Academic Year 20….– 20…. MISSION INDIA THEOLOGICAL … · 2017-08-09 · DTDC courier to the...

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Application for Admission Academic Year 20….– 20…. MISSION INDIA THEOLOGICAL SEMINARY INSTRUCTIONS FOR ADMISSION A. GENERAL INSTRUCTIONS 1. Applicant should be familiar with the prospectus of MITS which gives clear information about admission, registration and Degree programs. 2. Closing date for completed application forms along with Rs. 200/- for application processing th th fee to reach MITS is, 28 February, 20….. The next closing date with late fine Rs. 300/- is 30 April, 20…... 3. MITS require entrance examination and personal interview with all applicants before deciding for admission. 4. The interview will be held at MITS campus in Nagpur in the first and second week of May, 20….... 5. The invitation for interview is not a guarantee of admission. The decision of the MITS admissions committee to offer admission will be known to you after the interview. 6. Send the application forms and the supporting documents by the registered/speed post or DTDC courier to the Registrar. 7. The applicants, who are waiting for the results should produce their original certificates, if selected, by the month of July of the academic year. B. DOCUMENTS REQUIRED FROM THE APPLICANT 1. Duly completed application form along with application fee Rs.200/- ( non refundable) 2. One Xerox copy of each page of all academic records such as Diplomas / Degrees / Mark sheet / Transcript, etc. (All the Originals are to be produced at the time of registration.) 3. Two copies of passport size color photograph of the applicant taken recently. 4. The applicant’s statement with regards to his/her Christian experience and personal commitment to Jesus Christ. 5. The applicant’s statement regarding his/her purpose in perusing theological studies at MITS. 6. The Medical certificate, Recommendation letters, Sponsor’s financial statement, as per the prescribed form. No objection certificate is required in case of transfer students. 7. Three references are needed for each applicant on the three prescribed form of two pages each and to be sent directly by each referee to the registrar’s office. 1

Transcript of Academic Year 20….– 20…. MISSION INDIA THEOLOGICAL … · 2017-08-09 · DTDC courier to the...

Page 1: Academic Year 20….– 20…. MISSION INDIA THEOLOGICAL … · 2017-08-09 · DTDC courier to the Registrar. 7. The applicants, who are waiting for the results should produce their

Application for Admission

Academic Year 20….– 20….

MISSION INDIA THEOLOGICAL SEMINARY

INSTRUCTIONS FOR ADMISSION

A. GENERAL INSTRUCTIONS

1. Applicant should be familiar with the prospectus of MITS which gives clear information

about admission, registration and Degree programs.

2. Closing date for completed application forms along with Rs. 200/- for application processing th thfee to reach MITS is, 28 February, 20….. The next closing date with late fine Rs. 300/- is 30

April, 20…...

3. MITS require entrance examination and personal interview with all applicants before deciding for admission.

4. The interview will be held at MITS campus in Nagpur in the first and second week of May, 20…....

5. The invitation for interview is not a guarantee of admission. The decision of the MITS admissions committee to offer admission will be known to you after the interview.

6. Send the application forms and the supporting documents by the registered/speed post or DTDC courier to the Registrar.

7. The applicants, who are waiting for the results should produce their original certificates, if selected, by the month of July of the academic year.

B. DOCUMENTS REQUIRED FROM THE APPLICANT

1. Duly completed application form along with application fee Rs.200/- ( non refundable)

2. One Xerox copy of each page of all academic records such as Diplomas / Degrees / Mark sheet / Transcript, etc. (All the Originals are to be produced at the time of registration.)

3. Two copies of passport size color photograph of the applicant taken recently.

4. The applicant’s statement with regards to his/her Christian experience and personal commitment to Jesus Christ.

5. The applicant’s statement regarding his/her purpose in perusing theological studies at MITS.

6. The Medical certificate, Recommendation letters, Sponsor’s financial statement, as per the prescribed form. No objection certificate is required in case of transfer students.

7. Three references are needed for each applicant on the three prescribed form of two pages each and to be sent directly by each referee to the registrar’s office.

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st nd rdS. No Description 1 Year 2 Year 3 Year Total Amount

1. Application & Entrance Exam Fee 200.00 ——- ——- 200.00

2. Admission/Registration Fee 5000.00 5000.00 5000.00 15000.00

3. Tuition (800/-pm) 8000.00 8000.00 8000.00 24,000.00

4. Hostel (500/- pm) 5000.00 5000.00 5000.00 15000.00

5. Mess (800/- pm) 8000.00 8000.00 8000.00 24,000.00

6. Library 500.00 500.00 500.00 1500.00

7. Sports 200.00 200.00 200.00 800.00

8. Examination Fee 500.00 500.00 500.00 1500.00

9. Thesis fee ——- ——- ——- ——-

10. MIT Journal 100.00 100.00 100.00 300.00

11. ID Card 100.00 100.00 100.00 300.00

12. Transcript 200.00 200.00

13. Graduation Fee ——- ——- 500.00 500.00

Total Rs. 27,600.00 Rs. 27,400.00 Rs. 28,100.00 Rs. 83, 100.00

st nd rdS. No Description 1 Year 2 Year 3 Year Total Amount

1. Application & Entrance Exam Fee 200.00 ——- ——- 200.00

2. Admission/Registration Fee 7000.00 7000.00 7000.00 21,000.00

3. Tuition (1500/-pm) 15,000.00 15,000.00 15,000.00 45,000.00

4. Hostel (600/- pm) 6000.00 6000.00 6000.00 18000.00

5. Mess (800/- pm) 8000.00 8000.00 8000.00 24,000.00

6. Library 500.00 500.00 500.00 1,500.00

7. Sports 200.00 200.00 200.00 600.00

8. Examination Fee 500.00 500.00 500.00 1500.00

9. Thesis fee 1000 1000

10. MIT Journal 100.00 100.00 100.00 300.00

11. ID Card 100.00 100.00 100.00 300.00

12. Transcript 200.00 200.00

13. Graduation Fee —— —— 750.00 750.00

Total Rs.37,600.00 Rs. 37,400.00 Rs. 39,350.00 Rs. 1, 14, 350.00

st ndS. No Description 1 Year 2 Year Amount

1. Application Fee 100.00 ———- 100.00

2. Admission Fee 3000.00 3000.00 6000.00

3. Tuition (500/-pm) 5,000.00 5000.00 10,000.00

4. Hostel (500/- pm) 5000.00 5000.00 10,000.00

5. Mess (800/- pm) 8000.00 8000.00 16000.00

6. Library 300.00 300.00 600.00

7. Sports 200.00 200.00 400.00

8. Examination Fee 300.00 300.00 600.00

9. Transcript 200.00 200.00

10. MIT Journal 100.00 100.00 200.00

11. ID card 100.00 100.00 200.00

12. Graduation Fee 300.00 300.00

Total Rs. 22,100.00 Rs. 22,500.00 44, 600.00Rs.

FEE STRUCTURE

st ndS. No Description Pre – M.Th 1 Year 2 Year Total Amount

1. Application & Prospectus 200.00

2. Admission/Registration Fee 10,000.00 10,000.00 10,000.00 30,000.00

3. Tuition (2000/-pm) 20,000.00 20,000.00 20,000.00 60,000.00

4. Hostel (800/- pm) 8000.00 8000.00 8000.00 24000.00

5. Mess (1000/- pm) 10,000.00 10,000.00 10000.00 30,000.00

6. Library 1000.00 1000.00 1000.00 3000.00

7. Sports 200.00 200.00 200.00 600.00

8. Examination Fee 500.00 500.00 500.00 1500.00

9. Thesis fee 3000 3000.00

10. MIT Journal 100.00 100.00 100.00 300.00

11. ID Card 100.00 100.00 100.00 300.00

12. Transcript 200.00 200.00

13. Graduation Fee —— —— 1000.00 1000.00

Total Rs. 49,900.00 Rs. 49,900.00 Rs. 54,100.00 Rs. 1, 54, 100.00

DIPLOMA

IN

THEOLOGY

BACHELOR

OF

THEOLOGY

MASTER

OF

DIVINITY

MASTER

OF

THEOLOGY

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(For office use only) Date received____________Fee_________year__________

MISSION INDIA THEOLOGICAL SEMINARYAccredited by ATA & Affiliated With IIM

Khadgaon, Kalambi-post, Kalmeshwar-Tehsil,Nagpur - 441501, Maharashtra, INDIA. Phone: 0712-2500111, cell: +91 9689226220,

E-mail: [email protected]

Master of Theology in New Testament Bachelor of Theology (English

Master of Theology in Missiology Bachelor of Theology (Hindi)

Master of Divinity Diploma in Theology (English)

Master of Divinity (External) Diploma in Theology (Hindi)

Master of Arts in Transformational Urban Leadership Diploma in Theology (Marathi)

PROGRAM TO WHICH YOUR ARE APPLYING

To be filled in by the applicant and submitted to the Office of the Registrar on or before_______________________________________________

A. PERSONAL AND FAMILY INFORMATION

1. Name (in block letters):____________________________________________________________________________

Last/Family Name First Middle

2. Gender: Male Female

3. Date of Birth: Date Month Year

4. Place of Birth:___________________________________________________________________________________

City State Country

5. Nationality:_____________________________________________________________________________________

6. Marital Status: Single Married Divorced/Widowed

7. Date of Marriage: Date Month Year

8. Family Information (if Married)

a. Spouse’s Name:_________________________________________________________________________________

Is your spouse accompanying you? Yes No

Is she planning to study ? Yes No

Is your spouse accompanying you ? Yes No

b Children

Name of Children Date of Birth Sex Needs any Special Attention

Speak

Read

Write

Mother Tongue English Other Bibilical

9.Mother Tongue:______________________________________________________________________________________________

10.The Languages you know:

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11. Permanent address:

Post Office_________________________________Mandal/Tehsil__________________________________________

City/District_______________________________________State__________________________________________

Country_______________________________________________________________PIN

Phone Number:______________________________E-mail:_______________________________________________

12. Present address:

House No:_________________________________Village/Town___________________________________________

Post Office_________________________________Mandal/Tehsil__________________________________________

City/District_______________________________________State__________________________________________

Country_______________________________________________________________PIN

Phone Number:______________________________E-mail:_______________________________________________

13. Parents/Guardians’ Address:

House No:_________________________________Village/Town___________________________________________

Post Office_________________________________Mandal/Tehsil__________________________________________

City/District_______________________________________State__________________________________________

Country_______________________________________________________________PIN

Phone Number:______________________________E-mail:_______________________________________________

14. If you have previously applied to MITS, Indicate Year and Program_________________________________________

15. Are you a transfer student?___________________________.If yes, will you requests to transfer any previous seminary

credits?________________________.Show details_________________________________________________

16. What are your extra-curricular activities?______________________________________________________________

_______________________________________________________________________________________________

17. What indoor/outdoor games do you play?______________________________________________________________

18. Do your suffer from any chronic disease such as Tuberculosis, Epilepsy, Rheumatic heart, asthma, Diabetes

etc.?____________________________________.If yes, Specify____________________________________________

19. Are you physically handicapped?________________. If Yes, Specify________________________________________

20. Have you ever suffered from any type of mental illness?_________________.If yes, Specify_____________________

21. Do you require special diet / accommodation? __________________________________________________________

22. Do you have the habit of using tobacco, drugs, intoxicating drinks etc.?______________________________________

33. Do you have the habit of visiting questionable places of amusements like Cinema halls etc.?_________________

24. How did you hear about MITS__________________________________________________________________

25. Please attach a statement explaining your desire to pursue theological education, and reasons for your interest in

MITS. (Use additional paper – one page)

House No:_________________________________Village/Town___________________________________________

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B. CHURCH RELATIONS AND MINISTRY EXPERIENCE

26. Name and address of the Local Congregation:

Church Name_______________________________________Village/Town_________________________________

Post Office__________________________________________Mandal/Tehsil________________________________

City/District_________________________________________State________________________________________

Country______________________________________________________________PIN

Phone Number:____________________________________E-mail:________________________________________

27. What is your Denominational/church affiliation?________________________________________________________

28. When did you except Jesus as your personal savior and Lord? _____________________________________________

29. When did you take water Baptism?___________________________________________________________________

30. Please provide a statement of your experience as a Christian, including your conversion, significant spiritual

events in your life, and areas which you have seen or experiencing growth. (Use an additional paper-one page)

31. Do you exercise any spiritual gift(s)?_____________.If yes, specify_________________________________________

32. Do you have the call of God for the Christian Ministry?___________________. What assurance do you have of the

call?___________________________________________________________________________________________

_______________________________________________________________________________________________

33. Are you willing to be a servant Leader? Yes No

34. Are you ordained? Yes No

If yes, date of ordination: Date Month Year

By whom?_________________________________________where?______________________________________

35. Details of your work and Ministerial experience:

Type of work/Ministry Full/Part-time Duration Name & Address of Employer

36. Specify your special talents, hobbies or Interests:________________________________________________________

37. Are you working with MI/MITS? Yes No

38. Are you personally acquainted with a member of MI/MITS? ____________________________________________.If

yes, please give Name and Designation of that person____________________________________________________

39. Specify your strength______________________________________________________________________________

and weakness____________________________________________________________________________________

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Name and Location of

the Institution

Duration

From To

Medium Degree Accrediation/

Affiliation

Percentage /

Grade

41.Give below the title of the thesis if you wrote:__________________________________________________________

__________________________________________________________________________________________________

42.Have any of your writings been published? If Yes, Give details._____________________________________________

__________________________________________________________________________________________________

43.Special honors conferred___________________________________________________________________________

D. FINANCES

44.Do you have financial debts in your name? Yes No

45.How will you meet your financial need?

Self Parents Church Organization

If your church or organization sends you, MITS will need a letter of recommendation duly signed by the head of the

church or Organization.

46.Please see the enclosed sponsors’ financial commitment form. A Limited number of further scholarships are available

on already subsidised fee deserving and needy students. However, they are awarded on the basis of sponsors’ and

applicant’s means resources and ability to pay. The decision about this is usually made after the entrance exams and

interview.

F. REFERENCES

47.Give the names and addresses of the following persons (in capital letters), who know you well:

a. Your Present pastor:

Name_____________________________________________ Church_______________________________________

House No:__________________________________________Village/Town__________________________________

Post Office_________________________________________Mandal/Tehsil__________________________________

City/District________________________________________State_________________________________________

Phone Number:______________________________ _______E-mail:_______________________________________

b. A former Christian employer/teacher/Mentor:

Name_____________________________________________ Church_______________________________________

House No:__________________________________________Village/Town__________________________________

Post Office_________________________________________Mandal/Tehsil__________________________________

City/District________________________________________State_________________________________________

Phone Number:______________________________ _______E-mail:_______________________________________

c. A reputed Christian friend who knows you well:

Name_____________________________________________ Church_______________________________________

House No:__________________________________________Village/Town__________________________________

Post Office_________________________________________Mandal/Tehsil__________________________________

City/District________________________________________State_________________________________________

Phone Number:______________________________ _______E-mail:_______________________________________

40. Educational qualification: C. ACADEMIC INFORMATION

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G. DECLARATION AND PLEDGE

I,_______________________________________, do hereby, declare that all details, which are mentioned above, are true to

my best knowledge. If I am admitted, I will abide by the rules and regulations of Mission India Theological Seminary. I will try

to maintain a very high academic standard and lead a life worthy of the calling I have received. I will submit to the spirit of unity

and love, and to the right of the Seminary administration to take any appropriate disciplinary action against me, if in their

judgment, my behavior or character or doctrine is contrary to the spirit and emphasis of the Seminary.

Date: Signature of the applicant

(Any falsification of the document may cause dismissal)

FOR OFFICE USE ONLY

Date of the receipt of application : _____________________________

Interview Intimation sent on : _____________________________

Interview fixed to be held on : _____________________________

Result of Interview & Written Exam : Admit / Wait list / Reject

Required to join on : _____________________________

Have all the required documents been submitted : _____________________________

Date of Admission : _____________________________

Registar's Signature

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SPONSOR’S FINANCIAL COMMITMENT

Name : ___________________________________________________________________________________________

Address : _________________________________________________________________________________________

_________________________________________________________________________________________

Desired Program of Study : __________________________________________________________________________

E Details below should be filled by the sponsor: Church / Organization / Individual

I/We _______________________________________________________________________hereby promise to sponsor in

full/half the studies of ________________________________________________ (name of the applicant) at Mission India

Theological Seminary. I/We shall be responsible for all his / her financial matters related to the studies. I/We undertake to clear

all dues one month before the end of every academic year and before Graduation.

Please tick one :

I/We recommend the candidate, and offer to pay full fee of Rs. _______________for two/three years as per the details for

the MITS Students given at the back of this page.

I/We recommend the candidate, but offer to pay partially, Rs. ________________(yearly)

Place ______________________ Sponsor's Signature :__________________________________

Date _______________________ Designation__________________________________________

Address:____________________________________________

___________________________________________________

___________________________________________________

(Official seal, if the sponsor is an institution)

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MISSION INDIA THEOLOGICAL SEMINARYAccredited by ATA & Affiliated With IIM

Khadgaon, Kalambi-post, Kalmeshwar-Tehsil,Nagpur - 441501, Maharashtra, INDIA. Phone: 0712-2500111, cell: +91 9689226220,

E-mail: [email protected]

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MEDICAL FORM FOR APPLICANT

Name of the applicant: ___________________________________________________________________________________

Address_______________________________________________________________________________________________

______________________________________________________________________________________________________

Desired Program of study_________________________________________________________________________________

Date of birth: ____________________________________________ Sex: _________________________________________

Height (in cms): __________________________________________ Weight (in kgs):_________________________________

General: ENT

Skin: __________________________________________________ CVS _________________________________________

Eye-Sight_______________________________________________ Abdomen _____________________________________

Skeletal:________________________________________________ R.S.__________________________________________

CNS:___________________________________________________ Blood Pressure:_________________________________

Family History:

Hypertension ____________________________________________ Diabetes ______________________________________

Blood Dyscrasia _________________________________________ Asthma ______________________________________

Past:

Jaundice ________________________________________________ Operations ____________________________________

Fits ____________________________________________________ Long term treatment_____________________________

Allergy to any drugs_______________________________________ Epilepsy:______________________________________

Intolerance or allergy to any food __________________________________________________________________________

Laboratory Report:

Blood Group_____________________________________________ Rh Pos/Neg____________________________________

Hemoglobin_____________________________________________ Serology:______________________________________

Urine:__________________________________________________ Glucose Tolerance:______________________________

Chest X-Ray/screen:_____________________________________________________________________________________

Past treatment and recommendations:_________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Full Name:_____________________________________________________________________________________________

Reg.No._______________________________________________________________________________________________

Address:_______________________________________________________________________________________________

Date: ______________________

(Signature of the Doctor)

Seal

9

MISSION INDIA THEOLOGICAL SEMINARYAccredited by ATA & Affiliated With IIM

Khadgaon, Kalambi-post, Kalmeshwar-Tehsil,Nagpur - 441501, Maharashtra, INDIA. Phone: 0712-2500111, cell: +91 9689226220,

E-mail: [email protected]

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CHURCH REFERENCE

(To be filled by the Church Pastor: Confidential)

(Confidential)

(As the Mission India Theological Seminary is training young men and women for full time Christian ministry; it needs

utmost care in selecting the candidates. Your help in this regard is greatly appreciated. Please give adequate information

about the strengths and weaknesses of the applicant, which will help us in decision-making. All information given will be

treated as confidential. Please send the form directly to the office of the Registrar at the earliest so that it may reach before st31 March 2006.

Name of the applicant:______________________________________________________________________________

Programme_______________________________________________________________________________________

for which the candidate is applying?

Address: ________________________________________________________________________________________

How long have you known the applicant? ______________________________________________________________

In what capacity have you known him/her? (State relationship e.g. pastor, friend, teacher,

Employer etc.) ____________________________________________________________________________________

Has the applicant accepted Christ as his or her personal Savior? _____________________________________________

What do you know about the applicant’s Christian experience and personal commitment to Christ?

________________________________________________________________________________________________

What is the applicant’s involvement in his or her local church and Christian work?

Do you think he/she has a real call and aptitude for full time ministry? _______________________________________

What are his/her gifts that might be useful for Christian service? ____________________________________________

Does the applicant have any weakness? If so, kindly state _________________________________________________

What are his/her gifts that might be useful for Christian service? ____________________________________________

Kindly give your opinion about his/her character (e.g. general maturity, relationship with others, Reliability, honesty,

moral standards, etc.)

Is the candidate healthy enough for the strenuous work schedule followed in Mission India Theological Seminary?

______________________________________________________________________________________________

What is the financial condition of the applicant’s parents/guardians? _________________________________________

Are they able to full* support the applicant’s studies? _____________________________________________________

How much can they give every month? ________________________________________________________________

If they are not able to fully support, are there any other sources the candidate might have to raise the support?________

If yes, please give details.

________________________________________________________________________________________________

_______________________________________________________________________________________________

Please tick one of the following:

I recommend the candidate highly I recommend the candidate

I recommend the candidate with hesitation I do not recommend the candidate

Place: _____________________________

Date: ______________________________

Signature:_____________________________

Name:_______________________________

Designation:__________________________

Address:_____________________________

____________________________________

____________________________________

Telephone no. ________________________

Email:_______________________________10

MISSION INDIA THEOLOGICAL SEMINARYAccredited by ATA & Affiliated With IIM

Khadgaon, Kalambi-post, Kalmeshwar-Tehsil,Nagpur - 441501, Maharashtra, INDIA. Phone: 0712-2500111, cell: +91 9689226220,

E-mail: [email protected]

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ACADEMIC REFERENCE

A professor or a teacher who is acquainted with the applicant's academic performance

Name: ___________________________________________________________________________________________

Address: _________________________________________________________________________________________

_________________________________________________________________________________________________

Desired Program of Study: ___________________________________________________________________________

1. How long are you acquainted with the applicant? __________________________________________________

2. The last course of study the applicant had before he left your institution (the appropriate)

S.S.L.C Pre-University Undergraduate Postgraduate

3. How would you appraise the applicant's abilities in the following area?

Not Observed Poor Average Good Outstanding

Intellectual ability

Relationship with others

Creative thinking

Social congeniality

Proficiency in English

Written communication skills

Oral communication skills

Mental cognizance

Leadership skills

Attitude to authority

Organization

Moral life

4. Kindly use this space to make any additional remarks pertaining to the applicant's strengths and weaknesses that

might be helpful in appraising this applicant for admission.

5. Do you recommend this applicant for studies at Mission India Theological Seminary? (the appropriate)

strongly recommend recommend recommend with reservations not recommended

Signature : ___________________________________________________

Name : ___________________________________________________

Designation : ___________________________________________________

Institution : ___________________________________________________

Address : ___________________________________________________

: ___________________________________________________

District : ___________________________________________________

State : ___________________________________________________

Pin : ___________________________________________________

Date : ___________________________________________________

(Seal)

11

MISSION INDIA THEOLOGICAL SEMINARYAccredited by ATA & Affiliated With IIM

Khadgaon, Kalambi-post, Kalmeshwar-Tehsil,Nagpur - 441501, Maharashtra, INDIA. Phone: 0712-2500111, cell: +91 9689226220,

E-mail: [email protected]