Kingdom Wellness Counseling Certification Registration Form(Non-KSWU Students)
Welcome to your journey of becoming a Kingdom Wellness Certified Counselor. This certification is designed to equip you with the knowledge, skills, and biblical foundation to help individuals, families, and communities experience lasting healing, wholeness, and transformation. Together, we will prepare you to confidently guide others toward sustaining wellness—spiritually, emotionally, mentally, and relationally—while reflecting the heart, wisdom, and truth of God in every counseling encounter. We are honored to partner with you as you answer the call to bring hope, healing, and lasting change to those you serve.
Student Name
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First Name
Middle Name
Last Name
Date of Birth
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Month
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Day
Year
Age
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Student E-mail
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example@example.com
Educational Background: Highest Level of Education Completed?
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Please Select
High School Diploma/GED
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate
Other
Are you a traditional KSWU Student? (meaning you would like to receive a degree from KSWU)
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Please Select
Yes
No
Martial Status
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Single
Married
Divorced
Widowed
Occupation
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Employer
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What degrees, certifications, or licenses do you currently hold
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Please list any colleges, universities, Bible colleges, or training institutes you have attended.
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Have you previously completed any counseling, coaching, mentoring, ministry, psychology, social work, or leadership training?
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Yes
No
If yes, please describe the training and where it was completed
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What motivated you to pursue additional training in counseling?
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Counseling Experience
Have you ever served as a counselor?
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Yes
No
If yes, in what capacity?
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Church/Biblical Counselor
Professional Counselor
Volunteer
Ministry Leader
Your Own Personal Counseling Business
As You Assist People In Other Capacities
Approximately how many years of counseling experience do you have?
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What populations have you primarily worked with?
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Individuals
Couples
Families
Group
Youth
Children
Pastors/Leaders
Trauma Survivors
Addictions
Business
Other
What counseling approaches or methods have you previously used?
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What do you believe are your greatest strengths as a counselor?
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What areas of counseling would you like to strengthen?
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Coaching & Mentoring Experience
Have you ever served as a coach or mentor?
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Yes
No
If yes, please describe your coaching or mentoring experience.
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Are you currently certified as a coach?
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Yes
No
If yes, through which organization?
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Approximately how many clients have you coached or mentored?
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Ministry & Calling
Are you currently involved in ministry?
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Yes
No
If yes, what is your current ministry role?
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What do you believe God has called you to do?
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How do you see counseling fitting into your calling?
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Why do you want to enroll in Kingdom Shifters Wellness University's Counseling Certification Program?
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What do you hope to accomplish by the completion of this certification?
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How do you plan to use your certification after graduation?
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Kingdom Wellness Philosophy
What interest you the most about learning a holistic Kingdom Wellness approach that integrates biblical counseling, counseling theories, emotional wellness, deliverance ministry, inner healing, ethics, and practical life application?
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Describe your understanding of the difference between secular, New Age, and biblical approaches to healing and counseling.
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Are you willing to grow spiritually, personally, emotionally, and professionally throughout this certification process?
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Yes
No
Are you willing to complete all coursework, practicums, assignments, and ethical requirements to earn your certification?
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Yes
No
Is there anything else you would like the admissions team to know about you?
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Emergency Contact: Please list name, phone, and address
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Please Register for the Current class(es) needed this track
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Kingdom Wellness Counseling Theory Certification Course (13 Week Course) - $2,300
Kingdom Wellness Counseling Theory Certification (12-Month Email Course) - $1,997
VIP One on One Consultations - 2 60 Minute sessions (Must register for a certification course and VIP at the same time) - $300
One On One Counseling Course (Be personally taught the 13 week curriculum - $4,997
Personal SHIFT Coaching Sessions - Receive personalized coaching to strengthen your counseling skills, refine your counseling approach, expand your professional effectiveness, and confidently build a sustainable Kingdom-centered counseling practice - Sign up for three 60 minute sessions at this discounted price - $597
Kingdom Building Sessions - Receive guidance and coaching on how to or as you build, launch, grow, or scale a counseling practice, ministry, or wellness business -(Sign up for three 60 minute sessions at this discounted price) - $797
Receive counseling, deliverance or inner healing for your own wellness (Sign up for three 60 minute sessions at this discounted price) - $337
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Kingdom Wellness Counseling Theory Certification 13 Week Group Course (Generally available at specific times of the year or when three or more students sign up for the course)
$2,300.00
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Kingdom Wellness Theory Certification (12 month Email Course)
$1,997.00
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One to One 13 Week Counseling Course
$4,997.00
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Three-Session Personal SHIFT Coaching Package
$597.00
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Three-Session Kingdom Building Coaching Package
$797.00
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Three-Session Personal Counseling Package
$337.00
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