Tantur Ecumenical Institute For Theological Studies
Application Form for Scholar’s Resident Program
Full name as in passport ...........................................................................................................................
Home Address: ..........................................................................................................................................
............................................................. Tel: ...................................................... Fax:.................................
Date of Birth ........................................ Nationality ..........................................
Email………………………………………………………………………………………………
I wish to apply for : Scholar’s Resident Program…………………
See Costs under Scholar’s Program for cost structures
Name, address, phone/fax of person(s) to be contacted in case in emergency:
Current employment,
Institution/Employer………….. ……… Position………………..
Religion/Church/Community of primary loyalty: ....................................................................................
Personal Information
Special Health Problems ...........................................................................................................................
Special Diet Requirements .......................................................................................................................
Signed .............................................................................................................. Date ...............................
Please attach one passport-size photograph and forward a copy of the details page of your
passport to apohlen@tantur.org
Tantur Resident Scholar
Please attach curriculum vitae which includes:
1.
2.
3.
4.
5.
University(ies)/seminary(ies)
Degrees, and years of conferrals
Dissertation topic(s)
Books and major articles, including place and date of publication
Brief outline of projected research at Tantur