Student Application
Please copy and email this application to : willcolemanphd_gmail.com
Please enter the following information:
Personal Information
First Name *
Middle Name
Last Name *
Preferred Name
Mailing Address *
City *
Country *
State *
Zip / Post Code *
Email *
Home Phone
Bus. Phone
Mobile Phone
Date of Birth *
Information regarding your membership
What previous studies have you taken in the areas of the Bible and /or meditation?
Tell us WHY you would like to study this approach to The Bible and Meditation.
I accept your invitation to apply to become a student of The Bible and Meditation as outlined here. If I am accepted, I understand that The Bible and Meditation and other lesson materials always remain the property of Will Coleman, Ph.D.
