KA 2021 Registration Form
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SECTION A
PERSONAL DETAILS
Full Names
Surname *
Middle Name
First Name *
Date of Birth *
MM
/
DD
/
YYYY
Sex *
Marital Status *
Tick appropriately
Are you *
Required
Personal Testimony *
Citizenship / Nationality *
Required
I.D. / Passport Number *
If you are not a Kenyan citizen do you have a valid student visa/student pass to cover your duration at the Kingdom Academy?
Clear selection
Telephone numbers *
Mobile, Office, Home
Postal Address *
Code/Town
Email *
In case of emergency who should we contact and give provision for two references and their mobile and/or office numbers.
References 1
Mobile and/or office numbers
References 2
Mobile and/or office numbers
State any health challenges you may have or are dealing with *
Academic Qualification *
Tick Appropriately
Employment status *
Tick appropriately
If Self employed, state the nature of Business
If employed, state the position of employment & for how long
If unemployed, why & for how long
If a student, State the course & Institution
SECTION B
CHRISTIAN SERVICE HISTORY
Have you attended any other bible school before? *
Attach Certificates
Name the School/Institution
Qualifications Attained
Clear selection
Name of your local Church *
Contacts for your local Church as stated above *
Name of the Senior Pastor of your local Church as stated above *
How long have you been part of your local church assembly? *
Are you actively serving in your church? *
In what department(s) and in what capacity?
Have you undergone any form of training in the church/ department? *
Attach Certificates
If Yes what type of training?
SECTION C
SCHOOL DETAILS
How did you come to learn about the Kingdom Academy? *
Required
Have you ever applied to Kingdom Academy before? *
If Yes, what year?
If you have applied before, what was the reason for discontinuing?
What do you hope to achieve by attending the Kingdom Academy? *
The school program runs for two years, divided into four semesters with brief vacations between each semester. The school schedule is tight and will require commitment for one to make it through successfully. Some select Saturdays are utilised for school practicals and the students will be notified of the dates beforehand for planning purposes. Students are advised to plan their calendar accordingly so that they can finish their program well. Will you be willing to make sacrifices where needed so as to finish your course with joy? *
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