Reformed and Presbyterian Seminary

Admission Form

Reformed & Presbyterian Seminary Admission Form

Personal Information First Name:
Last Name:
Date of Birth:
Citizenship/Passport No:
Sex: Male Female
Permanent Address:
Village/Town:
District:
VDC/Municipality:
Ward No:
State/Province:
Country:
Email Address:

Family Information Father’s First Name:
Father’s Last Name:
Home Telephone:
Mobile No:
Father’s Occupation:
Average Annual Income:
Religion of Family:

General Information Marital Status:

Spouse First Name:
Spouse Last Name:
Number of Children:

If Divorced, Reason:

Photo (2×2):

Other Information Primary Language:
Secondary Language:
Other Languages (speak/read/write):

English Proficiency:

Academic Qualifications

Degree/Course/Training	Institution	Place	Period of Study	Percentage

Note: Attach self-attested copies of all academic certificates.

Applying for Financial Aid? Yes No

If yes, please contact the Dean of Administration for a separate scholarship application.

Degree emphasis (tick):

BTh: Theology & Pastoral Ministry
BTh: Church Music
BTh: Christian Education
Master of Divinity
Master of Arts CE

Ministry Experience Field/Type of Ministry:

Church/Organization:

Duration:

Goals Achieved:

Hobbies/Special Interests/Skills:

Church Information Senior Pastor First Name:
Senior Pastor Last Name:
Local Church Name:
Denomination/Affiliation:
Pastor Contact No:
Pastor Mobile No:
Pastor Email:
Weekend Practical Ministry in Local Church? Yes No

Recommendations

Local Church Pastor

Name:
Last Name:
Church Name:
Place:
Phone:
Email:

Elder/Deacon/Mentor

Name:
Last Name:
Phone:
Email:

Teacher/Ministry Leader

Name:
Last Name:
Phone:
Email:

Declaration & Checklist

I, , affirm that this form is filled by myself and all statements are true to the best of my knowledge.

Date:

Please attach:

Completed Application Form
Three Recommendation Letters
Baptism Certificate/Pastor’s Letter
Academic Certificates
Medical Examination Form
Financial Statements/Scholarship Forms