Non U.S. Citizen
Date of Birth
Applicants Mailing Address
How long have you been a Christian? Please include a date of Salvation.
Please give a brief account of when and how you became a Christian.
How are you presently serving the Lord?
What is your primary reason for attending this training?
If so, please briefly explain:
Please provide your Counselors Name, Organization Name, Phone, Address
Because we are dealing with the hearts of people, the school can, at times, be very intense. Personal responses to teachings and small group interactions may include, but is certainly not limited to, some of the following: expression of anger, prejudices & resentments, apprehension, anxiety, insomnia, depression, dissociation, etc. NOTE: if a crime is confessed in small group during the course of the school, the facilitator/leader of your small group will need to report it to the Director/Facilitator of the school. The Director/Facilitator of the school, in accordance with the laws of your state, may need to report it to the proper authorities. Because of time restraints, all of your personal life issues will not be dealt with during the course of the school. This is a life-long process. However, we do give you the tools to pursue further healing and you may want to pursue further ministry once the school is complete. If you feel there are already significant life issues that need to be addressed, ministry or counseling prior to your enrollment in the school is advisable and always beneficial. If you have been seeing a counselor, we ask that you discuss the school with your counselor and receive their approval. (A consent form will be sent to you in order to have your counselor sign.)
I fully understand and accept the school enrollment information and requirements outlined in this application.
I respectfully submit my application. I agree to respectfully abide by the determination of His Whole House as to the suitability of my attendance at this time. I agree to indemnify and hold His Whole House, Elijah House and the host facility harmless for any of my personal responses to the teachings and small group time during the school. I also agree to indemnify and hold His Whole House, Elijah House and the host facility harmless for any costs in time, travel, accommodations, or other incidentals, should the school be canceled, my acceptance be delayed, or I am asked to discontinue the course to seek ministry before continuing at another time.
By checking this box I testify that all information provided on this form is true, that I accept the terms of enrollment, and will provide sufficient funds in a timely manner for my participation in the school.
Thank you for applying for an Elijah House Course! Someone will respond with more information within 72-hours or less!