Abundant Life Christian Counselling Services
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Enrollment Application Form

"*" indicates required fields

Name*
Address*
Marital Status
Your approval to contact your employer:
Employer's address:
Pastor's name:
Your approval to contact your pastor:
Pastor's address:
Friend or relative's name:
Your approval to contact your friend or relative:
Friend or relative's address:
A non-refundable down payment of $250 is required along with an agreement to pay the balance of $630 in three monthly installments of $210 + $7.00 convenience fee, which is due and payable monthly (automatic credit or debit card deduction) when applying for enrollment in the Creation Therapy Training Program.
A $100 non-refundable fee is due when applying for enrollment in the Certified Pastoral Counselor Program.
A $100 non-refundable fee is due when applying for enrollment in the Certified Temperament Counselor Program.
A $100 non-refundable fee is due when applying for enrollment in the B.A. Degree Program.
A $200 non-refundable fee is due when applying for enrollment in the Masters Degree Program.
A $300 non-refundable fee is due when applying for enrollment in the Ph.D. Program.
A $300 non-refundable fee is due when applying for enrollment in the Licensure & Second Doctorate Program.
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