Associated School Membership Application

Name of Institution

Type of Institution:

College or University

Theological Seminary or Graduate School

Professional School (i.e. Bible College)

Program Contact

Please enter the information below for your institution's appointed program contact.

First Name

Last Name

Program Contact - Email Information

Billing Contact

Please enter the information below for your institution's appointed billing contact.

First Name

Last Name

Global Studies Contact

Please enter the information below for your institution's appointed global studies office contact.

First Name

Last Name

Consortium Agreement

Please sign and upload the consortium agreement.

In submitting this application, we declare that this institution is in agreement with the goals and activities of Jerusalem University College.