<%@LANGUAGE="VBSCRIPT" CODEPAGE="65001"%> Level 1 Application
Apply Banner
         
  step 1   Print this page.    
           
  Step 2

 

Click on the button to the right for the latest Adobe Reader.   Reader
           
  Step 3

 

Click on Download Forms to the right.   DOWNLOAD FORMS
           
  Step 4

 

Complete the application forms online. The first
form will fill the remaining 2 forms.
   
           
  Step 5   Please print and sign 2 copies of your completed forms.    
           
  Step 6   Please take the signed MEDICAL INFORMATION RELEASE to your doctor or healthcare provider.    
           
  Step 7   Mail or FAX the completed and signed application forms. Please only send one copy of application forms.    
           
      You may Mail or FAX documents.    
           
      Mail to: FAX to:    
      The Lighthouse Community 1.800.251.6483    
      11108 Woodland Ave    
      Puyallup, WA 98373    
           
           
sea
© Copyright 2005 - 2008 The Lighthouse Community