Live the Life Ministries, Inc. Instructor Application
Thank you for your interest in being an Instructor for Live the Life.  Our mission is to strengthen marriages and families.  We are a faith based nonprofit 501(c)(3) organization.  Our strategic goals are to reduce the Florida divorce rate 50% by 2029, increase the marriage rate, reduce the teen pregnancy rate and babies born outside of wedlock, and increase church attendance.  

Instructors play a critical role in helping us achieve our mission and strategic goals.  All instructor applications are reviewed with consideration of current instructor opportunities.  The information you provide will be stored in confidence under the provisions of the Data Protection Act.  Your completed form will be held securely and confidentially.  Only authorized Live the Life Ministries, Inc. staff will have access to your information.
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Email *
First Name *
Last Name *
Phone number (Include area code) *
Street Address *
City *
State/Region *
Zip Code *
Birthdate *
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Which Live the Life office is closest to where you live? *
Please indicate which program(s) you are interested in by checking as many boxes as applicable: *
Required
If you would like to become an instructor in an area that is not listed above, please indicate:
List past experience that you have as an instructor: NOTE: If you do not have experience, type "None" *
Emergency Contact: (Include First and Last Name) *
Emergency Contact Phone Number: (Include Area Code) *
Do you consent to a background check? *
What is the full name of the person or organization that referred you? *
What is the contact email for the person or organization that referred you? *
Please check the box below to indicate your affirmation of Live the Life Ministries, Inc. mission statement: *
Required
Please check the box below to indicate your affirmation of Live the Life Ministries, Inc. strategic goals: *
Required
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