New Lifework Education 2024 Online Application

Lifework Education 2024 Online Application

Let's get you enrolled in a few easy steps!

Step 1: Complete the Online Application Information below

Step 2: Choose your class start date and location

Step 3: Secure your seat in class by paying the Registration Fee.

General Information

Please use your legal name.

First Name

Middle Name

Last Name

Cell Phone

Home Phone

Street

City

State/Province

Zip/Postcode

Social Security No

Birth Date

Demographics

Ethnicity

Gender

Prior Education

Highest Level of Education

Program

Please indicate your desired payment option

You can change your desired payment option by Day 1.

Applicant Signature

I hereby certify that I have completed this form, that the information I have provided is true and accurate to the best of my ability, and I wish to sign electronically.

Date

Applicant Signature

After clicking submit below, you will be prompted to choose your class start date and location on the next screen.

Welcome to Lifework Education!

3-Day Cancellation

Cancelling your enrollment within three days of signing this form entitles you to a refund of all monies paid. Refunds are processed no later than 30 days of receiving the notice of cancellation. Cancelling your enrollment more than three days after signing entitles you to a refund of all monies paid except the Registraiton Fee.