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Welcome Application for Non-School Leavers for Admission to an Undergraduate Degree 2017 Pacific Adventist University (PAU) is focused on providing spiritual growth in addition to academic excellence. It integrates education on Health, Science and Christian faith. If you desire to study in an environment that involves integrating your spiritual values and your direction to find God, then PAU is the right place for you! Thank you for your interest in PAU. We require that you carefully read and complete all sections of the application form as required. INCOMPLETE FORMS WILL NOT BE PROCESSED! DATE RECEIVED REVIEWED BY SCHOOL APPLICATION STATUS OFFICE USE ONLY Attach ID Photo here Admission Information Admission to Pacific Adventist University is available to any student who meets the academic and character requirements of the university and who expresses willingness to cooperate with its policies. As Pacific Adventist University is operated by the Seventh-day Adventist church, the majority of its student are Seventh-day Adventists. However, no particular religious commitment is required for admission; any qualified student who is comfortable with its religious, social, and cultural atmosphere may be admitted. The university does not discriminate on the grounds of race, gender, colour, creed, nationality or ethnic origin, age, disability or other legally protected characteristics. Section 1: Statement of Committment Do you genuinely want to grow in your relationship with Jesus Christ for the duration of your study at PAU? Yes No If your answer is Yes, PAU promises to provide a supportive environment to assist you in your spiritual development. If your answer is No, PAU recommends that you pursue your studies at an institution that is better aligned with the direction you have chosen for your life. Section 2: Personal Details Please print clearly or place an X on the circle. FIRST NAME: MIDDLE NAME: SURNAME: TITLE: Ms Mr Mrs Other AGE DATE OF BIRTH GENDER MARITAL STATUS MALE FEMALE SINGLE MARRIED WIDOWED DIVORCED SEPERATED RELIGION DATE OF BAPTISM (SDA ONLY) PLACE OF CHURCH MEMBERSHIP NATIONALITY (IF PNG, INDICATE PROVINCE) EMAIL: POSTAL/RESIDENTIAL ADDRESS (WHERE YOU LIVE) TELEPHONE FAX MOBILE NOTE: We prefer all correspondences to be sent VIA EMAIL. Please provide a reliable email address. 1

Section 3: Course Information Refer to Appendix A on page 6. Please select your choice of our Undergraduate courses on offer. Note that for the Bachelors of Theology, Nursing and Midwifery, you do not need to fill the Majors and Minors. COURSE MAJOR MINOR 1ST CHOICE 2ND CHOICE Section 4: Educational Background Please provide copies of your educational records to ensure that you meet the entry requirements for the course you are applying for. Also ensure that all attached certified copies of transcripts and awards are signed by a Commissioner of Oaths, a senior civil servant or a School Principal. IMPORTANT NOTE: For PNG Applicants only - we require full verification of Grade 12 matriculation done from the following designated centres: (1) UPNG Open Campus - Provincial Centres (2) Unitech - DODL (3) UNRE - Dept. of Self Education. QUALIFICATION INSTITUTION YEAR ENROLLED YEAR COMPLETED AWARD (CERTIFICATE) Have you ever been excluded or suspended from an educational institution? YES NO INSTITUTION YEAR REASON Section 5: Statement of Purpose Please include a statement of up to 150 words indicating why you want to study the course for which you are applying. You must clearly state how your course will achieve PAU s Mission and your country s development goals. Refer to Appendix B on page 6. Write on the lines provided. If you need more space, please attach another sheet. 2

Section 6: Accommodation Information Please note that dormitory accommodation is for single students only. ACCOMMODATION FOR SINGLE STUDENTS ACCOMMODATION FOR MARRIED STUDENTS No accommodation needed - day student No accommodation needed - day student Accommodation in Ladies Residence One bedroom house Accommodation in Men s Residence Two bedroom house Three bedroom house Midwifery student shared housing Married applicants are to provide the following information. Name of spouse Qualifications Has s/he applied to study at PAU this year? YES NO List any special skills s/he may have Children s Names Age (years) Current School Grade Baby sitter request. Name Relationship of baby sitter to you (or your spouse) Please note: Married student and spouse must arrive on campus together and remain for the duration of the study. With the exception of Midwifery married students who will be under the AusAID scholarship accommodation conditions. Age Section 7: Character Information Please provide names and addresses of two (2) referees, (not relatives), that are providing character references to support your application. Name: Address Title of Referee: Telephone/Mobile Fax Email Name: Address Title of Referee: Telephone/Mobile Fax Email Section 8: Financial Information/Sponsorship Details SPONSORSHIP TYPE 1) Self 2) Corporate/Business 3) Employer NAME: NAME: ADDRESS: ADDRESS: EMAIL: EMAIL: TELEPHONE: TELEPHONE: MOBILE: MOBILE: FAX: FAX: 3

Section 9: Medical Information (for PNG applicants only) NOTE: Non-PNG applicants will have a medical examination as part of their application for an entry visa, if they are accepted by PAU. Do you have a chronic illness (e.g. asthma, heart illness, TB) that you have had for years that requires specialised medical treatment? If you have, we would encourage you to have that illness treated before planning to enrol at PAU. If the answer is yes please provide more information. The statement below is to be completed, signed and stamped by a qualified medical doctor. I hereby certify that I have examined the applicant and found him/her to be in good physical health with no communicable diseases. Doctor s name Doctor s signature YES NO Name of hospital Address Date Stamp Telephone/Mobile Fax Email Section 10: Important Information 1. Closing date of application is on the 31 st of August 2016. No late applications or late fees will be considered. Successful applicants will be notified as of October 2016. Quiries regarding applications will be attended to only at the given time. 2. Application processing fee is K30 (non-refundable) and must be paid into the University s nominated accounts provided below: Account Name: PACIFIC ADVENTIST UNIVERSITY WESTPAC BANK, Boroko Branch, Account No. 038-006-604745801 swift no. WPAC PGPM BANK SOUTH PACIFIC (BSP), Boroko Branch - Account No. 1002258562 The receipt must be attached to the application form before sending it in 3. Upon acceptance, 75% of Semester one (1) fees is required to be paid by the 13 th of February 2017. 4. Your application will be rejected if documents show alterations and/or erasures of any kind or falsification. Section 11: Application Checklist Check that you have completed all sections and provided all required/necessary documents. Place an X on each of the circles Passport size ID photo (for PNG applicants) Filled out all sections and attached copies of all receipts. Included all certified academic transcripts and certificates (diplomas or degrees). Copies of these documents must be certified by a Commissioner of Oaths, a senior civil servant or a school principal. 2 x character references. For school leavers references from school. For non-school leavers references from your employer and Church Pastor. References are to be sent directly to PAU from your referees. Refer to Mailing Address on Section 13. A medical report/certificate (see section 9). For Midwifery applications, please fulfill the above requirements and also the following: Include current certified copy of registration with the Nursing Council in the country of employment For PNG applicants ONLY, to include a current receipt for annual renewal of registration A letter of financial support from your employer or sponsor Documents submitted with your application will NOT be returned. 4

Section 12: Declaration I certify that the information I have supplied in this application is true and accurate to the best of my knowledge. I acknowledge that the university reserves the right to deny my admission if the information given is incorrect or incomplete, or if there are insufficient resources to offer the course/program for which I have applied. I understand that I can be dismissed if I have provided incorrect information. I recognise that Pacific Adventist University is a Christian University structured on the principles of the Seventh-day Adventist Church. I accept the obligation to live in harmony with the principles of the SDA church as I become part of the campus life. I further agree not to engage in cult activities, drinking alcohol in any form, smoking, chewing betel nut, using illegal drugs or bringing such substances or pornographic materials onto the campus. I accept that I will be required to leave the university should I break these regulations. Name of applicant: Signature of applicant: Date: Section 13: Mailing Details Please send completed applications to the following address: The Admissions Officer Pacific Adventist University Private Mail Bag, Boroko 121, NCD PAPUA NEW GUINEA Telephone: +675 328 0200 Fax: +675 328 1257 Email: admissions@pau.ac.pg Web: www.pau.ac.pg/applications Note: All applications are expected to be received on the email address provided. Application forms can be downloaded from the PAU website provided. 5

Appendix A List of undergraduate courses available in 2017. QUALIFICATION MAJORS MINORS Bachelor of Arts Bachelor of Arts in Theology Bachelor of Business (Accounting) Bachelor of Business (Accounting & Computing) Choose 2 majors and 1 minor English, Geography, History,, Religion Bachelor of Business (Accounting & Management) Bachelor of Education (Secondary) Bachelor of Midwifery Bachelor of Nursing Bachelor of Science Business, Education, English, Geography, History,, Choose 1 group (Major/Minor must be selected from only one group) Group A: English, Geography,, History, Religious Studies Group B:, Geography,, Maths, Group C: Business, Computing, English, Maths Choose 1 major and 2 minors OR choose 2 majors,, Environmental Science,,,, Environmental Science,, PROGRAMME MAJOR A MAJOR B MINOR A MINOR B DOUBLE MAJOR SINGLE MAJOR WITH TWO MINORS Chemstry Graduate Diploma in Teaching Graduate Diploma in Theology Appendix B PAU Vision Statement Our Vision is the be the BEST provider of quality tertiary Christian education in the Pacific Islands. This will be achieved by being: - Biblically Sound - Educationally Valid - Spiritually Challenging - Technologically Relevent PAU Mission Statement Our Mission is to prepare GRADUATES who are equipped and willing to serve their Community, their Country, their Church and their God. Our GRADUATES will be: - Growing towards excellence through life-long learning - Ready to lead by example to make a positive difference - Active in pursuing a balance lifestyle - Dedicated to introducing others to Christ - Understanding current needs and opportunities - Acknowledging Gods sovereignity and experiencing His grace - Trustworthy and reflecting the character of God - Educated to serve all, regardless of status, belief, gender or culture - Specialised in their chosen field of expertise 6