Student Admission Application Form

* = Required Information

Student Admission Application

Thank you for your interest in CICA-International University & Seminary! Please complete our Student Admission Application Form package. Prayerfully consider each step of the application process. Questions? Please email [email protected]

Student Information

Full Name:

Last *

First *

M.I.

DOB: *

Address:

Street Address *

Apartment/Suite # *

City *

State

Other

Zip Code: *

Country *

Gender:

Male

Female

Phone: *

Student’s Email: *

In case of an Emergency:

Please notify:

Telephone number

Intended Program: Place an (✓) in your intended program.

Bachelor of Theology

Master of Theology

Master of Divinity in Advanced Christian Chaplain Ministry (M.Div.)*

Doctor of Ministry

Doctorate of Philosophy in Theology

Church Affiliation:

Name of the Church you regularly attend:

Phone:

Denomination:

Pastor’s Name:

Referred by:

Ministry Experience:

Please list any partaking or leadership in activities such as music, youth ministry, teaching, preaching, outreach, community service, counseling, etc.

Autobiography:

Please provide your autobiography and or resume describing your family background, spiritual journey, personal relationship and commitment with God, past or present spiritual challenges and an area of recent growth or challenge.

Attach Autobiography /Resume below:

Personal References:

Please list minimum three individuals who will be providing confidential references for you:

Name

Relationship to you:

Tel #:

Statistical Data:

How did you hear about CICA-International University & Seminary?

Academic Information:

Have you attended any Bible College(s)/Institute before?

Yes

Did you graduate?

Yes

Please have a copy of your transcripts from the Bible School (s)/ Institute sent to our mailing box address.

Bible College(s) Attended:

Name:

City:

State:

Year Attended:

Name:

City:

State:

Year Attended:

CICA-International Statement of Faith Declaration

As part of CICA-International University & Seminary we accept the responsibilities of living and ministering in community with one another. We accept that the adherence to civil law, God’s moral law and wise practices are necessary for the Christian educational environment of CICA-International University & Seminary.

I, therefore, along with the rest of CICA-International University & Seminary community agree to the statement of faith, which states:

Statement of Faith

We believe that Jesus Christ is the Son of God and that He was crucified, died and was buried. On the third day, He rose again from the dead and later ascended into heaven, where He is seated at the right hand of God.
We believe that after physical death there is an eternal abode either in heaven or in hell. Where you spend eternity depends on whether you have accepted Jesus Christ as Lord and Savior or whether you have rejected Him.
We believe in the second coming of Christ and also when the Rapture occurs, the dead in Christ will rise first, and then those who are alive and remain (i.e. those who have accepted Jesus as their Lord and Savior) will be caught up to meet Him in the air.
We believe that the Bible is the inspired Word of God.
We believe that faith is believing and acting upon the Word of God.
We believe in water baptism and the baptism of the Holy Spirit, with the evidence of speaking in tongues.
We believe that the gifts of the Holy Spirit are for today, we believe in divine deliverance, divine healing, divine guidance and divine protection and we also believe that the five-fold ministry of apostles, prophets, pastors, teachers and evangelists are fully in operation in the church today.
We believe in the unity of the Body of Christ and all that is necessary to be born again is to accept Jesus Christ as Lord and Savior, like the dying thief on the cross.
We believe in walking in love and having fellowship with all those who call on the name of Christ regardless of their denominational differences.
We also believe that every member of the body of Christ is an Ambassador for Jesus Christ.

Name: *

Date

Student’s Signature: *