Rev. Salustian Mkangala College Registrar UrgentContacts (Call) / /Principal ( )/

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1 DIPLOMA AND DEGREE APPLICATION FORMS P.O. BOX 70 DODOMA -TANZANIA Dear Prospective Student! Greetings in the Name of Jesus Christ! We acknowledge receipt of your letter showing interest to attend your studies at the Assemblies of God Bible College -Dodoma. The college exists to Develop Servant Leaders Empowered by the Holy Spirit to Reach the Nations. Welcome to join the growing number of students of CBC. Here are some of the things you need to know. 1. Fill the Application Form. 2. Every student is required to pay 20,000/= as the Application Fee for Diploma and 30,000/= For degree applicants (Send it with your Forms). 3. Take note of the Fee Schedule (There are three terms per year): * Diploma program per term: TAG students 200,000/= and Non TAG Students is 300,000/= * Degree Program: Tuition and Board TAG Students 400,000/= Study Guides 100,000/= per term and Non TAG Students 500,000/=, Study Guides 100,000/= per term. * Student s Welfare fund 10,000/= yearly. * Collage development contribution 20,000/= paid ones only through out your stay at the college). 4. You need to write a Personal Testimony and include the following; (i) How you were saved? (ii) How you got baptized in Spirit? (iii) How you felt God s call into the Ministry? (iv) Why you have chosen CBC Dodoma for your training? 5. Send us your School Certificates. If you have ever attended another Bible College request for an official Transcript before you come. 6. Send us two Passport size photos. 7. If you are intending to join Diploma or Degree, you must have a level of Form 4 and above or its equivalent. You must demonstrate an ability to speak, write and understand things through English language. 8. Do a Medical Examination for physical fitness from a recognized Hospital and a qualified doctor and will be accountable for any information given. The examination or test should include: Tuberculosis, Venereal Diseases, HIV/AIDS, Diabetes, Advanced Stomach Ulcers and any other serious disease. This should be sent before you come. 9. YOU MAY SEND YOUR SCHOOL FEES, APPLOCATION FEE AND OTHER REQUIREMENT THROUGH THE FOLLOWING ACCOUNT: ACCOUNT NAME IS ASSEMBLIES OF GOD BIBLE COLLEGE NBC A/C CRDB A/C 01J After you have done all of these, send them to the Office of the Registrar and wait for the answer. If delays occur in receiving the response then contact us on the above address or phone. As for now we have put your letter in our prospective Student file. Wait to hear from you. God bless you. Yours in the Lord, Rev. Salustian Mkangala College Registrar UrgentContacts (Call) / /Principal ( )/

2 TANZANIA ASSEMBLIES OF GOD CENTRAL BIBLE COLLEGE P. O. Box 70, DODOMA TANZANIA APPLICATION FORM (DEGREE AND DIPLOMA) SECTION 1: PERSONAL 1. Name Last First /Baptism Middle 2. Addresses (a) Residential Tel: (b) Home: Tel: 3. Place of birth: Date of birth: 4. Nationality: Tribe: Male: Female: 5. Marital status: Single Married Divorced Widowed Separated 6. If you are divorced or separated, is your wife /husband still living? Yes /No 7. Do you have a family to support? Yes /No 8. Do you have children? Yes? No if yes, how many 9. Which local church do you belong to? Church Name Pastor s Name Address: 10. If you are a Pastor, who is your Presbyter or Superior? Name: Position: Address: SECTION 2: HEALTH 11. Are you in good health? Yes /No 12. Have you ever suffered or do you suffer from any serious illness such as Mental Illness, TB, Epilepsy, Diabetes, Heart Trouble, etc? Yes /No If Yes, Please explain 13. Do you have any Physical Disability? Yes /No If Yes, Please explain SECTION 3: EDUCATION 14. How many years have you spent in: a. Primary School years b. Secondary School years c. Bible School years d. College or University years 15. Admission requirements: a. Admission to the three year Diploma requires Form IV or its equivalent b. Admission to the four year Degree requires a minimum of a Form IV Certificate (division III). If you have already attended Bible school or college, please send your transcript (i) In which program do you wish to enrol? Diploma Degree (ii) Which year do you wish to enrol? 20 PLEASE TURN OVER 16. What language do you speak fluently? Indicate your ability in English by putting X to the appropriate space: (a) Spoken English: Excellent Good Fair Poor

3 (b) Written English Excellent Good Fair Poor 17. State your secular work experience: SECTION 4: MINISTRY 18. To which church denomination do you belong? How long? Years. 19. Do you believe that God has called you to the Ministry? Yes /No If Yes Please Explain 20. What type of Ministerial Credential do you have and for how long? a. Christian Worker For how many years b. Licensed Minster for how many years c. Ordained Minister for how many years d. Other (specify) 21. What Christian Ministries have you had and for how long? a. Pastor For how many years b. Teacher for how many years c. Evangelist For how many years d. Church leader for how many years e. Youth leader for how many years f. Choir leader for how many years g. Other (state it) 22. Please write in a separate paper in your own handwriting and in your own words, a testimony of your salvation, the Baptism in the Holy Spirit, your call in the Ministry and your experience in Christian service. 23. If accepted you must agree to the following: a. All students must obey the Rules of this College. b. The college Administration has the right to dismiss any student at any time for any reason. c. Both CBC and T.A.G. are not obligated to provide any Student or Graduate with employment. d. You will be completely responsible for the payment of your School fees at the opening of each term. e. If you have accepted, you will receive an admission letter. 24. Please! Enclose with this form, achieved certificates /transcripts or its equivalent from your previous, schools, colleges and Universities. 25. The application and registration fee for Diploma program is 20,000/= and for Degree program is 30,000/=. 26. Certification: By my signature I certify that the answers I have given on this form are true. By the same I also agree to abide by the statements I have made herein. Signature Date

4 TANZANIA ASSEMBLIES OF GOD CENTRAL BIBLE COLLEGE P.O. BOX 70; DODOMA Tel/Fax ; Mobile: RECOMMENDATION FORM Applicant s Name Dear Pastor/Presbyter/District Bishop, The person mentioned above has applied for admission for the DEGREE or DIPLOMA PROGRAM at our College. To assist us in determining his/her application we need some recommendation by the applicant s local pastor, Presbyter, Bishop, etc. Grateful, therefore, if you would kindly evaluate this applicant by filling in this form. Your honesty is absolutely essential in determining if the applicant will benefit from studies at AGBC. When you are through, pleased return this form directly to the REGISTRAR at the address given above. Thank you for your cooperation. Be assured also that your answer in this form will be kept confidential. 1. How long have you personally known the applicant as your church member, co-worker, and associate? Years Month. 2. Do you believe that this applicant is saved /born again? YES/NO 3. Has he/she received Water Baptism Immersion? YES/ NO. If NO, please explain 4. Has he/she received the Baptism in the Holy Spirit as in Acts 2:4? YES/NO 5. Is he/she living holy and consistent Christian life? YES/NO 6. Is he/she presently married? YES/NO NOT SURE 7. If he/she is married, are they living apart because of marital conflict? YES/NO 8. Is he/she faithful in church attendance? YES/NO. In paying Tithes? YES/NO 9. What types of ministry has he/she been involved in your church? a. b. c. d. e. f. 10. What ministerial credentials does he/she have? a. Christian Worker b. Licensed c. Ordination d. Other 11. Are you convinced that he/she has a CALL for the ministry? YES/NO 12. Do you recommend that he/she should be accepted to join this College to pursue the course he/she has applied for? YES/NO If NO, explain 13. How do you think his/her school expenses at AGBC will be met? 14. Do you know anything about the applicant which causes you to believe him/her: (a) May not succeed at CBC YES/NO MAY BE (b) If you answered YES or MAY BE, please explain PLEASE TURN OVER 15. I certify that I have answered the above questions to the best of my knowledge of this applicant.

5 Pastor s, presbyter s, Bishop s full name Pastor s, presbyter s, Bishop s Signature Address: Official Rubber stamp: Date Name of Sectional Presbyter (To be filled by Pastor) Name of District Bishop (To be filled by Pastor) College Registrar Date

6 THE UNITED REPUBLIC OF TANZANIA REQUEST FOR MEDICAL EXAMINATION FROM: - ASSEMBLIES OF GOD BIBLE COLLEGE P. O. Box 70, DODOMA-TANZANIA TEL:( /6), FAX: To the Medical Officer:-... Student s full name: Please examine the above named as to his/her fitness for full time English / Diploma /Degree program. The following categories are closely sited:- i) Eye sight. ii) Hearing iii) Leprosy iv) Epilepsy.. v) T.B.. vi) Diabetes.. vii) Neurosis.. viii) Heart trouble... ix) Mental illness.. x) H. I. V /AIDS.. xi) Other serious diseases. MEDICAL CERTIFICATION: (To be completed by a medical Officer) I have examined the above named and consider that he /she is /is not physically /mentally fit for full time English /Diploma /Degree program. Remarks: Date: Signature: * Delete as necessary Designation:

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