___ THREE-YEAR PROGRAM
___ TEACHER TRAINING PROGRAM
___ MEDIUMSHIP PROGRAM
NAME ________________________________________________________
ADDRESS:__________________________________________________________________________________________________________________
DATE OF BIRTH_____________________________
TELEPHONE NUMBER __________________
TELL US HOW THE SCHOOL CAN SUPPORT YOU._________________________________________________________
__________________________________________________________________________________________________________________________
BRIEFLY DESCRIBE YOUR SPIRITUAL PATH THUS FAR. INCLUDE NAMES OF AUTHORS OR PEOPLE SIGNIFICANT IN YOUR SPIRITUAL GROWTH. HOW
HAVE THEY HELPED YOU?
________________________________________________________________________________________________________________________________________________________________________________________
PLEASE INDICATE ANY SPECIAL NEEDS YOU MAY HAVE. THIS CAN BE PHYSICAL, EMOTIONAL, OR SPIRITUAL.
INCLUDE A SNAPSHOT OF HEAD ONLY, PLEASE.
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Or you can call us at 713-451-4476 to request a brochure and/or an application.