Weekday mornings
Weekday afternoons
Weekday evenings
Saturday
Why are you answering the call to Chaplaincy?
Submit Registration ✝
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to complete it. God bless!