Application / Registration Form Student Participation in the Spring 2024 Coaching Sessions at The Overcomers Academy Spring Session 2024 Registration-Student We're so excited that you want to join us at The Overcomers Academy for the Spring Session of 2024! Full Name * First Name by which you would like to be called * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email Address * What is your name on Zoom? * Please provide us with your Birth Date so that we know you are at least 18 years of age * Help us get to know you and help us better prepare to present topics that will benefit you most by selecting the top challenge you'd like to address and overcome during this Fall Session. As a Christian, we believe in the Holy Trinity: God, the Father, Jesus Christ and Holy Spirit. When you pray, what name do you use to address the Father? * Heavenly Father Father Papa Daddy Abba OtherOther If you selected "Other" above, please tell us the Name/Title that you're comfortable using for the Father I believe (select all that apply): * Christ was crucified for my sins. Christ resurrected and is alive. The cross paid all debt. I laid down my life in baptism. I am walking out my salvation and sanctification daily by taming the EGO (the flesh and soul). I have a practice of praying: * Always throughout the day Daily Occasionally Rarely I'm not in the habit of praying I have a practice of biblical meditation: * Daily Occasionally Rarely I'm not in the habit of meditating My Preferred Topic (my top challenge) would be (choose one): * Click here to select your preferred topicBroken or Ended Relationships (Divorce)Death of a Loved OneHealth ChallengesFinding Life’s Passion and PurposeHealing Resentment and BetrayalAddressing Financial or Career CrisesHealing Spiritual or Church WoundsExperiencing more vivid supernatural/heavenly encounters My 2nd Preferred Topic would be (choose one): Click here to select your preferred topicNo Other Topic at This TimeBroken or Ended Relationships (Divorce)Death of a Loved OneHealth ChallengesFinding Life’s Passion and PurposeHealing Resentment and BetrayalAddressing Financial or Career CrisesHealing Spiritual or Church WoundsExperiencing more vivid supernatural/heavenly encounters My 3rd Preferred Topic would be (choose one): Click here to select your preferred topicNo Other Topic at This TimeBroken or Ended Relationships (Divorce)Death of a Loved OneHealth ChallengesFinding Life’s Passion and PurposeHealing Resentment and BetrayalAddressing Financial or Career CrisesHealing Spiritual or Church WoundsExperiencing more vivid supernatural/heavenly encounters My 4th Preferred Topic would be (choose one): Click here to select your preferred topicNo Other Topic at This TimeBroken or Ended Relationships (Divorce)Death of a Loved OneHealth ChallengesFinding Life’s Passion and PurposeHealing Resentment and BetrayalAddressing Financial or Career CrisesHealing Spiritual or Church WoundsExperiencing more vivid supernatural/heavenly encounters Have you ever worked with Jan Luther? (If so, please check all that apply.) * Yes, as a Client. Yes, as a Student. Yes, I attended one of her training programs. No, I haven't worked with Jan before. In order to participate in this program, you must agree to comply with its agreements. Those four (4) agreements are: 1. We give you permission to think differently than we do. 2. We encourage you to use your name/title for your Creator/Father God/Mother God. Just like you may call your father Papa or Paw and I call my father Daddy. We honor and include a variety of titles for everyone. Our thought is, “I’m not concerned with what you call Divine Creator God as long as you keep calling.” 3. You agree to offer the same respect, grace and compassion to every other member of The Overcomers Academy. 4. You agree that what is discussed in The Overcomers Academy stays in The Overcomers Academy. We will respect your privacy and expect you to do the same for others by not sharing any information, links, photos or access to your calls and recordings that we provide to you as part of this program. By checking the button below and providing my signature, I agree to comply with the four (4) agreements listed above. * Yes. I agree to comply. Signature * signature keyboard Clear Which option below best describes your learning style? * Visual. Please use lots of pictures, images and graphs. Auditory. I learn best by listening to recordings rather than reading. Kinesthetic. I like hands-on experiences like self-discovery, worksheets, taking notes, etc. I don't have a preferred learning style. Which of the following do you find most helpful for ensuring you stay engaged and complete all of your classes? * I like a map that shows me where we're going and where I am in the process. Let's make it fun with progress stickers and rewards. I do best with accountability, partners or coaching prompts from Jan to help me keep my momentum going. I'm good at following through and completing things. Sometimes I may need help to slow down and not rush to completion so that I don't miss anything. I seem to do best when I can help and encourage other people with their progress. I think I'm best at working at my own pace and I probably wouldn't participate in any games or accountability prompts. If there were prizes and rewards for progress and completion, I think I'd most enjoy (choose one): * Additional pre-recorded videos and/or audios that enhance the teaching on the topics we're choosing. A 30-minute itty-bitty small group (3-to-8 people) bonus call with Jan. A bonus 90-minute group workshop on a topic that interests me. Additional audio or video content of prayers, meditations or spiritually inspiring content. I'm pretty busy. I probably wouldn't make time for any additional content beyond the class and what is already offered in this program. Are you on Facebook? * Yes No Please provide us with your Profile page website address so that we can Like, Follow and Friend you so that we can invite you to the private, members-only Facebook Group for this program. Would you be willing to help as a moderator in our student Zoom break-out rooms? * Yes No Is there anything else that you'd like Jan to know about you personally? Anything you'd like to learn, heal or accomplish during this semester at The Overcomers Academy? If so, please briefly share that. * Woo hoo! Only a couple of IMPORTANT steps left for completing your registration! Once you hit the "Submit My Application" button below, three things are going to happen: 1. You'll be added to the MAILING LIST for this program. IMPORTANT: You will get an email asking you to confirm your addition to the mailing list. (It might go to your junk or spam folder so look there if you don't see it in your inbox.) 2. A PayPal page will open where you can pay for this program. 3. And, finally, once you have paid for the program and your application has been accepted, we'll add you to the membership for this session at The Overcomers Academy. (NOTE: If you have participated in a program at The Overcomers Academy in the past, it may ask you to use your current login information.) You will know that your registration has successfully processed when you receive the Welcome Email from us. That welcome email will also contain your Welcome Package as a PDF attachment. The welcome email and package will contain all the information you'll want to know about this semester at The Overcomers Academy! If you have any issues with registering, please feel free to email Michael at michael@janluther.com. If you are human, leave this field blank. Submit My Application