Form

Application, Registration & Student Information

And this is life eternal, that they might know thee the only true God. John 17:3

Please enter the appropriate information in all fields below. Click the “Submit” button when you are finished. Thank you.

Registration Application and Information Form

First Name

Last Name

Address

Country

Email

Daytime Phone

Cell Phone

Evening Phone

Occupation

Church Affiliation

Schools / Colleges Attended. List dates and degrees

Previous Education in Christian Metaphysics

Education Goals (please check one)

Why did you choose to study Divine Science?

Fundamentals of Divine Science Class. I would like to enroll in (please check one):

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Send check or Money Order to:

The Divine Science School
2025 35th St. N.W.
Washington, D.C. 20007-2216

- - - Tuition in U.S. dollars only. Limited scholarships are available for overseas students
    - All students need to have internet access.
    - No refunds after 45 days
    - The tuition must be sent to the School at the time of application.
    - Limited scholarships are available for overseas students.
    - All students need to have internet access.
    - A class must be completed within one year of receipt of the first lesson.
    - A one time matriculation fee of $100, payable to the School, applies for any individual who registers with the Divine Science School for instruction leading to a license as a Divine Science teacher, practitioner and/or minister whether the class be given through the School or an Extension Campus.
    - If the PayPal button does not work use the PayPal check out on the “Course Offerings” page.