Theological School Community Fellow Application/Registration Form Theological School Community Fellow Theological School Community Fellow First Name * Last Name * Student ID Number (If applicable) * Students that have been a member of the Drew academic community have been given an Identification Number upon acceptance in their first term. Please enter that number here. If you do not remember your ID Number, please indicate so by typing NA. Have you taken a Drew University Theological School course as a Community Fellow prior to this upcoming semester? * Yes No Birth Date * Please add your birth date in the following format: ##/##/#### Email Address * Street Address * Please enter your Street Address including Number and Street Name City * State * Course(s) Selected (number, title, instructor) * EX: TPHL 501, Systematic Theology, Dr. Keller Tuition Amount * $300 (1 course) $600 (2 courses) Tuition is $300 per course (once admitted as a Community Fellow) Please make checks payable to Drew University. Theological School Academic Dean Please do NOT delete E-Signature - By submitting your E-Signature you are agreeing to pay the funds necessary to register for a course under the designation: Community Fellow. In order to complete this process you will need to schedule an interview with Amy Beth Jones, Director of Lifelong Learning at the Drew Theological School. The process of finalizing your registration may take up to 5-7 business days. You will receive email notification to the email listed above once the process has been completed. This email will also contain information on next steps. By submitting your E-Signature you are agreeing to all information stated on this page. * Please include your first, middle initial (if applicable) and last name.