APPLICATION FORM SECTION I: PERSONAL DATA (To be completed by all applicants) 1. Surname: …………………………………………………………………………… 2. First Name: …………………………………………………………………………………….. 3. Date of Birth (YYYY/MM/DD): …….. 4. Age: ………… 5. Sex: M /F…………. 6. Marital Status (Married/Single/Divorced/Widowed/Other): …………………………………………………………………… 7 .Educational Qualifications :( attach copy of certificate)…………………… 8. Profession: ………………… ……………………………………………… 9. Residential Address: ………………………………………………………………… ……………………………………………………….. Postal Code: ……… 10. Postal Address if different …………………………………………………Postal Code: ………………. 11. Country of Origin: …………………………………………………………………… 12. Contact Number: ………………………………………….. 13. Email: …………………………………….. 14. Next of Kin: ………………………………………………... 15. Contact Number of next of Kin: ………………………….. SECTION II: CHURCH BACKGROUND INFORMATION (To be completed by all applicants) 1. .Are you born again? .................................................................................................................................... 2. Do you believe you are called? .................................................................................................................................... 3. Which church do you fellowship with? .................................................................................................................................... 4. What role do you play in your church? .................................................................................................................................... 5. If you are a pastor, please indicate how long you have been pastoring? ................................................................................................................................... SECTION III: ABS FULLTIME PROGRAMS-indicate which program you are enrolling for, by ticking the appropriate column. PROGRAM Program 1 Program 2 Program 3 Program 6 Program 7: Christian foundations Diploma (CFD)- Minimum of two years Church Workers Diploma (CWD)-Minimum of one year Lay Ministers Diploma (LMD)- Minimum of two years Advanced Ministers Diploma (AMD)- Minimum of four years DURATION 4 years 16 months 1 year 6 months The duration of the course depends on the pace of the student. Program 10 Minimum of One year SELECTED PROGRAMS SECTION IV: HEALTH BACKGROUND FORM NAME ……………………………………………………………………………………………… A. Do you have any of the following Medical conditions? Tick Yes/No 1. Asthma (Yes/No) 2. Stomach Ulcer (Yes/No) 3. Tuberculosis (Yes/No) 4. HIV AIDS (Yes/No) 5. Sugar Diabetes (Yes/No) 6. Hypertension/Other Chronic Heart Disease (Yes/No) 7. Drug Allergies (Yes/No) 8. Food Allergies (Yes/No) 9. Mental illness (Yes/No) 10. Gynecological disorders (Yes/No) 11. Sickle Cell disease (Yes/No) 12. Epilepsy (Yes/No) 13. Rheumatism (Yes/No) Indicate other chronic diseases you suffer from…………………………………….. ….. B. Are you on any regular Medication? (Yes/No) …………………………………...………………………………………………………… If yes specify which medication………………………………………………….. ………… C. Have you had any major surgeries? (Yes/No) ………………………………….. D. If Yes Specify……………………………………………………………………………. . Prospective Students are expected to answer truthfully to the above listed health related questions. Failure to do so will result in summarily dismissal from the School upon detection. SECTION V: CRIMINAL RECORD (To be completed by all applicants) 1. Have you had any problems with the law? (Yes/No) ……………………….. Specify: …………………………………………………………………………………. SECTION VII: TRAVELLING REQUIREMENTS FOR INTERNATIONAL STUDENTS Please make sure that you have obtained or done the following, before leaving your country of origin. 1. Valid Passport. 2. Ghana Visa for students travelling to Ghana. 3. International Yellow Fever Vaccination Card. 4. Recent Medical Report including TB, Chest X-ray reports and HIV status. 5. Police Clearance Reports; please attach the Report with the form. 6. Start Prophylactic Anti Malaria Medications two weeks before leaving your country. Please obtain enough dosages to continue for another 6 weeks whilst in Ghana. SECTION VIII: RECOMMENDED BY (To be completed by all applicants) I am recommended by my Local Church Pastor/General Overseer/Senior Associate Pastor/Bishop Others (specify) ……………………………………………………………………………. I certify that the information given above is true and correct to the best of my knowledge. Full Name Signature …………………….. ………………….. Date ………………….. NB: PLEASE EMAIL OR POST THE FOLLOWING DOCUMENTS: 1. Completed application form 2. Medical examination report 3. Educational qualification/certificates 4. Recent Police Report 5. Letter from the person recommending you CONTACT INFORMATION Email: [email protected] Postal: The Registrar, ABSF, P.O. Box 114, Korle – Bu, Accra, Ghana. Contact numbers: +233-273-802-040, +233-244-063-136, +233-244-488-252 FOR OFFICIAL USE ONLY ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ……………………………………………………………………………………………………….. ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… …………………………………………………………………………………………………………