Mizoram Bible College

Transcription

1 APPLICATION FORM (Every question must be answered) The course applied for: Affix your recent passport (1) B.Th [ ] (2) Dip.Th [ ] (3) C.Th [ ] size photograph I. PERSONAL DETAILS 1. Name in Full (Use Block Letter) 2. Address (Complete with Pin Code) Present Permanent Phone Cell 3. Age and Date of Birth: 4. Place of birth, District and State: 5. Electoral ID Number: 6. Parent s/ Guardian s name and address: 7. Marital Status: Single [ ] Married [ ] 8. Gender: Male [ ] Female [ ] 9. Have you taken Water Baptism by Immersion? Yes [ ] No [ ] If Yes, Date: 10. Do you have a definite call for full time Christian Ministry? 11. Name of your local Church: 12. What kind of ministry you engaged in your local Church? 13. What is your ministerial status? a) Evangelist [ ] b) Pastor [ ] c) Missionary [ ] d) Any Other 14. List your Talents, Skills and Hobbies: 15. Is there any police/ court cases where in you are involved? If Yes, explain 16. Have you ever been addicted to any kind of drugs, tobacco or alcohol? If Yes, give details:- a) Tobacco [ ] b) Alcohol [ ] c) Drugs [ ] d) Others [ ] 17. Mother Tongue:

2 II. EDUCATIONAL INFORMATION (Secular/ Theology) Course University/ Instition Year of Complete Grade Remark III. DECLARATION I,, hereby declare that the above information, are accurate and true to the best of my knowledge, and if accepted as a student at Mizoram Bible College, I promise to abide by the rules and regulations of the college and submit myself to the disciplines, study and prayer, abstaining from all evil habits and rebellions to the administration. I would also pay the monthly fees by the 10 th of every month. Place: Date: Signature: Name:

3 MEDICAL FORM 1. Name of the applicant: Age: 2. Date of Birth: Sex: 3. Height (in cms): Weight (in kgs) 4. General: Skin: Eye-Sight Abdomen Blood Pressure History of Medical Illness Investigation: Blood Sugar: Cardiac: Haemoglobin: Blood Group: Psychosomatic Illness: Past: Operation/ Surgery: Long term treatment: Allergy to any drugs: Intolerance or allergy to any food: Declaration: Having personally examined Mr/ Mrs/ Miss Candidate for admission to the Mizoram Bible College, I hereby certify that to the best of my knowledge this candidate is physically fit to an intensive programme of study. Place: Doctor s Signature: Date: Doctor s Name: Address

4 SPONSORSHIP FORM Full Name of the sponsored Candidate (In Block Letter): Address of the Sponsor: Phone Number: Relationship of the Applicant to the Sponsor: Occupation of the Sponsor: The Amount of Commitment to the Applicant: Per year Declaration I/ We Promise to give Rs For the Academic years of his/ her studies at Mizoram Bible College, Aizawl. In case of any medical expenses incurred the student, I/ We will pay that in addition to the above pledged amount. Place: Date : Signature Name Designation: Address Phone No

5 GENERAL REFERENCE FORM (From Church Youth Leader) Name of the applicant: Dear Sir/ Madam, The applicant has applied to Mizoram Bible College. As him/ her pastor, you are requested to assess him/ her in the following format and give your recommendation. Please return this in sealed envelope provided to the applicant so that it will be sent along with the application. Your assessment will be kept confidential. 1. How long have you known the applicant? 2. How long has he/ she been a member of your Church? 3. Does he/ she have any health problem? Yes/ No If Yes, explain 4. Does he/ she have good Christian character and testimony? Yes/ No. Explain 5. Do you think that he/ she have been called to full time ministry? Yes/ No. Explain 6. Does he/ she have involvement in the ministry? Yes/ No Explain 7. What else would you like to tell about his/ her? 8. Do you recommend the applicant to Mizoram Bible College? a) I strongly recommend [ ] b) I recommend [ ] c) I don t recommend [ ] Place: Signature: Date: Name Address Designation:

6 HOME CHURCH PASTOR S REFERENCE FORM Name of the applicant: Dear Pastor, The applicant has applied to Mizoram Bible College. As him/ her pastor, you are requested to assess him/ her in the following format and give your recommendation. Please return this in a sealed envelope provided to the applicant so that it will be sent along with the application. Your assessment will be kept confidential. 1. How long have you known the applicant? 2. How long has he/ she been a member of your Church? 3. Does he/ she have any health problem? Yes/ No If Yes, explain 4. Does he/ she have good Christian character and testimony? Yes/ No. Explain 5. Do you think that he/ she have been called to full time ministry? Yes/ No. Explain 6. Does he/ she have involvement in the ministry? Yes/ No Explain 7. What else would you like to tell about his/ her? 8. Do you recommend the applicant to Mizoram Bible College? d) I strongly recommend ( ) e) I recommend ( ) f) I don t recommend ( ) Place: Signature Date Name Designation: Address