SLT - New Graduate

SLT Application: New Graduate

Intensive Location
Which Intensive would you like to register for?*
Contact Info
*Name:
*Email:
Address:
City:
State:
Zip:
Phone:
Fax:
Work:
Mobile:
Date of birth:
Your Church
*Church name:
Address:
City:
State:
Zip:
*Pastor's name:
Your Family
Spouse’s name:
Siblings’ names:
Children’s names:
About You
Employment:
Part Time
Full Time
Graduate Information
I intend to graduate:
*Facilitator's name:
*Facilitator's email:
What most impacted you about this past year in the Strategic Life Training program?
Briefly describe your relationship with your facilitator:
Any additional thoughts or comments regarding SLT?
Will you be attending an Intensive?
I will attend the Intensive and plan to participate in the graduation ceremony.
I will not attend an Intensive. Please mail my certificate.
In order for your application to be complete, we need a recommendation from your facilitator. When you submit your application, an email will be sent to them with the form to fill out and return to us. You will receive email confirmation from us when we receive this.
Housing and Transportation
Please choose from the following options:
I will be staying in a hotel, or have made other arrangements. I do not need housing or transportation.
I would like to request housing or transportation.
To find hotels in the area, see the Host Church information on the Intensives page, or contact the SLT office or the Host Church office for further assistance.
To request housing and/or transportation, please enter the following info.
If you are traveling by plane, please enter flight details. If you are driving to the Intensive, please provide the day and approximate hour you will be arriving and leaving so your host may plan accordingly.
Arrival:
Airport:
Airline:
Flight #:
Date:
Time:
Departure:
Airport:
Airline:
Flight #:
Date:
Time:
Transportation:
I will have a car.
I would like to request transportation.
Housing:
I wish to be housed in a local home.
Names of other Students or Facilitators with whom you wish to room:
Any allergies (pets? foods?), medical, or dietary instructions of which we should be aware?
Other information we should know?
Comments
Other comments:
Payment
Card Type:*
Visa
Mastercard
Discover Card
Card Number:*
Name on Card:*
Card Expiration:*
/
To pay by check, please print and complete the following documents:
  1. Your application (just print this page)
  2. The recommendation form from your facilitator
  3. The medical release form
  4. A check for the $150 Intensive fee made payable to SLT

And then mail all of the above documents to: SCS, Attn: SLT, 1260 N Dutton Ave Suite 242, Santa Rosa, CA 95403.


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New Mailing Address:

SCS
1260 N Dutton Ave Suite 242
Santa Rosa, CA 95401

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