The Light & Sound Healing Ministry and Center
‘A Church Dedicated to Spiritual Healing & Lightworkers Around the World’
Churchmember and Spiritual Healer Application Form
FULL NAME: ___________________________________ DATE: ______________________
ADDRESS: ___________________________________________ APT: _________________
CITY: _______________________________ STATE: ________ ZIPCODE: _____________
COUNTRY: ______________________
TELEPHONE: (_______) __________________ FAX: (_______) _____________________
E-MAIL: ______________________________________________
PLEASE PROVIDE A BRIEF STATEMENT ABOUT YOUR SPIRITUAL HEALING WORK:
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ARE YOU CERTIFIED OR LICENSED IN ANY FIELD OF THE HEALING ARTS? (CIRCLE) YES /NO
IF YES, PLEASE LIST THE TYPE AND STATE/COUNTRY OF AUTHORIZATION:
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A ONE-TIME $20 MINIMUM DONATION IS REQUESTED WITH YOUR APPLICATION.
DO YOU WISH TO ENCLOSE AN ADDITIONAL DONATION TO OUR MINISTRY? (CIRCLE) YES / NO
IF YES, PLEASE INDICATE THE AMOUNT ENCLOSED: $_________________
I WANT TO ENROLL IN THE MINISTRY'S ONE-YEAR PREORDINATION HOME STUDY COURSE PREPARING ME FOR CLERIC ORDINATION IN THIS MINISTRY. PLEASE SEND ME THE FORMAL AGREEMENT. (CIRCLE ONE) YES / NO
For more information about the Preordination Program, click here.
Please print out the membership application and mail to the address listed at the top of the form.