8/3/2019 Individual Student Application

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Surname:

Given Names:

Preferred First Name: .

Physical Address:

City: . P/Code: ..

Postal Address:

City: P/Code: ..

Tel (Home): (Work) .

Mobile: . (Fax)

Email: .

Date of Birth: (dd/mm/yyyy)

Nationality: .

Are you a Permanent Resident of South Africa?...........................................................................................

If not which Country? .

Year of conversion if known: .

Marital Status: .

Name of Spouse:

I have read the Student Handbook Yes or No: ..

DESIRED STUDY PROGRAM OR TO APPLY FOR RPL

I would like to enroll into (please tick X)

Cert. II Cert. IV Diploma

Adv. Diploma Grad Cert. Grad. Diploma

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FEES:

Enrolment Fee: (Non refundable) R 350.00

Subject Fee (Undergrad) .R 450.00

Subject Fee (Graduate) R 550.00

Academic TransferPer Award Level R 1200.00

RPL

I will be applying for RPL Yes or No:

Application (Non-refundable) R 350.00

Fee per module granted.R 130.00 (Undergraduate) .R 250.00 (Post Graduate)

LOCAL MINISTRY

Ministers Name:

Tel: ..

Church Details:

Denomination:

Physical Address: ..

City: .. P/Code: ..

Church Tel: Fax: ..

Email:

I give permission for the College to contact the above church minister for a personal and confidential

reference. Yes/No

EMPLOYMENT: (please tick X)

Full time: Part time: Unemployed:

Occupation:

Employer:

Physical Address;

City: . P/Code: ..

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Tel: . Fax: ..

Email: .

PREVIOUS STUDIES

(Include secondary, beginning with the most recent)

School/College/University

1. Name of Institution: .Course:

Year completed: ..

Qualification Gained: ..

2. Name of Institution: .Course: ..

Year completed: ..

Qualification Gained:

3. Name of Institution: .Course: ..

Year completed: ..

Qualification Gained: ..

4. Name of Institution: .Course: ..

Year completed: ..

Qualification Gained:

NOTE:

We willcontact you separately with advice on sending us your evidence for Advanced Standing.

Please send two (2) passport photos for your Student ID card by separate email to info@visionsa.co.za

Student Signature:

Please print full name:

Date: .. (dd/mm/yyyy)

PAYMENT DETAILS

While student are encourage to pay for their course subject by subject. The option to pay full fees

upfront is available.

For the amount see under heading Fees

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LETTER OF RECOMMENDATION

This section to be completed by church board

We, the Church Board of (Name of

Assembly), gathered on this day of ..(month)20..(year), to discuss the

application of ..(applicant) to the College.

We have interviewed him/her concerning this application, and have determined(tick the appropriate

block)

That he/she is interested in training to become a full-time/ part time Pastor of an

assembly in future or

That he/she is interest in studying theology for personal enrichment

Please tick the appropriate block:

We hereby recommend the candidate for studies

We do not recommend the candidate for studies

Sign on: . (day) of (month)20(year)

Chairperson: . Secretary: ..