Certificate
Application for Admission
Note: This is for Chinese Traditional admission.

1. PERSONAL INFORMATION

First Name:  
Middle Initial:  
Last Name:  
Address:  
City:  
State:  
Zip Code:  
Email:  

 
Home Phone:  
Cell Phone:  
City/State of Birth:  
Date of Birth:  
Gender:  
Marital Status:  
Spouse's Name (If Applicable):
Occupation/Profession:  

2. PREVIOUS ACADEMIC EXPERIENCE

Highest level of education achieved: Check one box below.  








3. CHURCH BACKGROUND

Name of the church you presently attend:  
Denomination:  
Church Address:  
Church City:  
Church State:  
Pastor's Name:  
Pastor's Email:   
Please note an email will be sent to your pastor for recommendation.

4. SPIRITUAL EXPERIENCE

Please give a brief description of your salvation experience:  
Why do you want to study in INSTE?  

5. SIGNATURE

Signature:  
Date:    

By typing my name in the signature box above, I am affirming that everything on this form is accurate and truthful.