CENTRAL AFRICA BAPTIST COLLEGE STUDENT APPLICATION
Click to Download: APPLICATION FORM
(PRINT FILL OUT COMPLETELY AND MAIL TO THE ADDRESS BELOW)
Central Africa Baptist College
PO Box 21891
Kitwe, Zambia
+26-097-741-5011
www.cabcollege.org
Email Address: info@cabcollege.org
Admissions: admissions@cabcollege.org
Application for Admission
Personal Information
Surname: ______________________ First Name: ____________________________
Other Name(s): _____________________
NRC/Passport number: _________________________
Note: please include a photocopy of your passport or National Registration Card
Home Address: _________________________ Telephone Number: ____________
____________________________
Citizenship: __________________________ Email: _________________________
Date of Birth (dd/mm/yyyy): ___/___/_______ Birthplace: ___________________
Gender (check one): Male Female
Marital Status - check all that apply:
Single Married Divorced Widowed
If married, spouses name: _________________________________
Children (list names and ages):
_________________________ Age: _______________________
_________________________ Age: _______________________
_________________________ Age: _______________________
_________________________ Age: _______________________
_________________________ Age: _______________________
Immigration Status: _______________________
Enrollment Information
Have you previously applied to CABC (circle one): Yes No
Did you graduate from secondary school? Yes No
If yes, please attach a copy of your final results. If no, what was the last grade completed? ______________________
Are a graduate from an institution of higher learning (e.g. college, seminary or trade school)?
Yes No
Please include a copy of final results
Have you attended any other Bible Institute? Yes No
If yes,
School(s) attended: _______________________________
Degrees/diploma earned: _________________________
Dates attended: ___________________ Major: _______________________
Ministry Information
Home Church: ___________________________
Address: ____________________________
Telephone Number: ______________ Pastor: ________________________
Email address: _____________________________________
Please attach your Curriculum Vitae of ministry experience. Include current ministry involvement.
Health Information
Have you ever had to stop school or employment because of physical or emotional problems? Yes No
Do you have any physical, mental, or psychological limitations that would hinder you from fulfilling a typical student activity schedule? Yes No
Miscellaneous Information
Please list two references other than your pastor
Name: _______________________ Telephone: __________________
Address: ______________________ City/Country: ________________
Email address: __________________________
Name: _______________________ Telephone: __________________
Address: ______________________ City/Country: ________________
Email address: __________________________
Please attach a copy of your testimony of salvation.
If called to the ministry, please relate the story of your calling to the ministry.
By signing this application you are signifying that all the information here listed is correct.
_______________________________________ ___/___/_____
(signature) (date)