APPLICATION FORM FOR JKUAT's OPEN, DISTANCE AND elearning PROGRAMMES. (Ignore the word survey in the information below)

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1 1 of 9 12/15/ :25 AM APPLICATION FORM FOR JKUAT's OPEN, DISTANCE AND elearning PROGRAMMES (Ignore the word survey in the information below) You will be required to pay for form application fee through MPESA and enter the transaction code in the application form. Available Programmes are also presented to you. Be prepared to also upload relevant documents in a number of fields. Thank you. (Check also in spambox if the details are not sent to your inbox) There are 19 questions in this survey Kindly fill the form with factual information for which you have evidence Applicant This system is not linked to the paybill system and the synchronization will be done later. If the number entered is not found in the system, you will be considered a person of questionable integrity and you will be blacklisted.

2 2 of 9 12/15/ :25 AM 1 Enter the MPESA Ref Number (sent to you after paybill transaction) * NOTE: You need to Scan or take snap shots using a smartphone, your relevant documents (Certificates, Result slips, National Identity Card) in readiness for uploading. DO NOT MAKE ANY PAYMENT BEFORE YOU NOTE THE AVAILABLE PROGRAMMES LISTED BELOW In order to be ready to fill it Scan or be ready to take snap shots of your relevant documents (Certificates, Result slips & Identity Card) using smartphone or tablet in readiness for uploading. Pay through our MPESA paybill Number for the application form as explained below; 1. Access the M-PESA menu from your phone, 2. Select Pay Bill option, 3. Enter the Business Number Enter Account Number as ODeL-**** where **** is your National ID Number e.g. ODeL (if your id no. is ) 5. Enter amount for the programme you want to apply for (Certificates:500/-; Diplomas:1000/-; Degrees:1,500/-; Masters:1,500/-). Note the M-PESA transaction code. It will be entered elsewhere a) List of available Programmes Certificate in Information Technology (CIT) - 6 modules/units Certificate in HIV/Aids Management & counseling - 5 modules/units Diploma in Information Technology (DIT) - Stage I - 25 modules/units Diploma in HIV/Aids Management & counseling - 14 modules/units Bachelor of Purchasing & Supplies Management [BPSM]/Bachelor of Science Procurement & Contract Management - 57 modules/units Bachelor of Business Information Technology [BBIT] - 54 modules/units Bachelor of Commerce [BCOM] - 54 modules/units Bachelor of Science in Information Technology [BSc IT] - Stage I - 65 modules/units Bachelor of Science in Public Administration Bachelor of Science in Business Computing Master of Science in Computer Systems - 12 modules/units Master of Science in Statistics/Applied Statistics Masters in Research Methods - 16 modules/units Master in Business Administration - 18 modules/units Master of Science in ICT Integration in Education & Instructional Design Postgraduate Certificate in ICT Integration in Education & Instructional Design Postgraduate Diploma in ICT Integration in Education & Instructional Design Master of Science in Procurement & Contract Management (20 units) Master of Science in Leadership & Governance Master of Science in Project Management (18 units) b) Fee Schedule on Average Certificate Diploma Degree PGD Masters (Kshs) (Kshs) (Kshs) (Kshs) (Kshs) Tuition ,000 9,000 9,000 Registration 1,500 1,500 1,500 1,500 1,500

3 3 of 9 12/15/ :25 AM Student ID Examination Library 1,250 1,250 1,250 1,250 1,250 To estimate the cost, take the number of modules offered in a programme and multiply by the amount of fees given One time payments 1. Registration Fees 2. Student ID Fees 3. Attachment Fees 4. Project/Thesis/Research Fees Per Module/Unit payments 1. Tuition Fees 2. Examination Fees Per Semester payments 1. Library Fees No student will be allowed to sit for the CAT with any module fee balance c) Mode of Delivery 2 sessions are REQUIRED: The 1st/ Opening session will be for registration and orientation. Students who fail to attend the registration/orientation session shall be deemed to have forfeited their admission and therefore shall not be considered as registered. The 2nd session will be for the sit-in CAT and the main exam. This CAT will be a registration requirement for the end of semester examinations. Each semester, enrolled students will be required to attend the 2nd on-campus session for their examinations. Learning will be on your own while being supported online by lecturers through our versatile management system. A student shall remain registered and recognized if they are enrolled for a minimum number of modules for which they should also sit for semester examinations: 3 modules/units in Undergraduate 2 modules/units in Certificate/Diploma/Masters Duration of the programmes depend on the number of units you register for and successfully undertake and it is estimated that the course can be 50% shorter than the existing regular programme or it can take a maximum of double the period. Kindly note that at the moment we do not have the provision of accelerating the programme. d) Examinations/Assessment Examinations will be as per the University Exam Schedule: April, August & December. The University shall have the discretion of assigning enrolled students support and examination venues Most of the learning materials will be downloadable from our learning management system and tthey may be printed at learners cost Each student is expected to undertake some online activities as guided by the module/unit facilitator. Assignments may be taken/submitted online. If you have any questions please contact the office by calling Thank you. JKUAT, SODeL

4 4 of 9 12/15/ :25 AM ODeL Students TERMS & CONDITIONS 1. The information provided here must be as accurate as possible and personal details should be as per your certificates and other testimonials 2. Original certificates and testimonials will be required on the day of registration if admission is granted 3. Classes will only take off if a specified quorum is achieved 4. Basic ICT skills are assumed 5. Enrolled students will be required to attend two (2) on-campus sessions and do most of the learning on their own while being supported online through our versatile learning management system. 6. Fees shall only be paid after the applicant or the student receives an admission 2 Surname * Put in capital letters e.g. KORIR 3 Other Names * Put in sentence format e.g Joan Kamagusi 4 Gender * Please choose only one of the following: Female Male 5 Year of Birth *

5 5 of 9 12/15/ :25 AM 6 Nationality * 7 ID/Passport No. * 8 * 9 Telephone * 10 Address

6 6 of 9 12/15/ :25 AM 11 Indicate the course applied for: * Please choose only one of the following: Certificate in information Technology Certificate in HIV/AIDs Management Diploma in Information Technology Diploma in HIV/AIDs Management Bachelor of Science in Information Technology Bachelor of Business Information Technology Bachelor of Commerce Bachelor in Purchasing and Supplies Management Bachelor of Science in Public Administration Bachelor of Science in Business Computing Masters in Business Administration Master of Science in Computer Systems Masters in Research Methods Master of Science in ICT Integration in Education & Instructional Design Postgraduate Certificate in ICT Integration in Education & Instructional Design Postgraduate Diploma in ICT Integration in Education & Instructional Design Master of Science in Procurement & Contract Management Master of Science in Leadership & Governance Master of Science in Project Management Master of Science in Statistics/Applied Statistics Kindly note that these are the only programmes being offered. More will come at a later date. 12 Intake Date * Please choose only one of the following: January 2015 May 2015

7 7 of 9 12/15/ :25 AM 13 Region of Study * Please choose only one of the following: JKUAT Main Campus - Juja Mombasa Eldoret 14 High School Results (A-Level / KCSE MEAN GRADE) * E.g. A, A-, B+, B etc. 15 Name of Next of Kin * Name and address of nearest relative, person or agency to be contacted in case of emergency 16 Relationship * Who is the specified next of Kin to you?

8 8 of 9 12/15/ :25 AM 17 Telephone * Next of Kin's Mobile Number if possible 18 Documents include your National Identification Card, Secondary Certificate and any other certificates Kindly attach the aforementioned documents along with the survey Ensure that the file name starts with your ID Number followed by the file uploaded Example: for the ID card: name it ID 19 for the secondary certificate: Cert1 Upload other Certificates Kindly attach the aforementioned documents along with the survey Ensure that the file name starts with your ID Number followed by the file uploaded Example: If your ID NO is then label the files as follows For result slip use slip For College Certificate use cert2 For Diploma Certificate use cert3 For Degree Certificate use cert4 Etc

9 9 of 9 12/15/ :25 AM Thank you for filling the application form. We will get back to you soon Please submit by :00 Submit your survey. Thank you for completing this survey.

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