Life in Messiah Application

If you are applying for service with Life in Messiah, please fill out the Life in Messiah Application. On the second question, make sure you select the correct status you are applying for.

Note: there is no saving option, so please complete the application fully in one-sitting. Please provide accurate contact information for your references. Please note that we reserve the right to ask your references for “secondary” references (people acquainted with you but not listed as “primary” references).

Life in Messiah Policy Forms

Please review our Policy Forms carefully. If you agree, please print, sign, scan and email us these signed forms.

Email to: office@lifeinmessiah.org