Interest Form Bethel Extension Site at the St Mark School of Ministry Name * First Name Last Name Email * Cell Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Birthdate MM DD YYYY Year of High School Graduation * 2024 2025 2026 2027 2028 2029 2030 Degree of Interest: B.A. = Bachelor of Arts | B.S. = Bachelor of Science | A.A. = Associate of Arts * Select a degree from the dropdown menu below. AA in Ministry Leadership AA in General Studies BA in Business Marketing BA in Ministry Leadership BA in Worship Arts BS in Behavioral & Social Science Other Tell us about yourself * Tell us about your story of faith * Intended Start Date/Year * MM DD YYYY Parent Name * First Name Last Name Parent Email * Parent's Cell Phone * (###) ### #### Shirt Size (Select one) * Adult S Adult M Adult L Adult XL Adult 2XL Adult 3XL E-signature (type your name) * Thank you for submitting your interest form! Pastor Kristen will connect with you soon.