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Online Application

Sign up for our School of Chaplaincy Courses

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APPLICATION FOR

PERSONAL INFORMATION

Last (family) Name

Your Last Name

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Middle Name

Your Middle Name

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First Name

Your First Name

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Date of Birth

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County of Birth

Your Address

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Passport No*./ID No.

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Sex

Female

Male

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Years of formal education in

English

Number of Years

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Primary

Number of Years

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Secondary

Number of Years

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Post Secondary

Number of Years

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Languages

Other Languages spoken or written...

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Do you have any disability?

Yes

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If yes state nature of disability

Nature of disability

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Postal Address

Address

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Postal Code

Code

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City/Town

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Telephone (Home)

Home Number

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Telephone (Office)

Office Number

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Your E-mail Address

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Mobile (Applicant)

Mobile Number

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PARENT(S)/GUARDIAN

(Parent/Guardian) Name

Applicant Parent/Guardian Name

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Relation to applicant

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(Parent/Guardian) Address

Address

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(Parent/Guardian) Telephone

Telephone Number

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(Parent/Guardian) Email

E-mail Address

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(Parent/Guardian) Mobile

Mobile Number

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RELIGIOUS AFFILIATION

Denomination

Protestant

Roman Catholic

Hindu

Muslim

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Other Denomination Specify

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Practicing Pastors

Ordained

To be Ordained

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EDUCATION INFORMATION

Please list all the schools, colleges, or universities previously attended (Do not list primary schools)

Name of Institution 1

Name of Institution

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Area of Study

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Duration of Study From

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Duration of Study To

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Certificate/Diploma/Degree attained

Attained

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Name of Institution 2

Name of Institution

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Area of Study 2

Area of Study

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Duration of Study From 2

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Duration of Study To 2

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Certificate/Diploma/Degree attained 2

Attained

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Name of Institution 3

Name of Institution

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Area of Study 3

Area of Study

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Duration of Study From 3

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Duration of Study To 3

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Certificate/Diploma/Degree attained 3

Attained

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FEE STRUCTURE PER SEMESTER

First time admission costs for Kenyan Students include:

Application fee - KES 1,000 (non-refundable)

Student ID KES 500

Caution money – KES 3,000

Tuition Fees – Diploma KES 27,000/29,000 Certificate – KES 16,500/17,500

Accomodation on campus is optional but if desired a student will pay ksh 2,000 per month

<p>First time admission costs for Kenyan Students include: </p><br />
<ol><br />
    <li>Application fee - <strong>KES 1,000</strong> (non-refundable)</li><br />
    <li>Student ID <strong>KES 500</strong></li><br />
    <li>Caution money – <strong>KES 3,000</strong></li><br />
    <li>Tuition Fees – Diploma <strong>KES 27,000/29,000</strong> Certificate – <strong>KES 16,500/17,500</strong></li><br />
</ol><br />
<p>Accomodation on campus is optional but if desired a student will pay ksh 2,000 per month</p>

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ADDITIONAL INFORMATION

Which mode of study would you prefer?

Full time

School Holidays

Online Distance learning(ODEL)

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ADDITIONAL INFORMATION

Any other(specify)

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If you were referred by a current student kindly fill in the details below:

Student’s Name:

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Admission Number:

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Contact details:

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Why do you wish to study at Tenwek Hospital College ~ School of Chaplaincy? (Give a brief account)

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Upload The Following Documents

Bank slip of application fee (Ksh.1,000)

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Recent coloured passport size photograph

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All Academic & Professional Certificates( A level or O level Certificate or Transcript is a Must)

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I certify that all information given is true and accurate to the best of my knowledge. False information may lead to dismissal if admitted.

I Agree

Agree to all information given

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