M W L S

Elevate your UU experience. Take the leadership leap.

 

JULY 15-21 2018

Luther College
Decorah Iowa

 

: Adult MWLS 2018

1mwls Talk to your congregational leaders. Find out what portion of the fees you will be responsible for.

  • PARTIAL payment
  • FULL payment
  • none - congregation will pay total

2 Fill out the online form BEFORE JUNE 1.

3 Checkout. You may choose Mail in Payment or Pay by Credit Card.

4 Mail your letters of recommendation BEFORE JUNE 1.

5 Notify your congregation that you have registered and ask them to complete the Congregation Form. They can pay their portion online by credit card or by mailing a check.

6 Mail final payment to arrive before June 1.

Make check out to “MidAmerica Region”
with confirmation number on memo line.

MAIL ALL CHECKS AND DOCUMENTS TO:

MidAmerica Region UUA
2355 Fairview Ave N. #312
Roseville, MN 55113

Attn: MidWest Leadership School

ADULTS REGISTER NOW:

YOUR INFORMATION
Please create a login account so you can access your registration to pay a balance.
Username
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Password
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Confirm Password


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I am either an ordained minister or a ministerial student in candidate status.:
yes  no  
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Title:
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Cell Phone:
Email:
Confirm Email:

NOTE: Due to the College’s housing system, we must house people in the male/female gender binary. Please indicate with which gender you feel the most comfortable being housed.
With which gender group would you feel most comfortable being housed?:
female  male  
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Please describe physical accessibilty needs, if any::
Food preference - check all that apply:
OmnivoreVegetarianVeganGluten-Free
Please list allergies, if any (If NONE, leave BLANK)::
Other allergies or considerations you would like us to be aware of?:
T-shirt Size:
SmallMediumLargeXLarge2XL3XL4XL

Emergency Contact Name:
Relationship:
Home Phone:
Work Phone:
Cell Phone:

Leadership Role with your congregation::
Congregation:
SCHOLARSHIP:
Yes I'd like to request a scholarshipNo


Individual providing your letter of recommendation:
Reference Name:
Reference E-mail:

PHOTO RELEASE:
The undersigned hereby authorizes or ratifies MidWest Leadership School (MWLS) and/or Youth MWLS (YMWLS), their agents or employees, to use my photographic/video images for purposes of publicity and other promotional, non-profit uses.
This consent extends to the editing of the images to the extent necessary for normal production purposes, provided that the intent of the images is not altered.
This consent shall act to expressly release from liability MWLS/YMWLS and the component parts as well as its employees. The meaning and purpose of this consent has been fully explained to me.
If I consent, I will type my signature in this box. If I do NOT consent, I will type DO NOT AUTHORIZE.
Photo release signature:

How did you hear about MWLS? (Check all that apply.):
Word of mouth
MWLS or other website
Facebook
Email
Poster at Church
Other

PAYMENT DETAILS

Please tell us your plans for payment. Remember, the applicant's $200 deposit is non-refundable and refunds for cancellation are considered on a case-by-case basis.

Please choose one.:
I will pay the full tuition, and my congregation will pay the congregational fees  
I will pay partial tuition, and my congregation will pay the remainder of the tuition plus the congregational fees  
My congregation is paying my full tuition plus the congregation fees  

Comments:
Whose name is on the check or credit card you're paying with?:
Person being registered  
Someone else's  
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Enter the Security Code:
I agree to the terms and conditions:
Read Terms & Conditions