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Ezra Institute - Bryan College - Credit Sign-Up
Hello, Ezra Institute student! To take advantage of the college credit option for your Summit Summer Conference, please use this form to submit the needed information to Bryan College (Dayton, TN).
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Email
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Your email
What Ezra Institute program are you attending? Please select the correct option below.
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Cultural Leadership Academy - Huntsville, AL (June 29 - July 8, 2024)
Worldview Youth Academy - Gatlinburg, TN (July 12 - July 18, 2024)
First Name
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Your answer
Middle Name
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Your answer
Last Name
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Email Address
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Your answer
Cell Phone Number
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Your answer
Anticipated High School Graduation (MM/YYYY)
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Your answer
Gender
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Female
Male
Prefer not to say
Birthdate (please type out below, include month, day, and year of your birth)
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Your answer
Social Security Number
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Your answer
Ethnicity
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American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Other:
For the Bryan College course (PHIL111: Contemporary Worldviews), how many credit hours would you like to sign-up for? (Please note that once the Form is submitted, you cannot change your credit hour amount; be sure you have reviewed the requirements for the differing amounts of credit.)
Note: If you are attending the Worldview Youth Academy, you are only eligible for the 1 credit hour option.
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3 credit hours (open to Cultural Leadership Academy participants only)
2 credit hours (open to Cultural Leadership Academy participants only)
1 credit hour
Acknowledgment of Cost for Credit: By checking the box below, you affirm your understanding that college credit through Bryan College costs $50 per credit hour. You also commit to paying this additional fee to Ezra Institute (who will then transfer payment to Bryan College).
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I affirm my understanding of the additional cost incurred for college credit, and I commit to paying it.
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