Raw Score for this Application: 23 out of 33 - 69.696969697% <br /><br/>Q1. Have you completed Foundations in Christianity?  <br/><input type="radio" id="595" value="595" name="1" checked="checked"> <label for="595"> Yes  </label><br />
    <input type="radio" id="596" value="596" name="1" checked=""> <label for="596"> No </label><br />
    <br />Q2. Have you completed Foundations in Priesthood?  <br/><input type="radio" id="597" value="597" name="2" checked="checked"> <label for="597"> Yes </label><br />
    <input type="radio" id="598" value="598" name="2" checked=""> <label for="598"> No </label><br />
    <br />Q3.   Do you have a personal/ministry website? If so, please provide the web address. (Example: http://www.me.com)  <br/> <input type="text" name="3" value="http://hello.com" size="40" /><br/>
      <br />Q4.  Do you have a Twitter account?  If so, please provide it below. (http://www.twitter.com/yourtwittername)  <br/> <input type="text" name="4" value="http://www.twitter.com/twitfy" size="40" /><br/>
      <br />Q5.    Do you have a Facebook account?  If so, please provide it below.   (http://www.facebook.com/username)  <br/> <input type="text" name="5" value="Input" size="40" /><br/>
      <br />Q6.    Do you have a LinkedIn account?  If so, please provide it below.  (http://www.linkedin.com/username)  <br/> <input type="text" name="6" value="Input" size="40" /><br/>
      <br />Q7.   Do you have access to a computer for the completion of the MIT coursework?  <br/><input type="radio" id="603" value="603" name="7" checked="checked"> <label for="603"> Yes </label><br />
    <input type="radio" id="604" value="604" name="7" checked=""> <label for="604"> No </label><br />
    <br />Q8.     Highest level of education?  <br/>Doctorate<br/><br />Q9.  Name, Location, and Years attended. (High School) (From: MM/YYYY-To: MM/YYYY)  <br/>
            
<table border="1" cellpadding="1" cellspacing="0" ><thead>
	
	<tr>
		<td><b>SCHOOL’S NAME</b></td>
        <td>
		<b>SCHOOL’S CITY, STATE</b></td>
		<td>
		<b>FROM:</b></td>
		<td>
		<b>TO:</b></td>
		<td>
		<b>FIELD OF STUDY:</b></td>
		<td>
	   <b>	DEGREE/DIPLOMA:</b></td>
	</tr> </thead></tbody>
            

	<tr>
		<td>
	  <b> 1</b> -  Penn State Univ   <br />
</td>

      


      	<td>
	City: College Park}<br />

       State:<br /></td>

		<td>


 Month: 4<br />  

Day: 13<br />

Year: 1965
 <br />

</td>
		<td>

Month:10 <br />

Day: 16<br />

Year: Mechanical<br />  </td>
		<td>
	 Mechanical</td>
		<td>
	  BS</td>
 	</tr>    

	<tr>
		<td>
	  <b> 2</b> - Bowling Green   <br />
</td>

      


      	<td>
	City: City C}<br />

       State:<br /></td>

		<td>


 Month: 2<br />  

Day: 2<br />

Year: 1955
 <br />

</td>
		<td>

Month:7 <br />

Day: 7<br />

Year: Psychiatry<br />  </td>
		<td>
	 Psychiatry</td>
		<td>
	  BS</td>
 	</tr>    
            

</tbody></table>         
           <br /><br />Q10.   Do you have any licenses and/or certifications? (List Name, Date Certified, Expiration for each. )  <br/>
            
<table id="CERT" border="1" cellpadding="1" cellspacing="0" ><thead>
	
	<tr>
		<td >
		<b>NAME OF CERTIFICATION</b></td>
		<td >
		<b>DATE CERTIFIED/LICENSED:</b></td>
        	<td >
		<b>EXPIRATION (IF APPLICABLE):</b></td>

	</tr> </thead><tbody>
            

	<tr>
		<td >
	 Red Cros </td>






		<td>

   
 Month:   9    <br />

Day: 13  <br />

Year: 1965 <br />

</td>
		<td>

Month:10
       <br />

Day: 30
          <br />

Year:   1969
 </td>

	</tr>    
            </tbody>

</table>         
           <br /><br />Q11. Have you ever been convicted of a crime?  <br/><input type="radio" id="613" value="613" name="11" checked=""> <label for="613"> Yes </label><br />
    <input type="radio" id="614" value="614" name="11" checked="checked"> <label for="614"> No </label><br />
    <br />Q12.   Do you have any pending litigation?  <br/><input type="radio" id="616" value="616" name="12" checked=""> <label for="616"> Yes </label><br />
    <input type="radio" id="617" value="617" name="12" checked="checked"> <label for="617"> No </label><br />
    <br />Q13.     If you answered yes to questions #11 and/or #12, please explain. (include year of conviction and/or pending litigation).  <br/>
                    <textarea rows="3" name="13" cols="50" style="margin-right: 40px; vertical-align: middle;"></textarea>
        <br /><br />Q14.   Have you ever served in the military?  <br/><input type="radio" id="618" value="618" name="14" checked="checked"> <label for="618"> Yes </label><br />
    <input type="radio" id="620" value="620" name="14" checked=""> <label for="620"> No </label><br />
    <br />Q15.    If you answered yes to question #14, in which branch did you serve? <br />(Ex. AIR FORCE, ARMY, NAVY, MARINES, COAST GUARD, NATIONAL GUARD)  <br/>
            
<table cellspacing="0" cellpadding="1" border="1"   id="MILT"><thead>
	
	<tr>
		<td>
		<b>NAME BRANCH OF SERVICE</b></td>

       <td>
		<b>HIGHEST RANK</b></td>

		<td>
		<b>DATE ENTERED:</b></td>

	<td>
		<b>DATE DISCHARGED:</b></td>

		<td> 
		<b>TYPE OF DISCHARGED:</b></td>

		<td>
	   <b>	DD214 NUMBER:</b></td>

	</tr> </thead><tbody>


	<tr>
		<td>
	  <b> 1</b> - Army</td>
  


 	<td>
	 </td>

		<td>


 Month: 2  <br />

Day: 3<br />

Year: 1955

</td>
		<td>

Month:7<br />

Day:9 <br />

Year:1957 </td>
  	<td>

    Clemency
       </td>
	<td>
	  484848</td>

	</tr>    
            

</tbody></table>         
            
           <br /><br />