Certificate Application

Certificate Application Form

Fields marked with an * are required

Certificate Application Form

Fields marked with an * are required
Name(Required)
Address(Required)
I am submitting this application for Care & Discipleship level:(Required)
$75 Application Fee(Required)
I have completed the required videos and reading(Required)
I have submitted the required level exam(Required)
(For Level 3 Observation only)

Pay Application Fee

Before filling out and submitting the form on the left, please pay the corresponding application fee.

Select which level you are applying for: