Please enable JavaScript in your browser to complete this form. – Step 1 of 2Student Attendance PlanName *FirstMiddleLastEmail *Username/Login *Password *Short Bio for ProfileShare a little information about yourself.AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long at this address in years?Mobile Phone *Home PhoneWork PhoneHow did you find the Supernatural School? *GoogleFacebook PageFacebook AdRedemption House Life CenterOtherOtherStudent Attendance Plan and PaymentChoose an Attendance Plan *Onsite Student ($233.33/mo)Online Student ($177/mo)Audit Student ($97/mo)Application fee of $25 will be collected today.Enter Your Payment Information *CardName on CardTotal$0.00NextEmergency Contact InfomationName of Emergency Contact *FirstLastEmergency Contact PhoneEmergency Contact RelationshipEmergency Contact EmailBackground InformationIs Redemption House Life Center your home church?YesNoIf not, where do you attend church?What are your spiritual passions?In what capacity are you currently serving?Tell us about your experiences with healings, miracles, signs, and wonders.Grant Information (optional)Birth DateMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleRaceWhiteBlack/African AmericanAsianAmerican IndianNative Hawaiian or Pacific IslanderAre you of Hispanic or Latino origin?YesNoNation of BirthCitizenshipUS CitizenNot a US CitizenNation of CitizenshipEmailSubmit Application
