2014-2015 Study Leave for Ministry Professionals -
Sept. 29-Oct. 3, 2014

Duke Divinity School invites ministry professionals of all traditions to refill their spiritual wells through self-directed study, worship and prayer on the beautiful Duke University campus.
Please Enter Your Details Below 
Title
First Name
Middle Initial
Last Name
Suffix
Alternate Name for Name Badge
Organization
Congregation
Position
Address Line 1
Address Line 2
City
State
ZIP Code
Work Phone (xxx.xxx.xxxx)
Home Phone
Cell Phone
Email Address
If you attended seminary, where did you graduate?
UMC Clergy only: Conference
UMC Clergy only: District
= required field

Additional Information
Please provide the following additional demographic information. While this information is not required, it helps us to better understand our constituents.
Denominational Family
Primary Denominational Affiliation
How many times have you attended Study Leave?
How did you hear about this event?
If you are a DDS graduate, what year did you graduate?
Ethnicity
Gender
Registration
Registration Details
 Registration Type Fee
Nonrefundable fee ($100)    

Full Tuition ($550)    
Scholarship Tuition ($0)    

If you selected the Scholarship Tuition above, please select ALL of the boxes below that pertain to your eligibility:
I serve a church eligible for grants from The Duke Endowment Am I eligible?  
I serve a church in the Western North Carolina Conference    
I am a Spirited Life Group 3 participant Am I eligible?  

Early Arrival Options
Extend your stay by arriving a day early. If you are eligible for a Study Leave scholarship (criteria are listed above), you may select the discounted rate for early arrival.

Sunday Arrival ($105)    
Scholarship Sunday Arrival ($55)    

Late Departure Options
Extend your stay by leaving a day after the program ends. If you are eligible for a Study Leave scholarship (criteria are listed above), you may select the discounted rate for late departure.

Saturday Departure ($105)    
Scholarship Saturday Departure ($55)    
Topic Description
Please describe in fewer than 200 words the topic you wish to study. This information enables us to assist you in prearranging aspects of your time at Duke. You are welcome to change your topic at any time.

Special Needs
Please describe any dietary restrictions or special requests for accommodations or transportation.
Special Needs
  Details Date   Fee Total
FOR OFFICE USE ONLY