Academy Application

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

MM

DD

YYYY

When did you accept Jesus Christ as your personal Savior? Approximate Date *

MM

DD

YYYY

What excites you and calls you to pursue work in the ministry? *

Select all that apply.

I want to become an APOSTLE

I want to become a PROPHET

I want to become an EVANGELIST

I want to become a PASTOR

I want to teach others

I want to counsel others

I want to work and support ministry work through administration

I want to learn from others

It's something else that inspires me