Heal Advocate Program

Application

Question Title

* 1. Please tell us about yourself!

Name *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address *

Phone Number *

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* 2. How did you hear about the Heal Advocate Program?

Friend

Heal Retreat

Website

Social Media

Other (please specify)

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* 3. Have you attended one or more Heal Retreats?

Yes

No

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* 4. Why are you interested in becoming a Heal Advocate?

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* 5. Which Heal Advocate role(s) would you be interested in participating in? To learn more about these roles, please visit the website for more information.

Prayer Warrior

Content Creator

Ministry Promoter

Kingdom Investor

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* 6. The Heal Advocate Program communicates primarily through through email. Are those acceptable forms of communication for you?

Yes

No

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* 7. If you answered no, please explain

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* 8. Please share any questions you might have for us