LiFE Light School Application Form

Note: If you have filled out this application before, please feel free to fill out only those sections, apart from your name, that have changed since the last time you filled it out.
Contact Information
Name
First Last
Email
Home Phone
Cell Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Personal Details
Gender
Birth Year
MM slash DD slash YYYY
Home church (if applicable)
Marital Status
School Details
School Starting Date:
How did you become interested in the area of healing?
In what way do you think or hope this School will help you?
Please provide brief details if you have been, or still are, involved with any other healing-related ministry in terms of ministering with them or taking instruction from them.
Are you involved in any non-healing related ministries in your church or elsewhere? If so please provide brief details.
What type of careers or professions have you been in?
How did you hear about us?
hCaptcha*

Contact Information