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Application for Instructor

indicates a required answer

1. *

Name:
2. *

Address:
3. *

Phone Number:
4. *

Email Address:
5. *

Church Affiliation:
6. *

Who referred you to ACA?
7. *

Please share your testimony.
8. *

Have you read AND do you agree to the ACA Statement of Faith without mental reservation?

 (1 required)
Yes
9. *

Please explain your educational background, including your highest degree earned.
10. *

Please describe your applicable experiences that have prepared for instructing a class.
11. *

Which classes are you interested in instructing?
12. *

Do you agree with ACA Policies and Procedures and will you comply?

 (1 required)
Yes
13. *

Do you have any concerns regarding the Policies and Procedures?
14. *

Have you been convicted of a crime?
Yes No
15. 

If you have been convicted of a crime, please explain each conviction, nature of offense, and any type of rehabilitation required.
16. *

Please put in your own words what a biblical worldview is and how it influences your teaching.