APPLICATION FOR ADMISSION POSTGRADUATE PROGRAMMES

Transcription

1 Private Bag KABARAK, KENYA Tel: /5 Tel: / Fax: directorpostgraduate@kabarak.ac.ke Affix Current Passport Size Photo Here APPLICATION FOR ADMISSION POSTGRADUATE PROGRAMMES Notes: (i) This form should be typed or completed in BLOCK LETTERS, and returned to: The Director Post graduate Studies and Research, Kabarak University, P.O. Private Bag KABARAK. (ii) (iii) (iv) Attach certified copies of your professional and academic certificates and transcripts. Applicants from East Africa will pay application fee of Kshs 1500/= payable to Kabarak University into any of the following bank accounts: Standard Chartered Bank Nakuru; Trans National Bank Nakuru; Kenya Commercial Bank Nakuru; Equity Bank Nakuru, Kenyatta Avenue. Safaricom Pay Bill number with the name of the applicant as the account number. Applicants from other regions will pay application fee of US $50 by bankers cheque or credit cards. (v) Attach two (2) coloured photographs one inch by one inch (1 x 1 ) (vi) Student applying for Ph.D Thesis option must attach a 2 3 page, 1.5 line spacing, font 12 concept paper detailing: - What he/she intends to study - The motivation for the choice of study The programme applied for: (i) Name of programme. (ii) School.. (iii) Department. (iv) Field of study.. (v) Proposed date of commencement of study... Expected date of completion...

2 (vi). Preferred mode of study (Tick appropriately) Day Time Evening Weekends Full time Part time School Based SECTION A TO BE COMPLETED BY THE APPLICANT 1. Name: (Surname) (Other names in full) 2. Current Address:... Office No: Mobile /House.No:. Fax: Permanent Address (if different from the current address).. 4. Date of Birth.. Sex Citizenship. I.D./ PP No Marital Status 7. Country Name of Next of Kin:..Relationship:.. 9. In case of emergency contact:.. Address:... Telephone: ..

3 10. Academic Qualifications (copies of University transcripts and certificates to accompany application) PERIOD INSTITUTION QUALIFICATION 11. Professional Qualifications (attach copies of certificate/s) PERIOD QUALIFICATION 12. Work History (start with the present employer) EMPLOYER POSITION PERIOD 13. Research Experience (List of publications and research reports) Attach separate sheet if necessary...

4 14. Give names and addresses of two referees Name two persons who are prepared to act as referees on your behalf. They should be well placed to report on your potential as a postgraduate student in your chosen field of study and preferably should have been your lecturers in earlier degree courses. They should be requested to fill in the confidential report form (Attached) and forward it directly to the Director, Postgraduate Studies and Research, Kabarak University. (i) Name:..... Position: Tel. No.. Address:.. Fax: (ii) Name:..... Position: Tel. No.. Address:.. Fax: 15. How do you plan to finance your studies? i) Self financial resources (Yes/No) ii) Sponsorship by (Name).. Relationship.. Address.. Fax:. Note: Those wishing to reside on campus should contact the University for Accommodation Arrangements

5 SECTION B: RELIGIOUS INFORMATION 16. a) Religious Affiliation: Christian Muslim Hindu Buddhist Other (specify)... b) If Christian: Catholic Protestant Other (specify). c) If Christian, are you born again? Yes No d) Name and Address of the Church you attend..... e) Name of your Pastor/Priest Declaration I hereby declare that the information given in this form is correct. Applicant s signature.date: Kabarak University DOES NOT discriminate on the basis of faith, gender, disability or race BUT being a Christian Institution, we require every student to attend church services and adhere to our Moral Code and the Rules and Regulations governing the student s conduct at the University.

6 SECTION C: FOR OFFICAL USE ONLY 18. Programme. 19. Semester /Year (i) Application No: (ii) Application Fee Receipt No 21. (i) Date application received (ii) Recommendation of the School Accept Rejected Reason. Signed: Dean of School If accepted, Admission No Signed: (Director, Postgraduate Studies & Research) Date.. Official Stamp

7 Serial Number PG - Private Bag Tel: /5 KABARAK, KENYA Tel: / Academic_registrar@kabarak.ac.ke Fax: SECTION A: (To be completed by the candidate) REFEREE S CONFIDENTIAL REPORT 1. Name.... Surname other names in full 2. Degree Applied for:.. 3. Department/Institute/ School to which the application is being made: Field of Study SECTION B: (To be completed by the Referee) 5. For how long and in what capacity have you known the candidate? Please rate the candidate on the characteristics listed below Intellectual Capacity Excellent Very Good Good Average Below Average Unable to assess Capacity for persistence and independent study Ability for initiative and imaginative thought Promise of Productive Scholarship Quality and quantity of previous work Oral and Written expression in English

8 7. On the following scale, please rank the candidate among the students you have known Top 10% Top 25% Average Below Average 8. Comment freely on the candidate : ( Use additional Sheet if necessary) Name of Referee (in block capitals):... Position..Institution... Address.. Landline No:..Mobile No: Fax: ... NB: The Referee should return the completed form directly to: The Director, Postgraduate Studies and Research Kabarak University P.O. Private Bag KABARAK