Class of 2023: Student Information FormClass of 2023: Student Information FormIn order to confirm your tuition cycle preference for next year, please fill out this form as soon as possible. It is a great help to our administrative team in the re-enrollment process for Year 2. Thank you in advance! Student Information First Name * Last Name * Email * Which ESM Campus do you attend? * Main Campus - Brighton Online Campus Akron Augusta Cincinnati DC Doylestown Green Bay Indianapolis Lexington Los Angeles New Jersey Omaha Palm Beach SeattleYear 2 Student InformationWhat tuition cycle would you like to follow for Year 2? * Quarterly ($250 USD) Annual ($900 USD) I am not continuing onto Year 2Do You Need to Transfer Campuses? * No YesIf yes, please fill out the Student Transfer Request below: Name * Name First First Last Last Email * Phone * Campus * Main Campus - Brighton, MIOnline Campus - EnglishOnline Campus - SpanishOnline Campus - FrenchAkron, OHAugusta, GABoston, MABrisbane, AustraliaCharlevoix, MIChicago, ILCincinnati, OHDallas, TXDoylestown, PAEdmonton, ABFairfiled County, CTGreen Bay, WSIndianapolis, INKansas City, KSKingston, CanadaLafayette, LALexington, KYLos Angeles, CANew JerseyOmaha, NEOttawa, CanadaPalm Beach, FLPanama City, FLPortland, ORSeattle, WAWashington, DCWichita, KSWorcester, MA What has led to the decision to withdraw from the Encounter School of Ministry? * Travel Distance to Campus Financial Difficulties Issue with Content Unhappy with Instructor(s) / Facilitator Difficulty Navigating Zoom Technology OtherOtherWhen would you like this change to become effective? * Immediately End of Quarter 1 End of Quarter 2 End of Quarter 3 End of Quarter 4 End of Quarter 5 End of Quarter 6 End of Quarter 7 Student Information First Name * Last Name * Email * What year are you in the program? * Year 1 Year 2What tuition schedule did you select? * Annual Quarterly Current Campus InformationWhat campus do you currently attend * Main Campus - Brighton, MI Online Campus - English Online Campus - Spanish Online Campus - French Online Campus - German Akron, OH Augusta, GA Boston, MA Brisbane, Australia Charlevoix, MI Chicago, IL Cincinnati, OH Dallas, TX Doylestown, PA Edmonton, AB Fairfiled County, CT Green Bay, WS Indianapolis, IN Kansas City, KS Kingston, Canada Lafayette, LA Lexington, KY Los Angeles, CA Mexico City,Mexico New Jersey Omaha, NE Ottawa, Canada Palm Beach, FL Panama City, FL Portland, OR Seattle, WA Washington, DC Wichita, KS Worcester, MAWho is your current facilitator? * I don't have an assigned facilitator yetWho is your current facilitator? * B. Lombardi T. Philip S. Miller S. Hadjis Fr. Nolte A. Kohler T. Stephens W. Smiley M. Friel C. Smiley C. Anderson M. Biagi M. BrennanTransfer Information**If you are an online student requesting a change to your class time / day, please select Online Campus**Which campus would you like to transfer to? * Main Campus - Brighton, MI Online Campus - English Online Campus - Spanish Online Campus - French Online Campus - German Akron, OH Augusta, GA Boston, MA Charlevoix, MI Chicago, IL Cincinnati, OH Dallas, TX Doylestown, PA Fairfiled County, CT Green Bay, WS Indianapolis, IN Kansas City, KS Kingston, Canada Lafayette, LA Lexington, KY Los Angeles, CA Mexico City, Mexico New Jersey Omaha, NE Ottawa, Canada Palm Beach, FL Panama City, FL Portland, OR Seattle, WA Washington, DC Wichita, KS Worcester, MAWhat zoom day / time would you like to be transferred into? * Wednesday, 1pm (ET) Thursday, 1pm (ET) Thursday, 7pm (ET)What zoom day / time would you like to be transferred into? * Tuesday, 1pm (ET) Tuesday, 7pm (ET) Wednesday, 7pm (ET)What zoom day / time would you like to be transferred into? * Wednesday, 7pm (Central European Time) Thursday, 8pm (Central European Time)What zoom day / time would you like to be transferred into? * Tuesday, 11am (ET) Tuesday, 1pm (ET) Tuesday, 7pm (ET) Wednesday, 2:30pm (ET) Wednesday, 8pm (ET) Wednesday, 9:30pm (ET) Thursday, 11am (ET) Thursday, 1pm (ET) Thursday, 7pm (ET) Thursday, 9pm (ET) Friday, 12pm (ET)What zoom session day / time would you like to be transferred into? Tuesday, 1pm (ET) Tuesday, 7pm (ET) Tuesday, 9pm (ET) Wednesday, 1pm (ET) Wednesday, 7pm (ET) Thursday, 1pm (ET) Thursday, 2:30pm (ET) / 7:30 (IST - Ireland) Thursday, 7pm (ET) Thursday, 9pm (ET) Friday, 11am (ET) Friday at 9pm (ET) / 11pm (QLD - Australia) What email is associated with your zoom account? * Why are you requesting this change? * If you are human, leave this field blank. SubmitΔ