membership application/renewal form (fillable form)
TRANSCRIPT
New
___________ , 20__ to __________, 20__ (Month) (Month)
Renewal Date Filed: _________________________
PART I: SCHOOL INFORMATION DepEd Permit & Recognition Details Level Permit Number Recognition Number Preschool: Elementary:
Secondary:
Member Since College:
(Specify
course)
School Name Course:
School Mailing Address (School location) Zip Code Mailing City
School Email Address
School Website Phone Fax
Sponsorship Church Organization Owned by Individual Year Founded
Name of Church, Organization or Owner
ADMINISTRATION
LAST NAME FIRST NAME TITLE EMAIL ADDRESS MOBILE Board Chairperson Administrator/CEO Preschool Principal Elementary Principal High School Principal College Dept/Program Head Dean of Student Affairs
Preschool Elementary High School College Special Ed Total Tuition Fee (annual) Toddler Nursery Kinder No. of Teachers Preschool No. of Students Elementary
High School
We would like to receive communication s from ACSI Philippines by: (mark X and provide contact details) College
Email Email Ad 1: Email Ad 2: Special Ed Phone Phone No: local Postal mail Designated Contact Person for ACSI activities Activity/Conference Name Phone Mobile Email Student Activities Teachers/EE Conferences Educational Leadership
PAYMENT AMOUNT DUE: MODE OF PAYMENT Bank Branch: 0-40 students [Php1,000.00] Bank Deposit
41 students and above [Php25.00 X number of students] Php25 x = Php NOTE: If deposit slip is not received thru fax or email five calendar days after ACSI receives the accomplished Membership Form, your School could not be considered an active ACSI member yet.
Payment instructions: 1 Deposit Check or Cash to ACSI Bank Account* 2 Write your school’s name on the validated deposit slip and fax to (02) 638.2903 or email to [email protected]
*Bank : Bank of the Philippine Islands (BPI); Account Name: ACSI Philippines Account Number: 1891 - 0533 – 86 *Branch: Mandaluyong-Pioneer
Membership Application/Renewal Form (fillable form) UG15, Cityland Pioneer Building, 128 Pioneer St., 1550 Mandaluyong City | (02) 747 2973 or (02) 638 2903 | www.acsiphils.org | [email protected]
It is important that ALL information be current and complete. Return this signed and completed form. Please complete an application form for every campus.
ACSI Membership Form page 2 of 2
PART II: STATEMENT OF FAITH
ACSI is committed to respond to the needs of Christian educators and schools in order to lead its membership to spiritual and academic excellence - to provide assistance without interference and opportunity without obligation. We are bound to extend our ministry to all we can reach if we are to carry out our Lord's Great Commission (Matthew 28:18). ACSI neither supports nor endorses the World or National Council of Churches, or any world, national, regional, or local organization that gives Christian recognition to non-believers or advocates a multi-faith union.
We believe the Bible to be the inspired, only infallible, authoritative, and inerrant Word of God (II Timothy 3:15, II Peter 1:21).
We believe there is one God, eternally existent in three persons - Father, Son, and Holy Spirit (Genesis 1:1, Matthew 28:19, John 10:30).
We believe in the deity of Christ (John 10:33), His virgin birth (Isaiah 7:14, Matthew 1:23, Luke 1:35), His sinless life (Hebrews 4:15, Hebrews 7:26), His miracles (John 2:11), His vicarious and atoning death (I Corinthians 15:3, Ephesians 1:7, Hebrews 2:9), His resurrection (John 11:25, I Corinthians15:4), His ascension to the right hand of the Father (Mark 16:19) and His personal return in power and glory (Acts 1:11, Revelation 19:11).
We believe in the absolute necessity of regeneration by the Holy Spirit for salvation because of the exceeding sinfulness of human nature and that men and women are justified on the single ground of faith in the shed blood of Christ and that only by God's grace and through faith are we saved (John 3:16-21, John 5:24; Romans 3:23, 5:8-9; Ephesians 2:8-10; Titus 3:5).
We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation (John 5:28-29).
We believe in the spiritual unity of believers in our Lord Jesus Christ (Romans 8:9, I Corinthians 12:12-13, Galatians 3:26-28).
We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life (Romans 8:13-14; I Corinthians 3:16, 6:19-20; Ephesians 4:30, 5:18)
We believe that the term marriage has only one meaning: the uniting of one man and one woman in a single, exclusive union, as delineated in Scripture (Genesis 2:18-25).
We believe that God intends sexual intimacy to occur only between a man and a woman who are married to each other. We believe that God's command is that there be no sexual intimacy outside of or apart from marriage between a man and a woman. (1 Corinthians 6:18, 7:2-5; Hebrews 13:4).
We believe that God wonderfully foreordained and immutably created each person as either male or female in conformity with
their biological sex. These two distinct yet complementary genders together reflect the image and nature of God (Genesis
1:26-27). PART III: AFFIRMATION My School’s administration and board members are born-again believers. My School does not discriminate in employment on the basis of gender, race, national or ethnic origin, age, or disability; nor does the School discriminate in enrolment or in the provision of its programs or services on the basis of gender, race, or national or ethnic origin. I hereby give permission for ACSI to contact me via the School email address or telephone/fax number, and acknowledge that my School’s contact information will appear in the annual Membership Directory. PART IV: SIGNATURE My signature indicates that I have read and completed accomplishing all applicable sections. I agree with the ACSI Statement of Faith and will comply with the points of Affirmation.
Signature Printed Name and Title of School Head or Authorized Representative
Date
FOR ACSI OFFICE USE ONLY Date Form Received: Amount Paid: PIB/Date: Cash: Check: Check Number: Bank/Branch Date: