MTh Application Form

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    The Association for Theological Education by Extension

    Master of Theology (M.Th)in

    Applied Theologywith Specialisations in

    Pastoral PracticeMission Practice

    Development Practice

    Application form for the course commencing August 2009

    Please attach a recentPassport size

    photograph ofyourself here

    Tick the specialisation for which you wishto apply:

    Pastoral Practice:

    Mission Practice:

    DevelopmentPractice

    Please complete in BLOCK CAPITALS

    Title (Delete as Appropriate) Rev/Dr./Mr./Mrs./ Other

    Full Name (as given on official documents)

    .................................................................................................................

    Name you are known by (if different from above)

    .................................................................................................................

    Mother Tongue ..................................... Date of Birth ..................

    Denomination ....................................... Marital Status ....................

    Address for Correspondence

    Pincode (Compulsory): ................................

    Residential Address (if different from above)

    Pincode ................................

    Telephone No (with the city code) :...............................

    E-Mail Address ................................ Fax No ...............................................

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    Details of Education and Training, and Formal Qualifications

    DatesMedium of

    StudyDetails(University/College, Qualification & Subject)

    Country of Origin: Ethnic Background:

    Languages Known:

    Speak:

    Write:

    Details of Present Post and Current Ministry with details of key

    Responsibilities in Church/Diocese/Organisation

    Dates Details

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    Details of other Relevant Work Experience with Key Responsibilities

    Dates Details

    In the space below, state your reasons for applying for this course.

    How did you hear about this course?

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    Declaration:

    I have read the Prospectus and understand the requirements of the programme in terms of timeand finance. All the information that is given on this application form is correct and I have

    completed the attached assignment without taking help from others.

    If accepted onto this course, I agree to pay my fees promptly either at the beginning of each year,or in two installments each year at the beginning of each semester.

    SIGNATURE ........................................................... Date ......................

    Please enclose with this form:

    Relevant degree certificates, or attested copies of such certificates with markstranscripts.

    Proof of age (School Leaving Certificate or anything relevant)

    A 500 word assignment (See below)

    Two Academic References, two Professional References (normally arecognised authority in your church) and one Personal Reference.

    An endorsement form completed and signed by an office bearer in your localcongregation.

    Eitheran endorsement form completed and signed by a senior office bearerin your denomination (e.g., your bishop).Or, an endorsement form completed and signed by your employer.

    This completed application form should be returned before 30th July 2009 to the address below. Ifyou require a scholarship form please attach your request for the same.

    The Director,TAFTEE

    36 Bornmann Enclave,Kothanur, Bangalore 560077 INDIA

    500 Word Assignment

    On a separate piece of A4 paper, describe a significant event that has taken place in your ministry

    within the last year. State why you considered it significant and how your reaction to the situationreflects your theology.

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    DIOCESAN/EMPLOYERS ENDORSEMENT

    for candidates applying to study aMaster of Theology in Applied Theology

    offered by

    The Association for Theological Education by Extension

    1. Endorsement

    Having checked the Recruitment Criteria, the .............................. Church

    endorses the application of.................................................................................

    for this course, judging the course to be appropriate for the candidate and the candidate forthe course.

    2. Finance

    Tick (i) or(ii):- (i) This student will be responsible for all fees.

    (ii) The church/organisation will sponsor this student financially to the extent of Rs......p.a., or .........% of course fees.

    Tick (a) or (b)

    This amount will be paid (a) directly to TAFTEE (b) to the student

    3. Other Comments

    Please add any special recommendations of this student or supportive remarks

    which you may wish to make. Continue overleaf if necessary.

    Name of person signing......................................................................................

    Position held......................................................................................................

    Address ....

    ..................................................................................................

    ............................................................................................

    Email: Ph. No. (with city code)

    Signature ........................................................ Date ....................

    Please return this endorsement to the candidate or forward it to:The Director,

    TAFTEE36 Bornmann Enclave,

    Kothanur, Bangalore 560077 INDIA

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    ENDORSEMENT FROM THE LOCAL CONGREGATION

    for candidates applying to study aMaster of Theology in Applied Theology

    offered byThe Association for Theological Education by Extension

    1. Endorsement

    I have seen the application form from .................................................to undertake the above Course. The application has been discussed by the relevantofficers in the applicants local Church. The personal and vocational implicationshave been seriously considered. I judge the Course to be appropriate for theapplicant and the applicant for the Course.

    2. Commitment

    The relevant officers in the applicants local Church have discussed the implicationsof this endorsement and agree to support the applicant in his/her studies, allowingthe necessary time and leave for the applicant to complete the Course.

    3. Other Comments

    Please add any special recommendations of this student or supportive remarkswhich you may wish to make. Continue overleaf if necessary.

    Name of person signing.....................................................................................Position held.......................................................................................................

    Address ...

    ..................................................................................................

    ............................................................................................

    Email: .. Ph.No.: (with city code)

    Signature ........................................................ Date ....................

    Please return this endorsement to the candidate or forward it to:The Director,

    TAFTEE36 Bornmann Enclave,

    Kothanur, Bangalore 560077 INDIA

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    R E F E R E N C E SA C A D E M I C RE F E R E N C E S

    Please Provide Contact Details forTwo Referees(You should select those who are able to comment on your ability to undertake postgraduate study)

    1. Name and Address

    Pincode ................................

    Telephone No (with city code): ................................

    E-Mail Address ................................Fax No ..........................

    2. Name and Address

    Pincode ................................

    Telephone No (with city code): ................................

    E-Mail Address ................................Fax No ..........................

    PE R S O N A L RE F E R E N C E S Please Provide Contact Details forOne Referee

    (You should select someone who is able to comment on your Personal qualities)

    Name and Address

    ......................................................................................................

    ......................................................................................................

    ......................................................................................................

    Pincode ................................

    Telephone No (with city code): .................................

    E-Mail Address ............................ Fax No .......................................

    MA/MTh in Applied Theology Application 2009 Entry