2013/14

Student Application Form

STUDENT NAME



Student ID Number

[For Office Use only]

COURSE TITLE



CHECKLIST:
Make sure you have included the following before you send your application form:

Application fee (Non-refundable)

2 Passport photos

Copies of academic qualifications (Originals required prior to admittance)

2 signed letters from referees on headed paper and stamped

Copy of passport, visa and any form of photo ID (Originals required prior to admittance)

English proficiency test result (where relevant)*

*(PLEASE ENSURE YOU CHECK THE GRADE REQUIREMENTS FOR YOUR PROGRAMME)

Completed Applications should be sent to:







CHRIST THE REDEEMER COLLEGE
ATTACH TWO
PASSPORT
PHOTOGRAPHS
(Name printed on back)
Admission Office
Christ theRedeemer College
6-12 Kennington Lane, London.
SE11 4LS
Email: [email protected]
Tel: 020 7735 7100
Website: www.christredeemercollege.org
A Partner College of
6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: [email protected] Website: www.christredeemercollege.org


A Partner College of

A. PROPOSED STUDIES

DEGREE:

Full Time BA Hons Theology and Biblical Studies (3yrs) Middlesex University
Full Time BA Hons Theology and Counselling (3yrs) Middlesex University
Full Time BA Hons Theology and Ministerial Studies (3yrs) Middlesex University

DIPLOMA/CERTIFICATE:

Full Time Certificate in Christian Counselling (1yr)
Full Time Certificate in Theology (1yr)
Part Time Certificate in Christian Counselling Intensive, one evening a week
Full Time Diploma in Christian Counselling (2yrs)
Full Time Diploma in Theology (2yrs)
Full Time Diploma in Christian Ministry (1yr)
Part Time Diploma in Christian Counselling Intensive, one evening a week
Part Time Diploma in Christian Ministry (2yrs)
Part Time Associate Diploma in Christian Ministry (1yr)

SHORT COURSES:

Church Planting and Evangelism 6 Weeks
Introduction to Christian Counselling Skills 5 Weeks
Music Ministry 10 Weeks
Children and Youth Ministry 7 Weeks
Prayer and Spiritual Warfare 6 - 10 Weeks

Microsoft Office Certificate [Word, PowerPoint, Excel] 6 evenings Part Time
Web Design and Development 4 evenings Part Time
Project management Using Microsoft Project 2010 4 evenings Part Time
Database Design and Management 6 evenings Part Time
Excel for Financial Analyst 6 evenings Part Time

ABE:

Diploma in Management Information Systems Diploma Higher Dip. Graduate Integrated Dip.

Proposed Mode of Study
Full time

Part time



Proposed Start Date
Month Year Do you need a UK Students VISA Yes No




6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: [email protected] Website: www.christredeemercollege.org


A Partner College of
B. PERSONAL DETAILS
This information is required to create an application record and is not used in the selection process.
Passport Number



Nationality (as on passport)

Country of Birth
Country of Permanent
Residence

How do you intend to pay your fees?




Title First Name(s)



Surname/Family
Name
Previous
Surname



Gender
Male Female
Date of Birth



Correspondence Address





Postcode


Telephone


Mobile

Permanent Address (if different)





Postcode


Telephone

Email Address


How did you hear about the College?
Friend Flyers Internet FOL Other


C. DISABILITY/SPECIAL NEEDSPlease tick the appropriate box.


I do not have a disability




Dyslexia




Blind/Partially sighted




Deaf/Hearing impaired




Wheelchair/mobility problems




Personal care support




Mental health problems




Unseen disability





Multiple Disability





Autistic Spectrum Disorder/
Aspergers Syndrome
A Disability Not Stated. Please State


6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: [email protected] Website: www.christredeemercollege.org


A Partner College of
D.EDUCATIONAL
Have you previously studied at Christ The Redeemer College? Yes No
If yes, fill in the following details:

Course Year Student No.(if known)

Academic Qualifications
Start with your most recent qualifications. If you have not yet received your award, indicate when
you expect to do so.

ALL QUALIFICATIONS LISTED SHOULD BE SUPPORTED BY ORIGINAL CERTIFICATES

Level
e.g. HND,
BSc, BA.
Subject/Course
Gradese
.g. A, 2:1
Institution/
Awarding Body
From
Month/Year
To
Month/Year

Higher Education






/

/

/

/

Secondary/Further Education

/

/

/

/

/

/

/

/

/

/

E. ENGLISH LANGUAGE ABILITY(International applicants only)
Entry is conditional on the attainment of the required proficiency in English Language
(A copy of your test certificate should be enclosed with this application)

English Language
Qualificatione.g.IELTS/TOEFL/OTH
ER
Score/Grade Award Date
Speaking Listening Writing Reading
Month Year

















6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: [email protected] Website: www.christredeemercollege.org


A Partner College of
F. WORK EXPERIENCE (Paid or Voluntary)

Length of Work

Organisation [Name and Address] Job Title
Start
Month/Year
End
Month /Year












Duties & Responsibilities







Length of Work
Organisation [Name and Address] Job Title
Start
Month/Year
End
Month /Year











Duties & Responsibilities








Length of Work
Organisation [Name and Address] Job Title
Start
Month/Year
End
Month /Year










Duties & Responsibilities








6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: [email protected] Website: www.christredeemercollege.org


A Partner College of
G.PERSONAL STATEMENT
Please provide any relevant information to support your application (Max 1000 words).
For example: why you chose the course, why Christ the Redeemer College and how this course will
contribute to your future career plans.




















H. INTRODUCTION (IF ANY):
Did somebody introduce you to CRC? Y/N
If yes, please let the person complete below:

Name:..........................

Address:..

Town: Post Code: ..

Signature:...

Date:


6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: [email protected] Website: www.christredeemercollege.org


A Partner College of

I. REFEREES:
Please give the names and details of two people who have known you for at least 2 years. One of
the referees should be from an academic or a recent employer.
ALL REFERENCES SHOULD BEPRESENTEDON HEADED PAPER.
REFERENCES FROM FRIENDS AND FAMILY CANNOT BE ACCEPTED










J. DECLARATION

I declare to the best of my knowledge, that all the above information is true, complete and
accurate. I undertake to observe the regulations of the college and to comply with the
resolutions, rules and conditions which the college may make for its students from time to time. I
give my consent to the processing of my data by the college.


Signature


Date





REFEREE 1
First Name
Surname
Address Line 1


Address Line 2
Address Line 3
Post Code /
Zip Code

Country
Telephone
Mobile
Email Address



Relationship to
Applicant

REFEREE 2
First Name
Surname
Address Line 1


Address Line 2
Address Line 3
Post Code /
Zip Code

Country
Telephone
Mobile
Email Address



Relationship to
Applicant



FOR OFFICE USE ONLY

1. LEARNING SUPPORT NEEDS: Official interviewingto please comment on any learning support needs.









2. INTERVIEW SHORTLISTED NOT SHORTLISTED


Any other remarks[including suitability for chosen course]:








INTERVIEWERS
1.

Position
2.

Position

ADMITTED YES NO

AGREED FEE AMOUNT






Principal


Vice Principal


Date Date










COURSE LIST AND FEES 2013-2014
COURSE DURATION FULL
TIME/PART
TIME
AWARDING
BODY
FEES PER
ANNUM
INTAKES
DEGREE:

BA (Hons) THEOLOGY & BIBLICAL STUDIES 3 YEARS FULL TIME MIDDLESEX
UNI
5,750.00 SEPT
BA (Hons) THEOLOGY & CHRISTIAN COUNSELLING 3 YEARS FULL TIME MIDDLESEX
UNI
5,750.00 SEPT
BA (Hons) THEOLOGY & MINISTERIAL STUDIES 3 YEARS FULL TIME MIDDLESEX
UNI
5,750.00 SEPT



DIPLOMA/CERTIFICATE:
*CERTIFICATE IN CHRISTIAN COUNSELLING (LEVEL2) 1 YEAR PART TIME CPCAB 700.00 TBC
*CERTIFICATE IN CHRISTIAN COUNSELLING (LEVEL3) 1 YEAR PART TIME CPCAB 700.00 TBC
CERTIFICATE IN THEOLOGY
1 YEAR FULL TIME CRC 4,750.00 SEPT
DIPLOMA IN CHRISTIAN COUNSELLING 2 YEARS FULL TIME CRC 3,250.00 SEPT
DIPLOMA IN THEOLOGY 1 YEAR FULL TIME CRC 4,750.00 SEPT
DIPLOMA IN CHRISTIAN MINISTRY 1 YEAR FULL TIME CRC 850.00 SEPT, JAN,
APR
DIPLOMA IN CHRISTIAN COUNSELLING 3 YEARS PART TIME CRC 2,000.00 Intensive ,
1 evening
per week
DIPLOMA IN CHRISTIAN MINISTRY 2 YEARS PART TIME CRC 850.00

ASSOCIATE DIPLOMA IN CHRISTIAN MINISTRY 1 YEAR PART TIME CRC 850.00 SEPT, JAN,
APR



SHORT COURSES:


CERTIFICATE IN CHILDREN & YOUTH MINISTRY 8 SATURDAYS PART TIME CRC 250.00 TBC
CERTIFICATE IN MUSIC MINISTRY 12 EVENINGS PART TIME CRC 250.00 TBC
CERTIFICATE IN PRAYER AND SPIRITUAL WARFARE 10 EVENINGS/
6 SATURDAYS
PART TIME CRC 250.00 TBC
CERTIFICATE IN CHURCH PLANTING AND EVANGELISM 6 SATURDAYS PART TIME CRC 250.00 TBC
INTRODUCTION TO CHRISTIAN COUNSELLING SKILLS 5 SATURDAYS PART TIME CRC 250.00 TBC


MICROSOFT OFFICE CERTIFICATE WORD, EXCEL,
POWER POINT
6 EVENINGS PART TIME CRC 175.00 TBC
WEB DESIGN AND DEVELOPMENT 4 EVENINGS PART TIME CRC 150.00 TBC
PROJECT MANAGEMENT USING MICROSOFT PROJECT
2010
4 EVENINGS PART TIME CRC 150.00 TBC
DATABASE DESIGN AND MANAGEMENT 6 EVENINGS PART TIME CRC 175.00 TBC
EXCEL FOR FINANCIAL ANALYST 6 EVENINGS PART TIME CRC 175.00 TBC













Please note there is an annual registration fee payable to Middlesex University by the student.

*Please note that the Part-time Counselling course can be run on intensive, weekend (2 Saturdays a month) or evenings (1 day a week).


International Students = 150.00
Home (UK) Students = 100.00

APPLICATION FEES (NON-REFUNDABLE)