REGENT-GHANA
MDIV AND MTH APPLICATION FORM
Programme applying for:
Master of Divinity (MDiv)
Master of Theology (MTh)
Instructions
Please be concise and precise when you fill out this form. Send it together with the supplementary materials to:
Regent University College of Science and Technology For the attention of:
Dean, Post Graduate School P.O. Box DS 1636
Dansoman Accra Ghana
All fields must be completed. Use the English language only.
Please provide the following supplementary materials with the completed application form: Application deposit for the amount of ………... Ghana Cedis
Certified copies of diploma’s, with certified English translation (if not in English); Certified copies of transcript/ grade list. These transcripts have to be embossed
with the issuing school’s seal, with certified English translation (if not in English); Two signed Referee Report forms, each accompanied by a recommendation letter; A personal resume /curriculum vita in English;
Certified statement of financial support. If your studies will be sponsored, you should submit a guarantee of financial support by the sponsor. If you are self-supporting you should submit proof of Financial Support for the amount of the tuition fee and for the living expenses during the program (eg, Bank statement).
Please Include Three recent passport sized photographs with
your name and choice of Programme written
REGENT-GHANA
1. PersonalMr/ Mrs./Ms./Rev/Pastor/ (Underline as appropriate)
Family name _________________________________________________________ First name ___________________________________________________________ Middle name _________________________________________________________ Home address (no. + street) _____________________________________________ City_____________________________ Postal code _________________________ Country _____________________________________________________________ Home telephone (country code, area code, number) __________________________ Home fax (country code, area code, number) ________________________________ Mobile phone (country code, number) _____________________________________ Personal e-mail _______________________________________________________ Date of Birth (day/ month/ year) _________________Place of Birth _____________ Nationality ___________________________________________________________
2. Emergency contact data
Person to be notified ___________________________________________________ Type of relation _______________________________________________________ Address _____________________________________________________________ City _________________ Postal code _________ Country _____________________ Telephone (country code, area code, number) ________________________________ Fax (country code, area code, number) _____________________________________ Mobile phone (country code, number) ______________________________________ E-mail _______________________________________________________________
3. Educational background
Highest qualification PhD degree Master degree Bachelor degree College degree
Other _________________________________ List any academic distinctions, honours or scholarships received
_____________________________________________________________________ _____________________________________________________________________
REGENT-GHANA
Educational history: list the most important schools/programs you attended (most recent first)
1. Educational institute/University _______________________________________ Start date __________________________ finish date ________________________ Degree/diploma obtained? Yes, degree
Yes, diploma No
Major/ Specialization: __________________________________________________ 2. Educational institute/University _______________________________________ Start date __________________________ finish date ________________________ Degree/diploma obtained? Yes, degree
Yes, diploma No
Major/ Specialization: __________________________________________________
3. Educational institute/University _______________________________________ Start date __________________________ finish date ________________________ Degree/diploma obtained? Yes, degree
Yes, diploma No
Major/ Specialization: __________________________________________________
4. Professional background
Current employer (Name of organization/ company) ___________________________ Type of organization Government
Semi-government NGO
Private company
Business address _______________________________________________________ City __________________ Postal code _________ Country ____________________ Business telephone (country code, area code, number) _________________________ Business mobile (country code, number) ____________________________________ Business E-mail _______________________________________________________ Current position/ job _____________ in this position since? (month/ year) _________ Description of duties and responsibilities ____________________________________ _____________________________________________________________________
REGENT-GHANA
Previous employers1. Name of organization/company/church __________________________________ Position/job __________________________________________________________ Start date ______________________________ finish date _____________________ Description of duties and responsibilities ____________________________________ _____________________________________________________________________ _____________________________________________________________________ 2. Name of organization/company/church __________________________________ Position/job __________________________________________________________ Start date ______________________________ finish date _____________________ Description of duties and responsibilities ____________________________________ _____________________________________________________________________ _____________________________________________________________________
Professional Society memberships: _______________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
5. Referee Report forms/ Recommendations
Two Referee Report forms should accompany this application, together with two letters of recommendation (on official, company letterhead) from individuals who can evaluate your professional experience and judge your likelihood of success in this program (for example; your current/ previous employers, someone who has taught you, or your Pastor). Names and positions of the persons who have submitted the Referee Report forms: _____________________________________________________________________ _____________________________________________________________________
6. Proficiency in English
Indicate your degree of knowledge of the English language: Basic Good Excellent
Oral Written
REGENT-GHANA
7. What are your professional/ learning objectives for this study?
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ List your most important expectations regarding this study?
_____________________________________________________________________ _____________________________________________________________________ What other information would you like to add, that would aid the Admission Committee? _____________________________________________________________________ _____________________________________________________________________ 8. Who recommended you to this program?
_____________________________________________________________________ Please indicate how you heard about the program
Relative Internet
Advertisement in: ___________________________________
9. Statement
I, _________________________________________________, hereby certify that the information given in this application form is complete and accurate to the best of my knowledge. I permit Regent University College of Science and Technology or its agents to use all means reasonable to verify the information I have provided in this application. I am aware of the amount of the tuition fee and I certify that I have the means to pay for those fees.
Signature of applicant & Date: ______________________________________
10. Official Use only: Admission Status:
Accepted
Amount Paid: GH¢: …………. Receipt #: ……….… Date: ……….……. Denied
Account Office Signature and Stamp:
Application Received by: ……… Date: ……… Application Reviewed by: ……… Date: ………...…… Comments:
……… ……… ………
REGENT-GHANA
POST-GRADUATE ADMISSION RECOMMENDATION FORM 1 APPLICANT DETAILS:
Full Name of Applicant: ______________________________________________________ Proposed Programme of Study: ________________________________________________ REFEREE DETAILS:
Full Name of Referee: ________________________________________________________ Position/Occupation: ________________________________________________________ Work Address: ______________________________________________________________ Phone Number: _________________________ Email: ___________________________ Please answer the following questions as truthfully as possible. In addition, kindly write and enclose a sealed letter of recommendation detailing how you know the applicant and why you will or will not recommend him/her for post-graduate studies. Thank you.
:
1. How long have you known the applicant and in what Capacity?
……… ……… ……… 2. Please comment on the applicant’s personal integrity, emotional and spiritual maturity.
……… ……… ……… 3. What can you say about the applicant’s sense of responsibility, time consciousness and
forward planning?
……… ……… ……… 4. Please comment on the applicant’s leadership ability/potential.
……… ……… ……… 5. Do you know of anything that will inhibit the applicant’s educational objectives? Please
clarify.
……… ……… 6. What other comments will be useful in evaluating this applicant for admission into
Regent University College of Science and Technology?
……… ……… ……… Signature and Stamp: ______________________________ Date: _______________
REGENT-GHANA
POST-GRADUATE ADMISSION RECOMMENDATION FORM 2 APPLICANT DETAILS:
Full Name of Applicant: ______________________________________________________ Proposed Programme of Study: ________________________________________________ REFEREE DETAILS:
Full Name of Referee: ________________________________________________________ Position/Occupation: ________________________________________________________ Work Address: ______________________________________________________________ Phone Number: _________________________ Email: ___________________________ Please answer the following questions as truthfully as possible. In addition, kindly write and enclose a sealed letter of recommendation detailing how you know the applicant and why you will or will not recommend him/her for post-graduate studies. Thank you.
:
1. How long have you known the applicant and in what Capacity?
……… ……… ……… 2. Please comment on the applicant’s personal integrity, emotional and spiritual maturity.
……… ……… ……… 3. What can you say about the applicant’s sense of responsibility, time consciousness and
forward planning?
……… ……… ……… 4. Please comment on the applicant’s leadership ability/potential.
……… ……… ……… 5. Do you know of anything that will inhibit the applicant’s educational objectives? Please
clarify.
……… ……… 6. What other comments will be useful in evaluating this applicant for admission into
Regent University College of Science and Technology?
……… ……… ……… Signature and Stamp: ______________________________ Date: _______________
