Course Registration Form

Lamp for the Nations Student Enrollment Form

Fill out the form carefully for registration
Today's Date Date*
Please upload a recent picture of yourself.

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Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState

Postal / Zip CodeCountry
Student Gmail (This must be a Gmail account that has your first name first and then your last name. Create a new Gmail that meets this guideline, if necessary. This is required to be accept into Lamp for the Nations. NO EXCEPTIONS. Example: fredjones@gmail.com
example@example.com
Please enter your relationship status
Mobile Number
Format: (000) 000-0000.
Home Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Do you have Children?
If Yes, How many children do you have? Write N/A if you have no children.
What are the names and ages of your children?
Have you attended Lamp for the Nations before? Write Yes or no
What year(s) did you attend Lamp for the Nations?
Are You a New Student, First Year, Second Year Student or Third Year Student?*
How many years of schooling have you completed? This would include graduation from High School or College. Please enter the number of years below.
Name of the high school and/or the college you most RECENTLY attended or graduated from and the year you graduated. You must have completed 12 years of school to be able to enroll in Lamp for the Nations.
What was your Major that you studied in College? Write N/A if you didn't have a Major.
Do you have a college degree or diploma?
If Yes, what degree did you receive? If none, please write N/A
What is God calling you to do in ministry? Example: Pastor, Evangelist, Missionary, Youth Pastor or music director etc. Be specific.
Why do you want to attend Lamp for the Nations? Please give in detail your calling.
Please upload a Letter of Recommendation from your pastor, teacher or mentor.

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Please upload your Personal Testimony. This is very important. Your testimony must be detailed and at least a page in length. When did you accept Christ as your personal Savior? What were the circumstances in which you accept Jesus? Have you been baptized in water? When were you baptized in water? Have you been baptized in the Holy Spirit? Have you experience any healing, ministry experiences, etc. AGAIN, YOUR TESTIMONY MUST BE DETAILED and a minimum of one page in length. NO EXCEPTIONS.

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How do you plan on attending Lamp For The Nations? Please check one.
Additional Comments: We want you to share any other important information about yourself, your calling, personal thoughts about your goals and vision for your future, etc.
I AGREE TO FOLLOW THE ZOOM AGREEMENT TO KEEP MY CAMERA ON AT ALL TIMES AS LONG AS POSSIBLE.
Your Signature
Should be Empty:

Lamp for the Nations Student Enrollment Form