Joshua Kelly Ministries

In order to formally apply please provide all information on this application as accurately as possible. Once information has been sent through this sign-up form you will receive a notification on the next screen that we have received your application. Please follow further instructions in the next screen to finish student registration.

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First Name *

Last Name *

Email Address *

Phone Number *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Date you accepted Jesus Christ as your savior? *

What is your home church? *

What is your pastors name? *

What does your relationship with Jesus look like? *

What Do You Want To See Changed In Your Life? *