1. 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

2. 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)
_____________________________________________________________________________

3. 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