Course Registration Form

Registration Form

Fill out the form carefully for registration
Student Name*

First NameLast Name
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Phone Number*
Courses*
How did you find out about us?

Website/ GoogleFriends or FamilyInstagram/ FacebookOther

About You
What is your current relationship with God like? Do you hear from Him everyday?*
How long have you been a Christian?*
Age
Life Story (In 3-4 simple sentences, can you briefly summarise the story of your life so far?)*
5 Things that make you come alive (Things that excite you in life)*
Where do you see yourself in 5 years? (personal vision for vocation/ career/ life in the medium to long term) Keep brief*
Have you ever attended an internship, ministry school, course, mission trip etc. before? (tell us where/ when and about the experience)*
Why do you want to be trained by us? (What prompted you to apply)*
Experience with Discover His Presence Ministry*

Healing & Deliverance SessionMarriage MentoringLife CoachingYouTube videosOther

Why are you applying?
What are you most looking forward to learning in HeartFREE?*
Have you ever done prophetic intercession before?*
Have you ever had Healing and Deliverance ministry training? If so, by who? Where and what did it involve?*
Have you any experience doing healing and deliverance ministry before?*
If yes to the above, with who? Where and what did it involve?*
Have you been recognized by someone in leadership/ spiritual authority or through a prophetic word as an individual called to heal or deliver others?*
Are you currently in submission to a seniorleader? (someone who proved counsel, covering, correction when needed, instruction)*
How do you tend to receive revelation from the Holy Spirit (click all that apply)*

Seer GiftingHearing God audibly or in your headFeeler /Senser giftingKnower / Word of KnowledgeSigns and numbers

Spiritual Experiences
Rate you experience in the following. 1 Being little experience and 10 being very experienced.
Discernment of Spirits*
Personal Prophetic Ministry*
Words of Knowledge*
Healing Spiritual gifting/ abilities/ experience – rate
Healing Memories*
Physical Healing Ministry*
Gift of Tongues*
Intercession, Prayer, Spiritual Warfare*
Healing Fractured Parts*
DID ( Divided Identity Disorder)*
Anything else about spiritual experiences we should know?
Do you regularly attend church or house church?*
Have you eve been asked to leave a church/school/ ministry course in the past? If so why?*

Personal Freedom
Have you ever participated in any of the followingin an exaggerated manner? o Alcohol, drugs, smoking*
Please describe any mental or emotional struggles that you have had.*
List any occult practices that you have been involvedwith – and the current level of freedom from these that you are walking in*
Haveyou struggled with habitual/ repeated sexual sin?*
Are there any areas of life you are contendingfor freedom in?*
Are you currently walking through any hardship or crisis which you feel might be helpful for us to know ?*
Tell us if there are any other areas of your life where you’ve lived in bondage – and how you’re walking in freedom from this? (give examples)*

Final Things
Do you agree toa future video interview?

YesNoNot sure yet
Any other information you want us to have?
Do you agree with walking in a lifelong journey of freedom and purity pursuing the fullness of what Jesus achieved on the cross. As part of the program, you agree to uphold the values of purity, holiness, integrity, authenticity and walking right with God?*

YesNo
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Registration Form