First Name Middle Name Last Name Gender Male Female Date of Birth Email Local Church Membership Pastor's Name How did you find out about the Summer SALT Intensive? What are your main objectives in participating in Summer SALT? Please make your $99.00 check payment to: Southern Adventist University Memo: SALT Address to: SALT School of Religion Hackman Hall, Suite 112 4960 Colcord Drive Collegedale, TN 37315