Online Application Short Term Residency Application Please complete the following online application. If you have any questions or experience technical difficulties please email staff@CollegevilleInstitute.org. Proposed Period of StayWe are currently accepting applications for short term residencies between September 6, 2022 and April 28, 2023. PLEASE NOTE: Specific dates will be finalized in conversation with the Program Manager. Start Date*Please enter your desired start date, which must be between September 6, 2022 and April 28, 2023. Month Day Year End Date*Please enter your desired end date, which must be between September 6, 2022 and April 28, 2023. Month Day Year Personal DetailsName* First Middle Last Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number*Phone Type--Mobile/CellularHomeWorkOtherWhat type of phone number did you list above?Email Address* Enter Email Confirm Email Country of Birth--AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCountry of Citizenship--AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweGender Religious / Denominational Affiliation Institutional Affiliation Current Position or Title Family DetailsMarital Status--SingleMarriedDivorcedWidowedName of Spouse First Last Spouse at Collegeville InstituteWill your spouse be accompanying you to the Collegeville Institute? Yes No Accompanying ChildrenPlease list the number of children who will accompany you during your stay at the Collegeville Institute.012345Accompanying Children DetailsNameDate of Birth (MM/DD/YYYY)Gender Please list the name, date of birth, and gender of any children who will accompany you while at the Collegeville Institute. Use the circular ”+” button on the right to add additional lines.Proposed ProjectPlease provide a typed statement of the work project you propose to pursue while at the Collegeville Institute. The statement should include three parts: TITLE, 20 words maximum; PRECIS of the project, 100 words maximum; DESCRIPTION of the project, 1000 words maximum. Click browse to select a file to upload*Accepted file types: doc, docx, pdf, Max. file size: 20 MB.*(send by pdf or Word document)Proposed Project Title* Please list the title of your proposed project (as listed in the statement above.)Personal History DataPlease provide standard curriculum vitae information, including the following: Previous positions held; Educational data: institutions of higher education attended, dates, field(s) of study(s) degree(s); Previous sabbatical studies (if any): where, dates, topic(s) studied, grants received; Publications (books, articles, etc.); Membership in learned societies. Click browse to select a file to upload*Accepted file types: doc, docx, pdf, Max. file size: 20 MB.*(send by pdf or Word document)FellowshipsAre you applying for a fellowship? If so, please indicate which one.NoneKilian McDonnell Fellowship in Faith and CultureCollegeville Institute Pastoral FellowshipBishop Thomas Hoyt, Jr., FellowshipKilian McDonnell Fellowship QuestionsIn 500 words or less, please describe how your research addresses the relationships between religion and culture in today’s world. What is the relevance of your work for the contemporary religious setting? What are its areas of application for religious life?Click browse to select a file to upload*Accepted file types: doc, docx, pdf, Max. file size: 20 MB.*(send by pdf or Word document)Collegeville Institute Pastoral Fellowship QuestionIn 500 words or less please describe how your project aims to broaden or deepen religious life, either institutionally or individually, in North America. Click browse to select a file to upload*Accepted file types: doc, docx, pdf, Max. file size: 20 MB.*(send by pdf or Word document)Bishop Thomas Hoyt, Jr. Fellowship QuestionsIn 500 words or less, please describe how your research coalesces with the work of Thomas Hoyt, Jr., and identify the contributions your work will make to ecumenism and cultural research. Click browse to select a file to upload*Accepted file types: doc, docx, pdf, Max. file size: 20 MB.*(send by pdf or Word document)Letter of RecommendationIt is the responsibility of the applicant to request one letter of recommendation to be sent to the Admissions Committee of the Collegeville Institute by the application deadline. Recommenders may send their letter to the Admissions Committee by emailing staff@collegevilleinstitute.org with the name of the applicant in the subject line of the email, or by mail to Collegeville Institute, PO Box 2000, Collegeville, MN 56321. List the name, email address and physical address of your recommender below:Recommender Details*Recommender NameRecommender Email AddressRecommender Physical Address Terms and ConditionsThe Collegeville Institute is located on a wildlife refuge and is adjacent to a bird sanctuary and wetlands restoration area. As such, no pets are allowed, and all residents must follow posted regulations concerning these areas. • The Collegeville Institute is located adjacent to Stumpf Lake, regarding which no swimming, nor winter activities on the ice are permitted. • All residents and family members are urged to exercise caution when they are near the water/ice. • The Collegeville Institute is located in a rural area, and public transportation is very limited (almost non-existent). • The Collegeville Institute's indoor facilities are smoke-free. Accept Terms and Conditions* Yes No How did you hear about the Short Term Resident Scholars Program?--I am a past Collegeville Institute program participantReferral from past Collegeville Institute program participantThe Christian CenturyCommon WealSojournersBooks and CultureAmerican Academy of ReligionEmail/newsletterFacebookTwitterColleagueFamily or friendWebsite/search engineOther (please list below)If you are a past participant at the Collegeville Institute, please indicate program and year: Other If you answered "other" to the question above, please include details here.
