Application Form (Filipino)

Page 1

ASIAN THEOLOGICAL Mail Address: QCCPO Box 1454-1154, 1102 Quezon City, hilippines #54 Scout Madri単an St., South Triangle, Quezon City, hilippines Tel. Nos. (632) 923-0669/Fax No. 928 5114 Email: admissions@mail.ats.ph Website: .ats.ph

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APPLICATION FOR ADMISSION (Please print or type) 1. Name Surname

Given

Middle

2. Present Address

Telephone No.

Cell Phone No.

Email Address 3. Date of Birth

Age

4. Place of Birth

Sex Nationality

Citizenship

5. Name of parent(s) or guardian Address Tel./Cell No. 6. Check as many of the following as apply to you: Single Engaged to be married Married Widowed

Separated Divorced Remarried Common-law (mutual consent, without civil or religious ceremony) ____________________________________

7. If married, name of spouse How many?

Do you have children? (M/F)

What ages?

8. If married, is your spouse in sympathy with your attendance at ATS? 9. List below the schools attended after graduation from High School. On a separate sheet, indicate any awards or special achievement/recognition received. Submit transcript for undergraduate study and bachelor's degree. Name of School

Address

Years Attended

Degree Received


10. Where are you presently employed or attending school? 11. What local church do you currently attend? What are your involvement (if any)?

What church will you be attending during your studies in ATS? What is your denominational affiliation? 12. Are you in accord with our Statement of Beliefs (see attachment) If yes, please sign under the statement. If not, please give comment. 13. What degree programs are you interested in taking? How do you hope this course will help you attain your vocational goals? 14. Are you planning to study part-time?

full time?

15. When do you plan to enroll? How will you be supported in your studies?

16. Have you been charged in court?

If so, please explain the circumstances and the outcome on a separate page.

17. Give a brief description of the following on a separate sheets: a. Account of your conversion b. Complete record of your experience -church and secular c. Your reasons why you like to study at ATS d. Your plans after graduation from ATS 18. Submit your latest chest X-ray result/medical certificate attesting to your physical competence to do graduate work. 19. Entrance Exam (EPT) Score For Master of Divinity Applicants: Submit a letter from your church leader stating you have consulted him regarding your plan to take up M. Div. Studies in ATS. 20. Submit your original/xerox copy of Transcript of Records (TOR) and Certificate of Graduation.

Signature

Date Save & Print

* Use the Submit button to send the completed form using your desktop email client (ex: Microsoft Outlook) or Save a copy of the completed form and email to admissions@mail.ats.ph. * This form requires the latest version of Adobe Reader. Get the latest version at http://get.adobe.com/reader/

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