SLT200/BLS200

School Application: Year Two Student

School & Curriculum
I am registering for:

I would like my teachings on:

Contact Info
*Name:
*Email:
Address:
City:
State:
Zip:
Country:
Phone:
Fax:
Work:
Mobile:
Date of birth:
Your Church
*Church name:
City:
*Pastor's name:
About You
Level of Completed Education:
High school
College degree
Graduate degree
Currently enrolled in:
(school name)
Primary Institution of Study:
Home
Church
Private
Public
Employment:
Position:
Business Type/Industry:
Extra-curricular activities:
List 3-4 master principles/teachings from your BLS100 or SLT100 course that had the deepest impact on your life and state how they were used to change your thinking and subsequently, your behavior.
Do you already know someone who is a trained SCS Facilitator that you would like to facilitate you? If so, please indicate their name:
Please explain in a 2-3 paragraph essay what you hope to gain from BLS200/SLT200:
Student Agreement
As a student, I agree to fulfill my responsibilities to the curriculum and to my facilitator by participating in all required activities and staying accountable to finish my assignments. I also agree to attend an Intensive before beginning the course. For networking purposes, I authorize the release of my email address to fellow students & facilitators only.
I agree
In order for your application to be complete, we must receive your facilitators recommendation and full payment for the course upon registration, unless you have signed up for a payment plan, in which case we must receive the deposit. For BLS students your BLS100 exit exam and BLS200 entry exam are required as well.
Comments
Other comments:
Payment


Card Type:*
Visa
Mastercard
Discover Card
Card Number:*
Name on Card:*
Card Expiration:*
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Submit Application
To pay by check, please print and complete the above application and mail along with your check (payable to SCS) to our offices at: SCS, 1260 N Dutton Ave Suite 242, Santa Rosa, CA 95401

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