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If you do not have a website, please leave the default that is in place. Cell Phone * Preferred Email * Is this a personal or business email address? * Personal Business Were you referred by a current LIFEforce Tribe Member? * Yes No Please list the name of the LIFEforce Tribe Member that referred you - we would like to recognize them. * Birthdate * Shirt Size * Men's SMen's SMen's MMen's LMen's XLMen's XXLWomen's SWomen's MWomen's LWomen's XLUnknown Alma Mater * Graduation Year * I am also able to contribute in the following way(s): Host a Student Recruitment Event (SRE) Have a prospective student shadow in my office Communicate via phone call with a student who is interested in the profession Communicate via email with a student who is interested in the profession Participate in a webinar with students who are interested in the profession Facebook URL Instagram Additional Comments Stay Connected! YES! I would like to occasionally receive exciting updates & invitations via email and/or text from LIFEforce & Life University. No, not at this time. LIFEforce Mission Statement We will not stop until everyone on the planet has access to chiropractic care and a chiropractic education if they so choose. LIFEforce Promise I will: Send students to Experience Life Conduct 2 Student Recruitment Events (SREs) each year in my community Attend one LIFEforce Weekend at Life University in the next two years Send 5 Students in the next five years to Life University Thank you for your dedication to and support of Life University and vitalistic chiropractic. Together we are pushing the profession forward and changing the world. Contact us for more information at LIFEforce@life.edu and visit our webpage today at http://www.lifeforce.life.edu. Submit If you are human, leave this field blank.
