Apply for IMPACT NATION ACADEMY

INA APPLICATION

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Name

Först

Sist

Day of birth

Country

Town

E-post

Bekräfta e-post

"What's Up" number?

I have sufficient understanding of the English language to be able to listen to teaching

Marital status

Married
Unmarried
Dating
Singel

Tell us about your family and background

Please list the date, activity, and total number of hours. Each new record goes on a new line.

When and how did you get saved?

Please list the date, activity, and total number of hours. Each new record goes on a new line.

Are you baptized in the Holy Spirit? And are you speaking in tongue's?

Please list the date, activity, and total number of hours. Each new record goes on a new line.

Who are your pastor and mentor today?

If you volunteered at any location more than once, you don’t need to repeat contacts. You can list them once.

Tell us about your vision and dream

If you volunteered at any location more than once, you don’t need to repeat contacts. You can list them once.

Which of the terms are you interested to study?

August-November 2025
February-May 2026

Terms and Agreement

I understand and agree to the terms.

In checking the box above, you agree and confirm that all community service reports are true and accurate. You acknowledge that your service advisor may reach out to the location to confirm your participation.

" For the King and the Kingdom "

www.womis.org