Course Registration Form

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)*
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)*
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)*

Registration Form