| Personal
Information |
| |
|
| Name: |
|
| Telephone: |
|
| E-mail: |
|
| Address: |
|
| Complement: |
|
| City: |
|
| ZIP
CODE: |
|
| Date
of Birth.: |
|
| Country
of Birth: |
|
| Citizenship: |
|
| ID
Number: |
|
|
Single
Engaged
Married
Divorced
Separated
Widow |
| | If
married, what is the name of your Spouse(Husband)? |
|
|
| | If
you have, write down the name and age of your
kids: |
|
|
| Mather's
name: |
(full name) |
| Father's
name: |
(full name) |
| Phone: |
(Area Code + number) |
| Address: |
,
(Complete address and number) |
| Complement: |
County:
|
| City: |
State:
Country:
|
| |
|
| | Do
you smoke, use drugs or alcoholic beverages? |
| |
|
| |
Religious
Information |
| |
|
|
Yes
No |
| Name,
address and phone number of your home church: |
|
| Your
Church's Denomination: |
|
| Your
Pastor's name, address and phone number: |
|
| What
is your ministry in your church? |
|
| Are
you ordained or licenced as pastor in your church? |
|
Yes
No If yes, when your were ordained
or licenced?
|
| Denomination
in which you were ordained or licenced: |
|
| If
applies, write down the positions, the names and
addresses of the churches were you have served. |
|
| In
what position or ministry are you presently serving? |
|
| To
what kind of ministry you desire to consagrate
your life? |
|
| |
| Educational
Information |
| |
| Name
and address of the High School where you graduated: |
| |
| Name: |
|
| City: |
State:
Country:
|
| | Date
of your High School graduation:
|
| | If
you did not graduated, in which grade you dropped
the school?
|
| |
| College
or equivalent |
| |
| School: |
|
| Date: |
|
| City: |
State:
Country:
|
| |
Write
down all degrees that you have achieved:
(Name of the School, Graduation date and type
of degree) |
|
| Were
you expelled from any school? |
|
Yes
No |
| If
yes, describe the reason: |
|
| Name
the activities in which you participated at the
schools: |
|
| If
you need, are you willing to receive academic
help from a tutor and follow ACU"s recomendations? |
|
Yes
No |
| |
| Plans
and Objetivs |
| |
| What
is the purpose that led you to enroll at ACU |
|
| Whem
do you want to start your degree? |
|
(mm/dd/yyyy) |
| Your
objetive is: |
|
High School
Extension
Minor
Bachelor
Master
Doctor |
| How
do you heard about American Christian University? |
|
| If
you have heard from a person, please write the
name: |
|
| |
| Financial
Information |
| |
| How
will you support yourself and pay your tuitions
and fess? |
|
Savings
Parents
Your Church
Work
Loan
Schollarship |
| Other
means:
|
| You
are professional in... |
|
| Name
and address of your last job: |
|
| Do
you have any debt that can delay you education? |
|
Yes
No If yes, Explain:
|
| Will
you be able to pay for the first semester at the
time of your enrolment? |
|
Yes
No |
| If
no, how do you intend to pay your tuitions and
fees? |
|
| |
| Information
about your Personal References |
| |
| Pastor: |
(complete name) |
| Church's
phone: |
(Area Code + number ) |
| E-mail: |
|
| Address: |
,
(address + number) |
| Complement: |
County:
|
| City: |
State:
Country:
|
| |
|
Information
of a friend that is not your relative and who
knows you for more than one year (líder,
counselor, professor etc): |
| |
|
| Name: |
(complete name) |
| Phone: |
(Area Code + Number ) |
| E-mail: |
|
| Address: |
,
(address + number) |
| Complement: |
County:
|
| City: |
State:
Country:
|
| |
I, from now on apply to be a student at American
Christian University. I acknolwedge that ACU
is a private Christian educational institution,
under the direction of a Board and officials.
I also acknolwedge that my acceptance as studant
is a privilege and and continuation fro now
on depends on the decision of ACU's autorities.
I declare that, if I am accepted as student,
I will submit myself to the rules, standards
and leadership of ACU for the lenght of the
degree I will pursue. Through this declaration
I affirm that I will accept to end my student
status if I did not comply with my above commitment. |
|
|
| |
|
|
