Kenya Student Application

GENERAL INFORMATION
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
County*
Sub-county
Location
Sub-location
Sub-Unit
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Mobile No.*
To Which Site Are You Applying?*
CHURCH LIFE
Denomination*
Name of the church you are a member of*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
When were you baptized?*
MM slash DD slash YYYY
Where were you baptized?*
Year you joined the current church:*
Your position in this church:*
Your major ministry in this church:*
List other outstanding work you have done in your local church:
Name of your pastor:*
Family Life
Your present marital condition: (tick as appropriate)*
- Single
- Married
- Separated
- Divorced
- Remarried
If separated or divorced or remarried, explain in detail about how and when this happened.
Full names of your spouse:
First Last
Date of marriage:
MM slash DD slash YYYY
Type of Marriage
- Church
- Customary
- Civil
- Any Other
Church membership of your spouse:
What ministries are your spouse engaged in, in your local church?
Children
Names Ages
Applicants Education Details
Primary Education
School Years Attended Results
Secondary Education
School Years Attended Results
Post Secondary Education
School Years Attended Results
Other Education
School Years Attended Results
Consent*
I certify that, to the best of my knowledge and conviction all the information given in the application pages above is given voluntarily and is true and accurate. I also understand that any false or misleading information this form may invalidate the admission process.
Applicant's Signature*
Date*
MM slash DD slash YYYY

Names	Ages

Kenya Student Application

GENERAL INFORMATION

CHURCH LIFE

Family Life

Applicants Education Details