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