The Revival Academy Full Time
This Application will take approximately 60-90 minutes to complete. Please allow for necessary time in order to answer with detail.
Fall 2025 Application: Discipleship School (SPRING 2025 Registration is Now CLOSED)
Please note that there is a $50 application fee in order to submit and process your application.
Personal Information
Name
*
First Name
Middle Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Photo of Yourself
*
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Current Marital Status
*
Single
Dating
Married
Widowed
Divorced
Citizenship & Language Proficiency
Country of Citizenship
*
Legal Status (please check the box that applies to you)
*
U.S. Citizen/National
U.S. Legal Permanent Resident
International Applicant
For International Applicants currently in the U.S., please state what kind of visa you have
Is English your first language?
*
Yes
No
If English is NOT your first language, please describe your ability to understand, speak, read, and write English
Education
Please indicate the highest level of education you have completed
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Senior High/Secondary School Diploma
GED or equivalent
College/University Undergraduate degree
Graduate degree
Vocational School
Postgraduate degree
List senior high/secondary school and institutions of higher education you have attended, beginning with the most recent.
*
Have you ever been dismissed from any school for any reason? If yes, please explain.
*
Have you attended any other ministry schools or programs? If yes, please provide details.
*
Employment
Are you currently employed?
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Yes
No
Please give details of your most recent employment history. (Last 3-5 years) Including what positions you held and any specialist experience you gained.
*
Personal Faith and Testimony
When and where did you accept Jesus Christ as your Lord and Saviour?
*
Please write your personal testimony in a separate typed document. Include the following points: 1. A summary of your personal journey as a believer. 2. Any past or present life-controlling issues, whether mental, emotional, or relational 3. Your goals for the future, including your life vision and ministry plans. 4. Expectations for your time at The Revival Academy and a summary of what you hope to learn
*
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Church Background
Are you currently involved in a local church? If not please explain.
*
List and describe your church involvement, beginning with the most recent church you have attended.
*
Describe how your church or spiritual family feels about you attending The Revival Academy.
*
Personal Evaluation
What do you consider to be your talents, gifts, and strengths?
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What do you consider to be your weaknesses or struggles?
*
Interest in The Revival Academy
How did you hear about The Revival Academy?
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What aspect of The Revival Academy program interests you the most?
*
Which school/schools are you applying for
Discipleship School(Fall 2024)
School of the Word (Winter/Spring 2024)
Financial Information
What is your plan for paying tuition?
*
Do you have any financial debt? (credit cards, loans, late payments etc.) If yes, please explain.
*
Health Information
Do you have any disabilities, illnesses, or conditions—mental or physical—that may affect your performance? If yes, please explain.
*
Do you have any physical disabilities or conditions that require special care? Please explain.
*
Do you have any substance abuse problems or addictions? If yes, please explain. (Please also include details of any regular use or consumption of tobacco and alcohol)
*
Do you currently have, or have you ever had, any life-controlling mental, emotional, or relational issues? If yes, please explain.
*
Have you ever received help for psychological, sexual, emotional, or relational problems? If yes, please provide details of care received and any medication taken.
*
Have you ever been accused of and/or reported for physically or sexually abusing someone? If yes, please provide details.
*
Do you have a police record? If yes, please provide dates and details.
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Have you ever attempted or considered suicide? If yes, please explain the circumstances. Include when, where, and how you were treated and whether treatment was voluntary or involuntary.
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Do you have suicidal thoughts? If yes, please describe.
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Have you ever viewed child pornography? If yes, please explain the circumstances, including most recent date.
*
References
Please provide the name and contact details (email address and phone number) of ONE personal reference (friend, family member who knows you well) and ONE pastoral reference (spiritual leader) who knows you well and whom we may contact about your application.
*
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