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ICA Academy A P P L I C A T I O N F O R M A. PERSONAL INFORMATION
Please fill in BLOCK LETTER A. PERSONAL INFORMATION Name: ________________________ (Surname): ____________________________ (Given Name) Gender: M F Age : ____________ Marital Status: Single Married Divorced Widowed _____________________________________________ Contact No: ___________________________ Address:__________________________________________________________________________________ __________________________________________________________________________________________ Birth Date:______________________________ Place of Birth:______________________________________ B. EDUCATION Did You graduate from high school? Yes No Did you graduate from university: Yes No If yes, state the school name/country:_______________________________________________ Degree:_____________________________ Year Graduated:________________________ C. SKILLS Voice Keyboard Guitar Bass Drums Media Others If Others please specify:________________________________________ Language Proficient Intermediate Beginner English Cantonese Putonghua
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ICA Academy D. EMPLOYMENT
Occupation:____________________________________________________ Name of Employer:______________________________________________ Position:____________________________________________________________________ How long have you worked there?________________________________________________ E. SPIRITUAL INFORMATION 1. When Did you accept Jesus Christ as your personal Lord and Savior?_________________________________________________ Date of water baptism:_____________________________________ Do you attend church regularly? Yes No How long have you been attending regularly there?____________________________________ Name of church:_______________________________________________________________ Name of Senior Pastor:_________________________________________________________ Church Address:_______________________________________________________________ _________________________________________________________________________________________ Are you involved in any of the church ministries or services? Yes No If yes, kindly indicate what ministries or services you are involved in_______________________ __________________________________________________________________________________________ F. STATEMENT OF PURPOSE Provide brief details of why you wish to join ICA’s School of Worshippers (SOW) _____________________________________________________________________________
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ICA Academy __________________________________________________________________________________________ What are your expectations from this program? PASTORAL RECOMMENDATION FOR NON-ICA MEMBERS Full Name:__________________________________ Position:______________________________ Address:______________________________ Phone No:____________________________ Mailing Address:____________________________________________________________________________ _________________________________________________________________________________________ H. FAITH STATEMENT I have agreed to the ICA’s statement of faith as indicated on the website( ). I agree. I disagree (please state the reason/s)____________________________________________ DECLARATION AND AGREEMENT I hereby declare that all the information provided above is true and correct. I also agree to the regulations set by the ICA’s School of Worshippers (SOW). ________________________________________ ____________________________________ Name & Signature Date
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