APPLICATION FOR ADMISSION

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1 APPLICATION FOR ADMISSION Admissions Charis Bible College of Uganda, Shri Ganesh Plaza, 6th Floor, Plot 24/26, Entebbe Road. Post Office Box 35342, Kampala, Uganda, East Africa. Phone: +256 (0) / +256 (0) Charis Bible College Uganda FOR OFFICIAL USE ONLY Date Rec d Fee Rec d Student ID # Administration Fee UGX 270, 0000 ($75) - Non-refundable Your application will not be processed and/or approved until CBC receives your payment of the $75 administration fee. Application for Bible College: Starting as: First-year Correspodence General: Full-time (Day) Full-time (Evening) Start Date: Month Year Part-time (Day) Part-time (Evening) Your Name: Address: Last Name First Name MI Maiden Name City: State: Zip: Home Phone: ( ) Cell/Work Phone: ( ) Address: Personal: Gender: Male Female Marital Status: Single Married Separated Divorced Widowed/Widowered Date of birth: (mm) /(dd) /(yy) Are you a US citizen? Yes No If no, country of citizenship? If no, what type of visa have you obtained to live in Uganda? Have you previously attended CBC or extension school? Yes No If yes, when and where? Have you ever been convicted of a criminal offence (misdemeanor or felony)? Yes No If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. Spiritual: When did you accept Christ as your personal Savior? Have you been baptized in the Holy Ghost? Yes No Do you speak in tongues? Yes No Do you attend church regularly? Yes No Are you a member of a church? Yes No

2 Current church / denomination name: Pastor s name: Church address: Medical: Are you presently under the care of a physician? Yes No If yes, please explain: Family: Spouse: If married, name of spouse: Children: Name: Age: Name: Age: Name: Age: Name: Age: Parents: (please complete this section if under 18 years of age) Name of father/guardian: Phone: Address: City: State: Zip: Name of mother/guardian: Phone: Address: City: State: Zip: Education History: High School: Dates Attended: Did you graduate? Yes No College: Dates Attended: Course of study/degree conferred: Bible College: Dates Attended: Course of study/degree conferred: Other: Dates Attended: Course of study/degree conferred: Employment Experience: Present employer: Address of employer: Dates (from/to): Supervisor: Past employer: Address of employer: Dates (from/to): Supervisor: Affirmations (as found on the following pages): I have carefully read the Doctrinal Statement, and I affirm my belief in each of the articles. I have carefully read the prospectus and I agree to abide by the financial policies set forth by CBC. I understand that faithfulness is most important for success as a student at CBC. I will be faithful to keep my appointments, fulfill my obligations, complete the tasks I have been assigned, and to do them on time. I understand that Charis Bible College is a non-accredited institution of higher learning. I certify, to the best of my knowledge, that all of the answers and statements on this application are true, and give an accurate and adequate account of my background and beliefs. Signature: Date:

3 APPLICATION ESSAY QUESTIONS Mail to: Admissions Charis Bible College of Uganda, Shri Ganesh Plaza, 6th Floor, Plot 24/26, Entebbe Road. Post Office Box 35342, Kampala, Uganda, East Africa. Phone: +256 (0) / +256 (0) Charis Bible College Uganda Applicant s Name:... Date : / / Below are essay questions that will help us evaluate you as an applicant. Please answer the questions as completely as possible and attach to the application form. Please limit your answers to one page each, if possible. 1. Why are you applying to Charis Bible College? 2. (a) What are your beliefs about the Bible? (b) What are your beliefs about salvation? (c) How do these beliefs relate to your own goals in life? 3. If accepted for admission, what qualities and/or ministry experience, would you bring to the college community that might benefit, enhance, or stimulate the learning environment for your fellow students?

4 4. Please write a brief testimony of your Christian experience, including details of your conversion, call to the ministry, and any other significant events that have contributed to your Christian growth. 5. How did you learn about CBC? 6. How do you plan to finance your education at CBC?

5 DOCTRINAL STATEMENT The Scriptures: We believe that all of Scripture (both the Old and New Testament) is verbally inspired by God and is our final authority in all matters pertaining to doctrine, reproof, correction, and instruction in righteousness (II Tim. 3:16, 17). God: We believe in only one true God; One in essence, nature, and attributes, but existing in three persons: Father, Son, and Holy Spirit (I Jn. 5:7). Jesus Christ: We believe in the deity of the Lord Jesus Christ, in His virgin birth, of His shed blood on Calvary for the forgiveness of our sins, of His bodily resurrection and ascension to the Father s right hand. We do not believe that He is simply a way to the Father, but rather the only way through which we can receive righteousness, regeneration, sanctification, and glorification. He is, in fact, our salvation (I Cor. 1:30-31). Holy Spirit: We believe in the baptism with the Holy Spirit, expressed with speaking in tongues according to Acts 1:8; 2:4; 9:17; 10:44-46; 11:15, 16; and 19:6. We believe this experience is distinct from, and subsequent to, the new birth, and can be received by faith (Gal. 3:2). Salvation: We believe that all who, in repentance and faith, receive the Lord Jesus as Savior and Lord are born again (Acts 20:20-21; Rom. 10:9-13). Healing: We believe that the redemptive work of Christ on the cross has provided healing for the human body (Mt. 8:16, 17; Isa. 53:4; I Pet. 2:24). The Resurrection: We believe in the resurrection of the just and the unjust; one to everlasting life and one to everlasting damnation (Mt. 25:46). The Second Coming: We believe in a literal, physical second return of the Lord Jesus Christ (I Th. 1:10; 4:16-17). The Church: We believe that the universal church is comprised of all true believers who have received salvation through Christ (Eph. 1:22-23). We also believe in and encourage fellowship with a local church (Heb. 10:25). Gifts of the Spirit: We believe that spiritual gifts and manifestations of the Holy Spirit are for the common good and building up of others today (I Cor. 12:7).

6 PERSONAL REFERENCE Note: This section must be completed by applicant. TO THE APPLICANT: Each applicant to Charis Bible College is required to submit a personal recommendation for review. Please complete this entire section, and then give this form to the person (teacher, employer, or friend) you choose to have complete it. Date Phone Applicant's Name Present Address City State Zip Code TO THE PERSON COMPLETING THIS RECOMMENDATION: The above-named individual is applying for admission to Charis Bible College of Colorado. Serious consideration will be given to your comments. Thank you for your assistance. Once you have completed the form, please mail it to Charis Bible College, Uganda 1. How long have you known the applicant? 2. What is your relationship to the applicant? (cannot be a family member) High school teacher/counselor College teacher/counselor Employer Friend Other: 3. How well do you know the applicant? Name/sight Casually Fairly well Very close 4. To your knowledge, has the applicant made a personal commitment to Jesus Christ? Yes No I don't know 5. Which characteristic(s) best describes the applicant? Please check all that apply. Critical Enthusiastic Loving Passive Rebellious Respectful Sympathetic Tolerant Warmhearted 6. To your knowledge, what Christian service is the applicant involved in (such as Sunday school teacher, youth leader, nursery worker)?

7 7. Please indicate what you consider to be the applicant's strengths. 8. Please indicate what you consider to be the applicant s weaknesses. 9. The applicant's influence on his or her peers is: positive neutral negative I don t know 10. Please evaluate the applicant in regard to the following categories. (Please circle one.) Excellent Above Average Average Below Average Poor No Chance to Observe Christian commitment Social adaptability Cooperativeness Integrity and honesty Responsibility Mental ability Physical health Initiative Christian character Emotional stability Personal appearance Leadership Reliability Please add any further comments you may have that would help in our evaluation. Please Check One: I highly recommend I recommend with reservation I recommend I cannot recommend Please print or type the information below: Name: Phone: ( ) Address: Signature: Date: Please return this Questionnaire to Applicant

8 PERSONAL REFERENCE Note: This section must be completed by applicant. TO THE APPLICANT: Each applicant to Charis Bible College is required to submit a personal recommendation for review. Please complete this entire section, and then give this form to the person (teacher, employer, or friend) you choose to have complete it. Date Phone Applicant's Name Present Address City State Zip Code TO THE PERSON COMPLETING THIS RECOMMENDATION: The above-named individual is applying for admission to Charis Bible College of Colorado. Serious consideration will be given to your comments. Thank you for your assistance. Once you have completed the form, please mail it to Charis Bible College, Uganda 1. How long have you known the applicant? 2. What is your relationship to the applicant? (cannot be a family member) High school teacher/counselor College teacher/counselor Employer Friend Other: 3. How well do you know the applicant? Name/sight Casually Fairly well Very close 4. To your knowledge, has the applicant made a personal commitment to Jesus Christ? Yes No I don't know 5. Which characteristic(s) best describes the applicant? Please check all that apply. Critical Enthusiastic Loving Passive Rebellious Respectful Sympathetic Tolerant Warmhearted 6. To your knowledge, what Christian service is the applicant involved in (such as Sunday school teacher, youth leader, nursery worker)?

9 7. Please indicate what you consider to be the applicant's strengths. 8. Please indicate what you consider to be the applicant s weaknesses. 9. The applicant's influence on his or her peers is: positive neutral negative I don t know 10. Please evaluate the applicant in regard to the following categories. (Please circle one.) Excellent Above Average Average Below Average Poor No Chance to Observe Christian commitment Social adaptability Cooperativeness Integrity and honesty Responsibility Mental ability Physical health Initiative Christian character Emotional stability Personal appearance Leadership Reliability Please add any further comments you may have that would help in our evaluation. Please Check One: I highly recommend I recommend with reservation I recommend I cannot recommend Please print or type the information below: Name: Phone: ( ) Address: Signature: Date: Please return this Questionnaire to Applicant

10 TUITION PAYMENT AGREEMENT - FULL TIME 2016 Please select a payment option, sign and return with your Application for Admission. First Year Student Fees Second Year Student Fees Administration Fee UGX 270,000 ($75) (Non-Refundable) FEES ARE DUE BEFORE THE BEGINNING OF THE ACADEMIC SCHOOL YEAR. STUDENT TUITION PAYMENT OPTIONS Yearly Tuition - UGX 2,700,000 ($750) Discount for yearly tuition paid in advance UGX 270,000 ($75) Payment of UGX 2,430,000 ($675) due before the beginning of the academic school year. Discount for term tuition paid in advance UGX 45,000 ($12.5) Three payments of UGX 855,000 ($237.5) each due before the term begins. Total student tuition UGX 2,565,000 ($712.5). Monthly payment plan Monthly payments are made at the beginning of every month Nine monthly payments of UGX 300,000 ($83.3). REFUND POLICIES (Only for students who pay the whole year in advance) Students who withdraw may be granted a tuition refund as follows: First month of year 75% refund Second month of year 50% refund Third month of year 25% refund After the third month of the year, no refund will be granted. I agree to pay my tuition for Charis Bible College as indicated above. Signature: Date:

11 TUITION PAYMENT AGREEMENT - PART TIME 2016 Please select a payment option, sign and return with your Application for Admission. First Year Student Fees Second Year Student Fees Administration Fee UGX 270,000 ($75) (Non-Refundable) FEES ARE DUE BEFORE THE BEGINNING OF THE ACADEMIC SCHOOL YEAR. STUDENT TUITION PAYMENT OPTIONS Yearly Tuition - UGX 1,350,000 ($375) Discount for yearly tuition paid in advance UGX 135,000 ($37.5) Payment of UGX 1,215,000 ($337.5) due before the beginning of the academic school year. Discount for term tuition paid in advance UGX 22,500 ($6.3), 2 % per term, 6 % Total yearly discount Three payments of UGX 427,500 ($118.8) each due before the term begins. Total student tuition UGX 1,282,500 ($356.3). Monthly payment plan Monthly payments are made at the beginning of every month Nine monthly payments of UGX 150,000 ($41.7). REFUND POLICIES (Only for students who pay the whole year in advance) Students who withdraw may be granted a tuition refund as follows: First month of year 75% refund Second month of year 50% refund Third month of year 25% refund After the third month of the year, no refund will be granted. I agree to pay my tuition for Charis Bible College as indicated above. Signature: Date:

12 TUITION PAYMENT AGREEMENT - CORRESPONDENCE 2016 Please select a payment option, sign and return with your Application for Admission. STUDENT TUITION PAYMENT OPTIONS Yearly Tuition - UGX 2,700,000 per student or ($750) Discount for yearly tuition paid in advance UGX 270,000 ($75) Payment of UGX 2,430,000 ($675) due before the beginning of the academic school year Module s will only be distributed one at a time, and upon successful completion of the module and test the next module will be distributed. Module payment plan Pre Payments are made for each Module. Thirty six Module payments of UGX 70,000 ($19) Plus shipping for those outside Kampala. REFUND POLICIES (Only for students who pay the whole year in advance) Students who withdraw may be granted a tuition refund as follows: First month of year 75% refund Second month of year 50% refund Third month of year 25% refund After the third month of the year, no refund will be granted. There is also no refund for materials taken. I agree to pay my tuition for Charis Bible College as indicated above. Signature: Date:

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