Registration 

Request Information

To request an information packet about WOLSM, please answer the following questions and then submit your request. Your request will be processed the next business day and an Admissions Counselor will be in contact with you soon. The more information provided will help the staff in processing your request.

Personal Information

First Name:
Middle Initial:
Last Name:
Date of Birth:	(MM/DD/YYYY)
Sex:	Male Female
Home Address
Street:
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
Work Phone:
Email Address:
Current Employer:
Employer's Address:

Are you a United States Citizen?	Yes No
Are you a veteran?	No Yes

How did you hear about WOLSM? (Your response is greatly appreciated) (Please select one) Radio Ad Minister/Pastor Church or other ministry Word of Life website CrossMap CrossSearch Friend or relative Google search results Google "Sponsored Links" Word of Life Christian Center (Delaware) Other (please specify below) Other Search Engine Other "Sponsored Links" MSN MSN "Sponsored Links" Yahoo! search results Yahoo! "Sponsored Links"

If other, please explain:

Educational Information

Include high school name, location and year of graduation. Also list all other educational institutions attended beyond high school, if applicable (e.g., college, university, nursing or business school). Include dates you attended, major, credits/diploma/degree earned and year of graduation.

 

Check area(s) of interest Biblical Studies Christian Arts Christian Counseling Christian Entrepreneurship Christian Leadership Divinity Divine Healing     Intercession Ministry Missions & Evangelism Prophetic Ministry Theology Worship Ministry Youth Ministry

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