This form is the first step to enrolling in a class or degree program. When complete you will be directed to the shopping cart where you can choose to pay for the entire program or the "Pay As You Go" method. Your payment will trigger the course shipment and the third step which will come directly from Faith Counseling via email.

Title
Dr.Rev.PastorMr.Mrs.Ms.
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First Name (*)

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Middle Initial

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Last Name (*)

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Mailing Address (*)

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City (*)

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State (*)

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Zip (*)

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Main Phone

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Cell Phone

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E-mail

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Please note that when we email you the subject will be Faith Counseling and Training. Please check your spam folder as some emails may be sent there by mistake.

Gender
MaleFemale
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Are you a born again Christian (*)
YesNo
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Clergy Status (*)
None of TheseCommissionedLicensedOrdained
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Choose Program (*)
Creation TherapyCertificate OnlyLicenseLicense, A.A., B.A., M.A.License, B.A., M.A.License & M.A.License & Ph.D.License & 2nd Ph.D.
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Current Occupation

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Are you a Convicted Felon (*)
YesNo
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Why are you enrolling in this program

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A full enrollment form with instructions will be sent after you order your first class. When you click on the submit button you will be directed to the 2nd step, which is ordering your first class. Locate the enrollment and first class option and click add to cart. then click the cart / check out button to the left. You can make your payment with a paypal account, credit card or check card through the secure paypal site. After your payment is received we will contact you directly and ship your first class

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