Kingdom Shifters Wellness University Admissions Form

Kingdom Shifters Wellness University Admissions Form

Please fill out the application form carefully and with as much detail as possible. The benefit of joining KSWU is that you are able to receive discounts on books and certification courses. You are also able to work towards completing licensing for the Kingdom Wellness Counseling and Mentoring Theory and other licenses we will off in the Apostolic, Destiny, and Wellness.
Personal Information
Full Name

First NameLast Name
Birth Date

MonthDayYear
Age
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your time zone?
Martial Status
Occupation
Employer
Emergency Contact: Please list name, phone, and address
Education Background

List your previous schools, beginning with the most recent
- School name
- Graduated
- Entry date
  
  MonthDayYear
  Date
- Graduation date
  
  MonthDayYear
  Date
- School name
- Entry date
  
  MonthDayYear
  Date
- Exit date
  
  MonthDayYear
  Date
- School name
- Entry date
  
  MonthDayYear
  Date
- Exit date
  
  MonthDayYear
  Date
- Certifications/ Licensing
  
  Please list any certification or Licensing that you have received.
- Name of Institution 1
- Certification/Licensing Specialty
- Certification or Licensing Date
  
  MonthDayYear
  Date
- Expiration Date if one is listed
  
  MonthDayYear
- Name of Institution 2
- Certification/Licensing Specialty
- Certification or Licensing Date
  
  MonthDayYear
- Expiration Date if one is listed
  
  MonthDayYear
- Name of Institution 3
- Certification/Licensing Specialty
- Certification or Licensing Date
  
  MonthDayYear
- Expiration Date if one is listed

Kingdom Shifters Wellness University Admissions Form

Personal Information

Education Background

Certifications/ Licensing

Current Certification and Course Programs

One of the benefits of joining KSWU is that you are able to receive discounts on books and courses. Pay your admissions fee here and enter the coupon code if you have received one.

Credit Card

Enter coupon