KINGS COLLEGE OF EXCELLENCE APPLICATION FORM ENROLMENT OPENS THURSDAY 1ST OCTOBER 2020 READ CAREFULLY IF ANY QUESTIONS DO NOT APPLY TO YOU PLEASE ANSWER N/A (Not Applicable) Attach a current passport size photo – head and shoulders only The two enclosed reference forms to be completed and returned by those you list as your referees Any further information you feel may be helpful. PERSONAL DETAILS Title – Mr/Mrs/Miss (*) Surname (*) First Name (*) Middle Name (*) Residential Address (*) City (*) Post Code (*) Country (*) Telephone Number (Home) (*) Email (*) Mobile (*) DOB (*) Place of Birth (*) Nationality (*) Marital Status (*) MarriedSingleDivorcedRemarriedWidowedSeparatedEngaged Attach a current passport size photo – head and shoulders only. (*) Dependants Dependants (Please Include Name and DOB)for whom you are responsible (*) Dependants 2 (*) Dependants 3 (*) Dependants 4 (*) Name of Spouse or fiancé (*) Have you been previously married? (*) How Many Times? (*) Please include Dates (*) Dates of Divorce (*) Number of children from previous marriage[s] (*) Are you paying maintenance to wife or child? (*) NoYes If you have children who has custody of them? (*) Where do they live? (*) What are their ages? (*) Will your spouse or fiancé[e] attend KCE with you? (*) YesNo Is your spouse or fiancé[e] saved? (*) YesNo Is your spouse or fiancé[e] in agreement with your decision to attend KCE (*) YesNo Will your spouse [and dependence family] be living with you while you attend KCE? (*) YesNo Are you presently under your parents support?(*) YesNo If No, Please explain on additional sheet (*) CHURCH AFFILIATION AND REFERENCES What Church do you attend (*) Church Reference Form handed to: (*) Position: (*) City/Town (*) Post Code (*) Country (*) Do you attend regularly (*) YesNo If less than one [1] year, give the name and address of your previous church (*) YOUR CHRISTIAN EXPERIENCE AND BELIEFS Are you an ordained minister? ?(*) YesNo If so, which denomination or organisation? (*) Do you believe the Bible is the inspired word of God and the only infallible guide in matters relating to conduct and doctrine?(*) YesNo Do you believe in the Holy Trinity – God is One, but in Three Persons; Father, the Son and the Holy Spirit?(*) YesNo Do you believe in the Deity of our Lord Jesus Christ, that He is God made flesh and He is the only mediator between God and man?(*) YesNo Date you were saved (*) Briefly state how you were saved (*) Were you raised in a Christian home? (*) YesNo Have you received the baptism in the Holy Spirit with evidence of speaking with other tongues? (*) YesNo Have you been baptised by immersion in water as a youth/adult? (*) YesNo EDUCATION Do you read and write English? (*) YesNo Are you presently a full or part-time student?(*) YesNo If ‘yes’ give details on additional sheet. (*) Beginning with secondary school list chronologically the educational institutions attended and awards earned. Include bible schools attended Educational Institution 1 (*) Period (*) Grade/Award obtained (*) Educational Institution 3 (*) Period (*) Grade/Award obtained (*) Educational Institution 3 (*) Period (*) Grade/Award obtained(*) Were you expelled or suspended from school or college?(*) YesNo If ‘yes’ briefly explain on additional sheet. (*) Yes EMPLOYER Name of the Employer 1 (*) Period (*) Duties(*) Name of Employer 2 (*) Period (*) Duties(*) Name of Employer 3 (*) Period (*) Duties(*) If you are currently unemployed please explain circumstances on additional sheet.(*) HEALTH Give details on additional sheet of all ‘Yes’ answers in this section Do you regard yourself as being in a good state of health? (*) YesNo Do you have any physical infirmities of a permanent or recurring nature which may affect your attendance or full participation in college life? (*) YesNo Are you physically or mentally handicapped? (*) YesNo Do you suffer from or have you ever suffered from chronic anxiety, chronic depression or mental illness? (*) YesNo Are you receiving government disability benefits? (*) YesNo Do you suffer from epilepsy? (*) YesNo Are you a tobacco smoker or have you smoked during the last 6 months? (*) YesNo Are you, or have you been during the last two years dependent upon alcohol or prescription drugs? (*) YesNo Are you, or have you during the last two years, been involved with taking non-prescription drugs or mind altering substances? (*) YesNo Do you have any known drug allergies? If so what drugs? (*) YesNo Additional Details(*) FEES Course fees exclude the cost of the text books and graduation, but include all course notes and manuals. Fees are due before the beginning of the term in which you begin your studies. Application fees are non-refundable. Full course, (Diploma in Ministry): £500 plus £50 application fee. Students unable to pay the whole amount of £500 before commencing may elect to pay by instalments after paying a deposit £250. The remainder is to be paid on a monthly basis KCE offers 5 hours of study a week. This is less than Home Office requirement for a visa. Therefore we are unable to process student visas at the moment. RELEASE OF LIABILITY I do hereby release KCE, its agents, employees and voluntary assistant from any liability whatsoever arising out of any injury, damage or loss sustained by me during the course of my studentship at the college. I agree (*) YesNo Date (*) DECLARATION I apply to attend KCE from (*) For the Dipoloma in Ministry course. I declare that all of the information contained here is to the best of my knowledge accurate and true. I affirm that should I be accepted as a student I will agree to be subject to the authority and discipline of KCE. I pledge to behave at all times and in all places in a manner that will honour the name of Jesus Christ I agree (*) YesNo Date (*)