Caleb Institute Application for Admission · Caleb Institute Application for Admission ... Caleb Institute is an Advanced Leadership ... Leadership Qualities Self-discipline

Caleb Institute | www.calebinstitute.org Application for Admission 1/4

Caleb Institute

Application for Admission

Please TYPE or WRITE clearly. There are twelve sections from I to XII. Complete all sections. All Dates must be in

DD/MM/YYYY Format. Your application will only be processed if found complete.

I. APPLYING PROGRAM INFORMATION

Year: 2018 Language: English

Type of Admission: Student Full Time Admission

Program: (mark only one ‘✓.’)

Certificate in Biblical Studies and Missions, 1 year.

Master of Divinity from ATA, 3 Years.

Master of Theology in Missions (MTh), Accredited by MBTS, Germany, 2 Years after completion of M.Div.

II. APPLICANT’S PERSONAL INFORMATION

First Name _______________ Middle Name _________________ Last/ Family Name _________________

Date of Birth: __ __/ __ __/__ __ __ __ Gender: ___________

Present Address: House Number/ Building Name: _______________________________

Address Line 1: ____________________________________________

Address Line 2: ____________________________________________

Landmark: ________________________________________________

City/ Village/ Town: ________________________________________

Pin: __ __ __ __ __ __ State: ______________________________

Phone with STD Code: (_______) ___________________

Cell Phone: __ __ __ __ __ __ __ __ __ __

E-mail: ____________________________________________________

Home/ Permanent Address: House Number/ Building Name: ________________________________________

Address Line 1: _____________________________________________________

Address Line 2: _____________________________________________________

Landmark: _________________________________________________________

City/ Village/ Town: _________________________________________________

Pin: __ __ __ __ __ __ State: ________________________________________

Emergency Contact: Name: ________________________________________________________________

Relation: ______________________________________________________________

Phone Number(s): ___________________________________________

Alternative Phone (different from above): __ __ __ __ __ __ __ __ __ __

III. LIFE OF FAITH AND CHURCH BACKGROUND

Current Church Information

Name of Church Denomination

Church Address

Baptism Information

Name of Church Denomination

Date of Baptism __ __/ __ __/__ __ __ __

How long have you been a Christian?

What is your level of local church involvement? (mark ‘✓.’)

Staff Member Regular Member Regular Attender Occasional Attender Other:

Recent

3 ㎝ *4 ㎝

Photograph


IV. MARITAL STATUS (mark ‘✓.’)

Single/ Never Married Married/ Year: Divorced/ Year: Widowed/ Year:

A. If divorced, please attach an explanation.

B. If single, do you expect to be married before coming to, or while at Caleb Institute? Yes No

C. Name of Spouse/ Fiancé(e)

D. Ages of Children

V. ACADEMIC BACKGROUND

High School Name of School

Location (City, State)

Date of Graduation: ___/___/_____ Percentage Score _____

Senior

Secondary

School

Name of School

Major/ Board

Location (City, State)

Date of Graduation: ___/___/_____ Percentage Score _____

Bachelor Name of School _____________________________________________________________________

Major ________________________ Location (City, State) ___________________________________

Degree _______________________ Date of Graduation: ___/___/______ Percentage Score ________

Master Name of School _____________________________________________________________________


Degree _______________________ Date of Graduation: ___/___/______ Percentage Score ________

Doctoral Name of School _____________________________________________________________________


Degree _______________________ Date of Graduation: ___/___/______

Are you currently enrolled in any academic program at other institution? Yes No

Pursuing other academic programs while being enrolled in a course at Caleb Institute is not permitted.

VI. LANGUAGE & EDUCATION

1. Native Language(s)

2. Acquired Language(s) * Please Circle Your Level- A: Excellent, B: Average, C: Poor

Acquired Language(s) Listening Speaking Reading Writing

A B C A B C A B C A B C



3. Were you educated in English? (mark ‘✓.’) Yes No

If yes, please mark each relevant educational level. (mark ‘✓.’)

Primary School Middle School High School Undergraduate Graduate

4. Have you applied to Caleb Institute before? Yes No If yes, when?

5. Have you been dismissed or denied admission by any other seminary/ school? Yes No

If yes, please explain (use a separate sheet if necessary):


VII. EXPERIENCE

List all significant employment/ ministry experiences. (*Please attach your resume or CV if available.)

Title/Nature of Work Employer/Church/Organization Period

VIII. MISCELLANOUS INFORMATION

1. What most influenced your decision to apply to Caleb Institute?

Evangelical reputation or theological position of the seminary

Mission and leadership emphasis in the curriculum and intercultural atmosphere

Academic reputation or the academic credentials of faculty members

Spiritual reputation and emphasis on spiritual formation and life

Other:

2. Are you applying to other seminaries or schools? Yes No

If yes, which ones (optional):

3. What are your vocational or ministry objectives? (list 1, 2, 3 in order of preference)

Campus Ministry Specialized Ministry Church Leadership

Cultural Leadership Pastoral Ministry Youth Ministry

Teaching (Church) Teaching (Primary/ Secondary) Teaching (College/ Seminary)

Counseling (Church) Missionary Service Other Professional Leadership

Other:

4. Have you ever been convicted of a serious crime? Yes No

If yes, please explain:

5. Are you planning to apply for scholarships? If Yes, please fill the complete

scholarship form.

Yes

No

6. Are you planning to apply for dormitory? Yes No

IX. LETTERS OF RECOMMENDATION

List the names and addresses of two references. Please provide your recommender with forms. All envelopes must be

sealed and signed across the seal by the recommender.

Name Organization & Title Phone and/ or e-mail

1. Pastor (Current Church)

2. Professor or

Church Leader/ Employer

Note: If you can’t access a particular reference and substitute it with another one, describe the reason; why the particular

reference was unavailable and why you ask current recommender instead.


X. APPLICATION CHECKLIST

Please check the following list for a complete application and indicate the status of each part (mark ‘✓.’)

Application (use provided form, 1 photo attached)

3 Photos

Personal Statements (use provided form)

Recommendation-1 (use provided form) Attached (sealed) Will be sent by:

Recommendation-2 (use provided form) Attached (sealed) Will be sent by:

Church Attendance Letter (use provided form) Attached (sealed) Will be sent by:

Certificate of Graduation Attached Will be sent by:

Official Marksheets Attached Will be sent by:

Medical Report Attached Will be sent by:

Sponsorship Document(s) (only if available) Attached Will be sent by:

Scholarship Application Attached I don’t need scholarship

Note: Submitted application materials remain permanently on record with Caleb Institute and will not be returned.

XI. Caleb Institute

1. How did you find out about our school and scholarship program?

Internet

Church or Pastor Missionary

Professor Other

2. Do you have connections in Delhi/ Caleb Institute?

Church or Pastor Missionary

Family Members Friend

Institution (e.g. Hospital, University, School, Church)

Other

XII. SIGNATURE

Do you agree entirely with Caleb Institute’s Statement of Faith? Yes No

If no, which statement(s) do you disagree with and why? (Use a separate sheet if necessary)

Note: Caleb Institute’s Statement of Faith can be found in the admissions manual and on the Caleb Institute’s website.

I affirm that my statements in this application and in the attached pages are correct to the best of my knowledge. By

signing I affirm that my statements in this application and in the attached pages are correct to the best of my

knowledge. By signing below, I agree to the procedure of application and the process of admissions, as conducted by

Caleb Institute and Asia Theological Association (ATA). I give Caleb Institute permission to retain confidentially all

submitted application materials as a permanent record and to verify all information with the relevant persons or

institutions. If admitted, I agree to abide by the standards of conduct of Caleb Institute, as they are summarized in the

current catalog, and uphold Caleb Institute’s Statement of Faith.

SIGNATURE DATE

If you have any questions concerning this application, please contact the Admissions Office. Caleb Institute does not

discriminate on the basis of race, age, gender, nationality, ethnic origin, or physical disability status.

Send Your Application to

The Admissions Office

Caleb Institute

Rz-122, Street No. 3, Dabri Palam Road, Vaishali, New Delhi, Delhi 110045

Phone: +91 11 4701 7904 E-mail: [email protected] Website: www.calebinstitute.org

mailto:[email protected]

Caleb Institute | www.calebinstitute.org Personal Statements 1/8

Caleb Institute

Personal Statements

INSTRUCTIONS TO THE APPLICANT: <ADMISSION FOR 2018>

Name (First/ Given, Middle, Last/ Family) __________________________________________

Degree Program/ Concentration __________________________________________

Cell Phone/ E-mail __________________________________________ 1. All applicants should complete the following two personal statements.

(Questions A and B, minimum 500 words – maximum 600 words each) 1A. Write an historical statement of your commitment to Christ. Answer the following question:

▪ What was your faith upbringing? ▪ What led you to commit your life to Christ? ▪ How has your decision changed your life?

1B. Write a statement explaining your desire to pursue seminary education and now this fits into your future ministry or career goals. Answer the following questions:

▪ What were your past ministry/ occupational experiences? ▪ What led you to sense a necessity for seminary higher education? ▪ What do you hope to gain from your studies at Caleb Institute that will help you in

your ministry/ career goals? 2. MTh applicants should complete the following statements in addition to those above.

(Questions A and B, minimum 500 words – maximum 600 words each) 2A. Why did you choose to pursue an advanced master’s in your specialization? 2B. How do you plan to use your degree? List any relevant past experiences.

Type Format: Times New Roman (Font), 12pt (Size), Double Space (Line), Left (Alignment).

Personal Statement 1A

http://www.calebinstitute.org/



Personal Statement 1B



Additional Personal Statement 2A (Only for MTh Applicants)



Additional Personal Statement 2B (Only for MTh Applicants)


Caleb Institute | www.calebinstitute.org Recommendation 1 1/2

Caleb Institute

Recommendation 1


Please fill only section A and give this document to the recommender for further completion.

SECTION A

Name (First/ Given, Middle, Last/ Family) _________________________________________________

Degree Program/ Concentration _________________________________________________

Present Address ___________________________________________________________________

Cell Phone/ E-mail ___________________________________________________________________

From where are you applying? ____________________________________________________________

This recommendation is from a (mark ‘✓.’) Pastor Professor/ Church Leader/ Employer

Other:

Applicants may not view this recommendation either before or after the recommender has submitted it for the sake of confidentiality and honest evaluation. Caleb Institute will contact the recommender and verify the accuracy of information given in this recommendation.

SECTION B

INSTRUCTIONS TO THE RECOMMENDER The applicant named above is applying for admission to Caleb Institute. Caleb Institute is an Advanced Leadership Institute to equip the growing Church in North India with the vision to develop and equip Christ centered leaders who excel at serving the Church in India. Caleb Institute accepts candidates with authentic Christian experience, personal character, academic potential, a heart for ministry, and leadership potential. Please give the completed form back to the applicant in a sealed envelope signed across the seal. We would be grateful if you would give your honest evaluation of the applicant by responding to the questions listed below. Thank you for your contribution to this important part of the application process.

TO BE COMPLETED BY THE RECOMMENDER Relationship to the Applicant (mark ‘✓.’): 1. How long have you known the applicant?

2. How well do you know the applicant? Very Well Rather Well Casually Not Well

3. Check the context(s) in which you know the applicant As a member/attender of my church where I am Senior Pastor Pastor Church Leader

As a student in my class. Undergraduate: Graduate:

As a student engaged in research or independent study under my direction

As an employee under my supervision within the same organization

Other (please specify):

Assessment of Applicant’s Abilities 4. How do you assess the applicant in the following categories as compared to his or her peers? (mark ‘✓.’)

Unknown Weak Fair Average Good Outstanding Emotional Stability

Leadership Qualities

Self-discipline

Intellectual Ability


Spiritual Maturity

Communication

Responsibility Creativity

Servant Attitude

Commitment to the Local Church

Cooperation and Teamwork

Potential

5. How would you rank overall this individual compared to others at the same education level or peer group? (mark ‘✓.’) Below 50% Top 50% Top 40% Top 30% Top 20% Top 10% Can’t Assess

6. Is the applicant’s academic record, as you know it, an accurate reflection of the applicant’s abilities? Yes No (if no, please explain): Personal Comments on the Applicant (use separate paper if necessary) 7. How do you assess the applicant’s aptitude for the proposed degree program?

8. Does the applicant have an adequate ability to communicate in English verbally and in writing?

9. How do you assess the applicant’s ability to relate to others and how do others regard the applicant?

10. Comment on the applicant’s character, Christian testimony, and consistency between private and public life.

11. Does the applicant possess any gifts and special abilities that you have observed?

12. Does the applicant need improvement in any area?

13. Would you hire the applicant as your pastor, church staff member, or co-worker? Yes No Unsure

Summary and Signature

Recommendation for admission to Caleb Institute (mark ‘✓.’):

Highly Recommend Recommend Recommend with Reservations Do Not Recommend

I certify that the information given in this recommendation is accurate to the best of my knowledge.

Recommender’s Name

Signature Date __ __/ __ __/ __ __ __ __

Organization/ Church

Position

Address

Home Phone Work Phone Fax

Cell Phone E-mail


Caleb Institute

Recommendation 2


Please fill only section A and give this document to the recommender for further completion.

SECTION A



Present Address ___________________________________________________________________

Cell Phone/ E-mail ___________________________________________________________________


This recommendation is from a (mark ‘✓.’) Pastor Professor/ Church Leader/ Employer

Other:

Applicants may not view this recommendation either before or after the recommender has submitted it for the sake of confidentiality and honest evaluation. Caleb Institute will contact the recommender and verify the accuracy of information given in this recommendation.

SECTION B

INSTRUCTIONS TO THE RECOMMENDER The applicant named above is applying for admission to Caleb Institute. Caleb Institute is an Advanced Leadership Institute to equip the growing Church in North India with the vision to develop and equip Christ centered leaders who excel at serving the Church in India. Caleb Institute accepts candidates with authentic Christian experience, personal character, academic potential, a heart for ministry, and leadership potential. Please give the completed form back to the applicant in a sealed envelope signed across the seal. We would be grateful if you would give your honest evaluation of the applicant by responding to the questions listed below. Thank you for your contribution to this important part of the application process.

TO BE COMPLETED BY THE RECOMMENDER Relationship to the Applicant (mark ‘✓.’): 1. How long have you known the applicant?

2. How well do you know the applicant? Very Well Rather Well Casually Not Well

3. Check the context(s) in which you know the applicant As a member/attender of my church where I am Senior Pastor Pastor Church Leader





Assessment of Applicant’s Abilities 4. How do you assess the applicant in the following categories as compared to his or her peers? (mark ‘✓.’)

Unknown Weak Fair Average Good Outstanding Emotional Stability

Leadership Qualities

Self-discipline

Intellectual Ability


Spiritual Maturity

Communication

Responsibility Creativity

Servant Attitude

Commitment to the Local Church

Cooperation and Teamwork

Potential

5. How would you rank overall this individual compared to others at the same education level or peer group? (mark ‘✓.’) Below 50% Top 50% Top 40% Top 30% Top 20% Top 10% Can’t Assess

6. Is the applicant’s academic record, as you know it, an accurate reflection of the applicant’s abilities? Yes No (if no, please explain): Personal Comments on the Applicant (use separate paper if necessary) 7. How do you assess the applicant’s aptitude for the proposed degree program?

8. Does the applicant have an adequate ability to communicate in English verbally and in writing?

9. How do you assess the applicant’s ability to relate to others and how do others regard the applicant?

10. Comment on the applicant’s character, Christian testimony, and consistency between private and public life.

11. Does the applicant possess any gifts and special abilities that you have observed?

12. Does the applicant need improvement in any area?

13. Would you hire the applicant as your pastor, church staff member, or co-worker? Yes No Unsure

Summary and Signature

Recommendation for admission to Caleb Institute (mark ‘✓.’):

Highly Recommend Recommend Recommend with Reservations Do Not Recommend

I certify that the information given in this recommendation is accurate to the best of my knowledge.

Recommender’s Name

Signature Date __ __/ __ __/ __ __ __ __


Position

Address


Cell Phone E-mail

Caleb Institute | www.calebinstitute.org Church Attendance Letter 1/1

Caleb Institute

Church Attendance Letter


Please fill only section A and give this document to Senior Pastor/ Authorized Church Official for further completion.

SECTION A

Name (First/ Given, Middle, Last/ Family) _______________________________________________

Degree Program/ Concentration _______________________________________________

Present Address ___________________________________________________________________

Cell Phone/ E-mail ___________________________________________________________________

From where are you applying? ___________________________________________________________

The Church Attendance Letter must be signed by the Senior Pastor/ Authorized Church Official. Please fill your details in the form and give this form to the church official. Once completed, please collect is back in a sealed envelop and send it with the admission documents’ package.

SECTION B

The applicant named above is applying for admission to Caleb Institute. Caleb Institute is an Advanced Leadership Institute to equip the growing Church in North India with the vision to develop and equip Christ centered leaders who excel at serving the Church in India. Caleb Institute accepts candidates with authentic Christian experience, personal character, academic potential, a heart for ministry, and leadership potential. We would be grateful if you send us your church information on this form. Please fill out the form and stamp it with official seal and signature of church official. Please give the form back to the applicant in a sealed envelope signed across the seal. Thank you. Name of Church:

________________________________________________________

Address:

________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________

Name of Senior Pastor:

________________________________________________________

Denomination:

________________________________________________________

Phone Number:

__ __ __ __ __ __ __ __ __ __

This is to certify that the applicant is an active member of our church since __ __/ __ __/ __ __ __ __ (DD/MM/YYYY) The above information is correct. Church Seal and Pastor/ Authority Signature with Date.

Caleb Institute | www.calebinstitute.org Medical Certificate 1/1

Caleb Institute

Medical Certificate




Present Address ___________________________________________________________________

Cell Phone/ E-mail ___________________________________________________________________


The medical report below must be completed by a certified physician only. All information is strictly confidential and must be based on a medical examination performed within the past six (6) months.

INSTRUCTIONS TO THE PHYSICIAN: Thank you for your service to the applicant/patient named above. Please fill out the medical report below after performing a medical examination and attach laboratory reports. Upon completion, please seal the envelope securely, sign across the seal, and return the package to the applicant.

Height: Weight:

General: ENT: Eyes:

Skin: Skeletal:

CVS: R.S.:

Abdomen: CNS:

Family History: Blood dyscrasia: Diabetes:

Hypertension: Asthma:

Past: Jaundice: Operations:

Fits: Long Term Treatment:

Allergy to any drugs: Intolerance or allergy to any food:

Laboratory Reports

Hemoglobin: Serology: Urine: Stool:

Chest X-ray / Screen:

Immunization (given dates)

Typhoid: Tetanus: Cholera:

Post- treatment & recommendation:

Is the applicant fit for a rigorous course of study?

Has the applicant been hospitalized for any reason?

Does the applicant have any chronic illness that needs constant medical attention?

Has the applicant ever been involved in an accident or have any permanent scars?

Has the patient ever suffered or been hospitalized for mental illness?

Please attach additional sheets as needed. I certify that the information given in this report is accurate to the best of my knowledge. PHYSICIAN’S NAME SIGNATURE DATE (DD/MM/YYYY)

OFFICE ADDRESS PHONE EMAIL

Caleb Institute | www.calebinstitute.org Sponsorship Document 1/2

Caleb Institute

Sponsorship Document


Please fill only section A and give this document to the sponsor for further completion.

SECTION A



Present Address ___________________________________________________________________

Cell Phone/ E-mail ___________________________________________________________________


Caleb Institute will contact the sponsor and verify the accuracy of information given in this sponsorship form.

SECTION B

INSTRUCTIONS TO THE SPONSOR The applicant named above is applying for admission to Caleb Institute. Caleb Institute is an Advanced Leadership Institute to equip the growing Church in North India with the vision to develop and equip Christ centered leaders who excel at serving the Church in India. Caleb Institute accepts candidates with authentic Christian experience, personal character, academic potential, a heart for ministry, and leadership potential. Please give the completed form back to the applicant in a sealed envelope signed across the seal. Thank you for your contribution to this important part of the application process.

TO BE COMPLETED BY THE SPONSOR Sponsor’s Name

Relationship to the Applicant (mark ‘✓.’):

How well do you know the applicant? Very Well Rather Well Casually Not Well

Check the context(s) in which you know the applicant As a member/attender of my church where I am Senior Pastor Pastor Church Leader




Family Member (please specify):


Sponsorship Pledge I/ We undertake to sponsor the above-named candidate every academic year with the amount of

Amount in Figures

I hereby undertake to support the above student for the entire period of (mark ‘✓.’): 1 Year 2 Years 3 Years Tuition

Mess and Development

Room and Board

Others

Caleb Institute | www.calebinstitute.org Sponsorship Document 2/2

Sponsor’s Undertaking I/ We hereby declare that I/ We agree to: (a) Pay the fees of my/ our sponsored candidate as per the Seminary rules.

(b) Withdraw my/ our sponsored candidate from the Seminary at any point in the academic year in the event of:

(i) Non-payment of fee.

(ii) Any activity that is detrimental to the smooth running of the Seminary.

(iii) Cheating/ malpractice in examination.

Sponsor’s Name

Signature Date __ __/ __ __/ __ __ __ __


Position

Address


Cell Phone E-mail

Caleb Institute | www.calebinstitute.org Scholarship Application 1/6

Caleb Institute

Scholarship Application

The annual fee for the program for year 2018 – 2019 is ₹86,950. The scholarship is only awarded at the time of applicant’s acceptance into the applied program. Furthermore, acceptance to the dorm is subject to availability. The scholarship amount rewarded will be at the sole discretion of the scholarship committee, and will be final and binding. The applicant is encouraged to arrange for scholarships from supporters and other sources as well to manage financial load.




Present Address ___________________________________________________________________

Cell Phone/ E-mail ___________________________________________________________________


Please TYPE or WRITE clearly. Your application will only be processed if found complete. 1. What is your marital status and family situation? Unmarried Married / Age(s) of Children;

A. Will your marital status change before coming to Caleb Institute or while at Caleb Institute? No Yes / When?

B. If you have family, how will they be supported while you are studying at Caleb Institute?

2. What is your denominational or church affiliation?

A. Are you under care, or have an official position with your denomination/ church?

B. Has your church recommended your study, and are they committed in supporting you financially?

3. How much amount do you pledge to contribute towards your education at Caleb Institute for the

term 2018-2019? (Please note that all scholarships are partial.)

Amount in Figures: ₹

Amount in Words:

4. Will you receive any financial assistance from your parents, family, other relatives or friends, or

other sources other than Caleb Institute?

No Yes If yes, please list sources and amounts:


5. Do you have a church in Delhi in which you plan to serve? No Yes

If yes, please give the name of the church, its location, phone number, and contact person.

How did you come to know about this church?

6. Scholarship Personal Statements (use separate sheets)

SPS1. Submit a signed statement describing your vision for ministry, your commitment to be

involved in ministry on completing your studies, and any position offers and ministry

attachments you have at home. (500~700 words)

SPS2. Submit a signed statement describing any special circumstances or needs that Caleb Institute

should consider when evaluating your application for the scholarship. (300~500 words)

7. Signature

I certify that the information given above and on all attachments, is accurate and complete to the best

of my knowledge. I agree to advise Caleb Institute of any significant changes in my finances. If

awarded, I agree to abide by the standards of the scholarship as prescribed in the Caleb Institute

Admission Covenant and understand that I will forfeit the scholarship should I breach any of the

requirements.

APPLICANT’S SIGNATURE DATE (DD/MM/YYYY)

For Office Use Only.

Not to be filled by the applicant.

Amount Pledged by the Applicant ____________________________________________________

Scholarship Amount Granted

____________________________________________________

Comments

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Signature and Stamp of Authorized Official ____________________________________________________


Type Format: Times New Roman (Font), 12pt (Size), Double Space (Line), Left (Alignment).

Scholarship Personal Statement SPS1



Scholarship Personal Statement SPS2


Documents

Caleb Institute Application for Admission · Caleb Institute Application for Admission ... Caleb Institute is an Advanced Leadership ... Leadership Qualities Self-discipline