Apply to ACT Thailand!

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Contact Information

First Name *

Please include a preferred name if you have one in parentheses ( ).

Last Name *

Mailing Address *

Email Address *

Please type carefully and double-check, as this will be our primary means of communicating back to you.

Phone Number *

Please include the country code.

Personal Information

Age *

Gender *

Citizenship *

First Language *

Please enter your first (native / heart) language.

Education: Please list where you studied high school, and any education you received after high school. *

Church Information

Church *

Please enter the name of the church you are currently attending. Please put "none" if not attending anywhere.

Church Address *

Please put "none" if not attending anywhere.

Pastor's Name *

Pastor's Email Address *

We will be sending a reference form to your pastor.

Testimony: how you came to faith in Jesus. *

What is the purpose of taking this class. What will you be using it for in the future? *

Course Applying For *

Select the course for which you are applying.

Specify the dates you are interested in according to the date on the website if there is more than one date listed. *

Submit

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This form was created inside of ACT.