Registration Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Choose The Class Session You Wish to Attend(Required)

Church Affiliation (If Applicable)

Name of Church Attending

Pastor's Name

Are you currently active in the ministry? Type in the below line, Yes or No

If yes, in what capacity? i.e., deacon, mother of the church, pastor, bishop, admin, worship leader or choir and etc.....

Emergency Contact(Required)

Emergency Contact Name, Relationship to you, Phone Number

Personal Statement(Required)

Briefly describe why you are interested in attending the School of the Prophetic and what you hope to gain from this experience.

Disclaimer & Acknowledgment(Required)

Check both boxes to acknowledge you read and understand the below disclaimer.

I understand that the School of the Prophetic is not an accredited institution, and the Certificate of Completion I receive is for spiritual and personal development purposes only.

I affirm that the information I have provided is accurate to the best of my knowledge.

Type Digital Signature(Required)

Type in your Name to confirm the above information is true and have full disclosure. We will not share your information with anyone or any third party,

First Last

Date(Required)

Printable Version of Above Application