Participant application
Welcome. Staff can help you fill out this form.
Leave anything you do not know blank and ask for help. Do not write Social Security numbers on this form. Submitting an application does not guarantee enrollment.
Application form
Preparing to launchLast updated 25 September 2026
This is the same application staff use in person. Complete it here and send it to us, or print it and bring it to our service location. Either way, a team member will contact you to confirm your details and explain the next steps.
Please do not submit Social Security numbers, driver license numbers, full dates of birth, immigration documents, medical records, account passwords, or bank information through this website.
Important limits
Submitting an application does not guarantee enrollment or services. Eligibility is reviewed by staff using the approved program rules. Services depend on eligibility, funding, location, and available capacity. The Word of Life is not a driving school and does not issue licenses or permits.