Central Africa Baptist College: Donate

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):

Name:	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:	Email Address:	Telephone:

Address:	City:	Country:

Name:	Email Address:	Telephone:

Address:	City:	Country:

Please attach a copy of your testimony of salvation.

If called to the ministry, please relate the story of your calling to the ministry.

I signify that all the information listed here is correct.
Yes
No

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