TANGAZA COLLEGE The Catholic University of Eastern Africa

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1 TANGAZA COLLEGE The Catholic University of Eastern Africa APPLICATION FOR ADMISSION P. O. Box Lang ata Nairobi Tel: Tel: / Fax: PERSONAL DATA (Please Type or Print) SURNAME OTHER NAMES FIRST NAME GENDER: MALE FEMALE CITIZENSHIP/COUNTRY OF ORIGIN OF BIRTH (DD/MM/YY) PASSPORT or ID N O (Indicate which) MARITAL STATUS: SINGLE MARRIED RELIGIOUS AFFILIATION LAY RELIGIOUS FOR RELIGIOUS: PRIEST DEACON SISTER BROTHER DIOCESE OR CONGREGATION CONTACT INFORMATION (Please Type or Print) INITIALS HOME TELEPHONE N O N O CELL PHONE CONTACT IN EMERGENCY SITUATIONS / NEXT OF KIN i : NAME TELEPHONE N O PROGRAMME/COURSE INFORMATION (Please Type or Print) REGISTRATION/STUDENT STATUS ii : FULLTIME OCCASIONAL AUDITING Evening/Distance INSTITUTE AND PROGRAMME APPLYING TO: (Tick where appropriate) SCHOOL OF THEOLOGY Baccalaureate in Sacred Theology Diploma in Theology Certificate in Mission Studies Bachelor of Arts in Religious Studies Diploma in Religious Studies This Form should be filled and submitted to the College after paying an Application Fee of KShs 1000 in cash or by cheque to the Finance Office or by depositing it in the College bank account.

2 INSTITUTE OF SOCIAL MINISTRY IN MISSION Master of Arts in Social Ministry in Mission Diploma in Sciences of Human Development Certificate in Social Ministry MBA Social Entrepreneurship & Management Bachelor of Arts in Sustainable Human Development Diploma in Social Ministry Certificate in Practical Social Work Diploma in Civic & Development Education INSTITUTE OF SPIRITUALITY AND RELIGIOUS FORMATION Diploma in Spirituality/Spiritual Guidance Diploma in Spirituality Diploma in Religious Formation Certificate in Spirituality INSTITUTE OF SOCIAL COMMUNICATION Bachelor of Arts in Social Communication Certificate in Media Production Diploma in Social Communication INSTITUTE OF YOUTH MINISTRY Master of Arts in Educational Guidance and Youth Counseling Diploma in Youth Ministry Bachelor of Arts Degree in Youth Ministry ISLAMIC STUDIES Certificate in Islamic Studies Duration of studies for applicants taking no award: 1year 2years 3years 4years ENGLISH COMPETENCY: (Tick the Appropriate and Fill in the Score) TOEFL IELTS PITMAN UCLES (FCE) PAST ACADEMIC INFORMATION (Please Type or Print) LEVEL SCORE Have you ever studied at Tangaza College Before? iii : Yes No If Yes, From which year to Student Number Institute:

3 LIST ALL UNIVERSITIES AND COLLEGES ATTENDED INSTITUTION/ ESTABLISHMENT LENGTH OF STUDIES (FROM- TO) DEGREE/DIPLOMA/ CERTIFICATES RECEIVED GRADE/ MARK/ GPA/ AVERAGE LIST ALL HIGH/SECONDARY SCHOOLS ATTENDED INSTITUTION/ ESTABLISHMENT LENGTH OF STUDIES (FROM- TO) AWARD/CERTIFICATES RECEIVED GRADE/ MARK/ GPA/ AVERAGE RECOMMENDATION AND SPONSORSHIP (Please Type or Print) RECOMMENDATION/RECOMMENDING AUTHORITY: NAME CONGREGATION/DIOCESE/ORGANIZATION TELEPHONE SIGNATURE OF RECOMMENDING AUTHORITY SPONSOR/SPONSORING AUTHORITY: NAME CONGREGATION/DIOCESE/ORGANIZATION iv TELEPHONE Indicate sponsoring community, province or house if congregation has more than one v : House/Province/Community SIGNATURE OF SPONSORING AUTHORITY SIGNATURE OF THE APPLICANT

4 FOR OFFICIAL USE ONLY Application Number The above student has been: Accepted Rejected By the Admission Committee of the Day of the Month of INSTITUTE AND PROGRAMME ACCEPTED TO: (Fill this portion if the applicant is accepted) Institute: Programme: Duration of Studies: 1 Year 2 Years 3 Years 4 Years Status: Full Time Occasional Auditing REASON(S) FOR REJECTING APPLICANT: (Fill in this portion if the Applicant is rejected.) Lack of adequate academic qualification Lack of required English competency Lack of required experience Lack of adequate preparation to join the programme Other (State) Director s Signature Registrar s Signature Registration Number Notes (Where Applicable. Check corresponding number on Form)

5 i Fill in the name of the contact here in Nairobi who can be reached in case of emergency. It may be your formator/rector, parent or a relative ii An Ordinary/full time student is a student who is enrolled in the college within a given institute and is taking a full semester load (a minimum of between 15 and 18 credits) within the institute they are enrolled in. The said courses have to be taken for credit. An occasional student is a student enrolled in the college and is taking one or more courses in one or more institutes, but does not reach the minimum number of credits considered a full semester load in any one of the institutes. The said courses are taken for credit. An auditor student is a student enrolled in the college and is taking one or more course in one or more institutes and the said courses will not be assessed. No credit will be given for the said courses. iii Indicate if you have been to Tangaza College Before. Fill in the student number if it can be remembered. The years in which you were enrolled must be indicated. iv This should be filled if it is a Diocese, Congregation or Organization sponsoring the student. If the applicant is self-sponsored, it should be left blank or the organization where they work is filled in. If the candidate is sponsored by the parents or family members, it should be left blank or the organization where the sponsor works can be filled in. v This should be filled by Members of Congregations where there is more than one formation house, provinces or community that caters for the fees of the student. Indicate to which community you belong.