New Site Inquiry
Primary Contact Information
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Role at Church/Organization
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Administrative Assistant
Assistant Site Director
Board Member
Church Member
Church Staff Member
Senior Pastor
Site Director
Staff
Student
Student Support Coordinator
Other
Role
Church / Organization Information
Is your Church/Organization based in the United States?
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Yes
No
Church / Organization Name
Website
Country
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas (the)
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Antarctic Territory
British Indian Ocean Territory (the)
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Byelorussian SSR
Cabo Verde
Cambodia
Cameroon
Canada
Canton and Enderbury Islands
Cayman Islands (the)
Central African Republic (the)
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands (the)
Colombia
Comoros (the)
Congo (the Democratic Republic of the)
Congo (the)
Cook Islands (the)
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
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Czechoslovakia
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Denmark
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Dominican Republic (the)
Dronning Maud Land
East Timor
Ecuador
Egypt
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Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (the) [Malvinas]
Faroe Islands (the)
Fiji
Finland
France
France, Metropolitan
French Afars and Issas
French Guiana
French Polynesia
French Southern and Antarctic Territories
French Southern Territories (the)
Gabon
Gambia (the)
Georgia
German Democratic Republic
Germany
Ghana
Gibraltar
Gilbert and Ellice Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonal Islands
Holy See (the)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Johnston Island
Jordan
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Kenya
Kiribati
Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
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Latvia
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Liberia
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Martinique
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Netherlands Antilles
Neutral Zone
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Pacific Islands (Trust Territory)
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Panama
Panama Canal Zone
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Rwanda
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Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
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Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
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Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
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Sikkim
Singapore
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Slovakia
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South Georgia and the South Sandwich Islands
South Sudan
Southern Rodesia
Spain
Sri Lanka
Sudan (the)
Surinam
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Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan (Province of China)
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
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Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands (the)
Tuvalu
Uganda
Ukraine
United Arab Emirates (the)
United Kingdom of Great Britain and Northern Ireland (the)
United States Minor Outlying Islands (the)
Unites States Miscellaneous Pacific Islands
United States of America (the)
Upper Volta
Uruguay
USSR
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Viet-Nam, Democratic Republic of
Virgin Islands (British)
Virgin Islands (U.S.)
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Wallis and Futuna
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Yemen, Democratic
Yugoslavia
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Street Address
City
State
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Alabama
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State / Province
Zip / Postal Code
Pastor/Leader First Name
Pastor/Leader Last Name
Pastor/Leader Email
Tell us about your Church / Organization
Mission Statement
With what denomination, association or network do you affiliate or identify?
Church Member Size?
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1 - 250
250 - 500
500 - 750
750 - 1000
1000 - 1500
1500 - 2000
2000 - 3000
3000 - 4000
4000 - 5000
5000 - 10,000
10,000 - 20,000
20,000 +
High School / College / Young Adult Size
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1 - 50
50 - 100
100 - 200
200 - 300
300 - 400
400 - 500
500 - 750
750 - 1000
1000 - 2000
2000 +
N/A
Currently, do you have a college internship program?
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Yes
No
Please describe your current student enrollment, scope, purpose
Currently, do you have an existing educational partnership with another accredited or non-accredited college?
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Yes
No
Educational Partner:
Do any of your pastors or staff have a graduate degree(s) / Master's or higher?
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Yes
No
Why are you interested in an educational partnership with SEU?
How did you hear about the SEU partnership program?
What semester year would your site be looking to launch in?
Fall 2024
Fall 2025
Undecided
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