AGS-Application-Forms-2013.docx

7/28/2019 AGS-Application-Forms-2013.docx

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ALLIANCE GRADUATE SHOOL101 Dangay St., Veterans Village, Project 7, Quezon City

Tel. Nos. 371-3984/85; 411-4357/58

Fax No: (632) 373-6439 E-mail:[email protected]

Web site:www.ags.edu.ph

APPLICATION FOR ADMISSION*

Instructions

The applicant must complete the application form for program admission, and all accompanying documentation

in English. Before acceptance can be given, all questions on the form must be answered and all the following additiona

documents must be received:

Academic Transcripts (for Bachelors degree and last school attended) Application fee of PHP 500 for Filipinos; US $100 for foreigners Two recent (2x2) pictures to be attached to the application form Three completed confidential reference forms (See attached forms) Letter(s) from supporting institutions or persons providing financial support (See attached form) An English proficiency score of 550 and essay band of 4 on the TOEFL or its equivalent (213 & essay band of 4 on

the TOEFL computer-based) (PHP 500 English Exam Fee)

Note: foreign students for whom English is a second language must take the TOEFL at the country of origin

Biographical information and personal statement of purpose and faith (See attached form) A completed medical form with chest x-ray result (See attached form) NEO-PIR exam (PHP 500) and interview For foreign students: photocopy of passport

The AGS Admissions Committee will send the notification of acceptance.

*All requirements must be completed by the following date: _______________________
mailto:[email protected]:[email protected]:[email protected]://www.ags.edu.ph/http://www.ags.edu.ph/http://www.ags.edu.ph/http://www.ags.edu.ph/mailto:[email protected]


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ALLIANCE GRADUATE SCHOOL

Application for Program Admission

I. PERSONAL INFORMATION (please type or print)

Name ___________________________________________________________________________________________

Title Last First Maiden/Middle

Present Address ________________________________________________________________________________

Mailing Address _________________________________________________________________________________

Date of Birth ____________ Place of Birth ________________________ Gender ______ Nationality ____________

Phone: Home _____________ Office _______________ Cell _______________ E-mail ______________________

Civil Status (check appropriate one) ( ) Single ( ) Married ( ) Widow /Widower ( ) Separated

If married, name of spouse ________________________________ Phone No. _________________________

Name and Ages of Children ___________________________________________________________________

Languages spoken fluently __________________________________________________________________________

Contact person in case of emergency ____________________________ Phone No. of contact person ______________

Address of Contact Person __________________________________________________________________________

II. COURSE OF STUDY--Check the appropriate one below:

C I V I L D E G R E E S* ECCLESIASTICAL DEGREES

Master of Divinity (M.Div.) 96 units

___ M. Div. in Christian Education

___ M. Div. in CE, major in Christian

Counseling

___ M. Div. in Missiology

___ M. Div. in Miss., major in Community

Development

___ M. Div. in Pastoral Studies___ M. Div. in Pastoral, major in Biblical

Studies

___ M. Div. in Pastoral, major in

Theological Studies

___ M. Div. in Pastoral, major in Youth

Studies

Master of Arts (M.A.) 64 units

___ M.A. in Biblical Studies

___ M.A. in Christian Education

___ M. A. in CE, major in Christian

Counseling

___ M.A. in Educational Ministries

___ M.A. in Missiology

___ M.A. in Missiology, major inCommunity Development

___ M.A. in Pastoral Studies

___ M.A. in Pastoral, major in Theological

Studies

___ M.A. in Pastoral, major in Youth

Studies

On Campus

Certificate Program (18 units)

___ Certificate in Spiritual Formation (18

units)

Diploma (30 units)

___ Biblical Studies

___ Christian Counseling

___ Christian Education

___ Community Development

___ Pastoral Studies

___ Theological Studies___ Youth Studies

Off-Campus (Center for Innovative

Studies, with different satellite locations)

___ Certificate in Marriage & Family

Ministry (16 units)

___ Master of Ministry (36 units)

*Civil degrees are programs with CHEd recognition, and for which CHEd grants Special Orders pending student compliance with all requirements.

Please attach your recent

picture here (2x2)


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III. EDUCATIONAL INFORMATION

List below the degree/s you have received after graduating from high school:

Institution Location Degree Received Date

Graduated

____________________________ __ ___________________________________ ____________________________ ________

____________________________ __ ___________________________________ ____________________________ ________

____________________________ __ ___________________________________ ____________________________ ________

Is your college DECS / CHED accredited _______________ If yes, what is your SO # ____________________________________

Have you applied to Alliance Graduate School previously? _____________ When? ____________________________________

Who or what influenced your decision to apply to Alliance Graduate School? _____________________________________________

____________________________________________________________________________________________________

Have you been dismissed or denied admission by any other seminaries? ______ If yes, please explain on a separate sheet

Are you transferring from another seminary or graduate institutions? ________ If so, you must have a letter from the current

seminary indicating student in good standing status.

IV. FINACIAL PLANNING

How do you plan to meet your expenses while at AGS? _____________________________________________________________

_______________________________________________________________________________________________________

Are you currently in debt or financially committed? Yes ( ) No ( ) If yes, please explain _________________________________

_______________________________________________________________________________________________________

V. CHURCH INFORMATION

Present Church

Name of church & address _________________________________________________________________________

Name of Pastor ____________________________ Denominational Affiliation ________________________________

How long have you been attending? ________________________ Regular? ( ) Sporadically ( )

Member? ( ) Significant involvement? ( ) Minimal Involvement? ( )

Home Church if different from present church

Name of church & address _________________________________________________________________________

Name of Pastor ____________________________ Denominational Affiliation ________________________________

How long have you been attending? ________________________ Regular? ( ) Sporadically ( )

Member? ( ) Significant involvement? ( ) Minimal Involvement? ( )

Are you ( ) licensed ( ) Ordained? If yes, which denomination? ________________________________________________

VI. CHRISTIAN MINISTRY EXPERIENCE (Church minister, Para-church staff, Missionary, Sunday school teacher, etc.)

Church Organization Title / Position Job Description Dates (Fr/To

____________________________ __ ___________________________________ ____________________________ ________

____________________________ __ ___________________________________ ____________________________ ________

____________________________ __ ___________________________________ ____________________________ ________


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VII. EMPLOYMENT

( ) Employed ( ) Unemployed If employed, name of employer ___________________________________________

Location __________________________________________ Types of work _________________________________________

VIII. REFERENCES

Give the names, complete addresses & phone numbers of three reliable references who have known you for some time.

(Pastor, Former Teacher or Church Leader, and Christian Friend)

1. Pastor ______________________________________ Home / Office Phone Nos. ___________________________________Home / Office Address ______________________________________________________________________________

E-mail Address _______________________________ Cell Phone No. ___________________________________________

2. Christian Friend _____________________________ Home / Office Phone Nos. ______________________________Home / Office Address ______________________________________________________________________________

E-mail Address ______________________________ Cell Phone No. ___________________________________________

3. Former Teacher/ Church Leader ____________________________ Home / Office Phone Nos. ________________________Home / Office Address ______________________________________________________________________________

E-mail Address ______________________________ Cell Phone No. ___________________________________________

IX. FOR FOREIGN APPLICANTS

What type of visa do you have? (9G, 9F, etc.) _____________ Authorized Stay _____________ I-CARD _____________________

Passport No: ___________________ Date of Issue ______________________ Expiry Date __________________________

Name of guardian while in the Philippines __________________________________ Relationship _________________________

Address ______________________________________________________________________________________________

Home / Office Phone No. ______________________________________________ E-mail Address _______________________

I will abide by the policies and regulations of AGS.

____________________________________

Signature of Applicant / Student

___________________________________

Date

----------------------------------------------------------------------------------------------------------------------------------------------------------------------

For Office Use

( ) Application Fee __________

( ) Official Transcripts from ______________________________ ( ) Pictures ( ) Personal statement of Faith

( ) Certificates of Financial Support ( ) Permission / Recommendation Letter

Referrals: ( ) Pastor ( ) Teacher/ Church Leader ( ) Friend ( ) TOEFL / EPE Score _______________

Date of Admission _____________________

Identification # _____________________


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ALLIANCE GRADUATE SCHOOL101 Dangay Street, Veterans Village, Project 7, Quezon City

P.O. Box 1095, Manila, 1099, Philippines

E-mail:[email protected]

Confidential Reference: Pastor

The Admissions Office would appreciate an evaluation from you concerning the person named below. Your honesty will

help us in doing a careful evaluation. We shall keep information strictly confidential. Please mail this to the registrarimmediately upon completion. Thank you for your assistance.

1. How long have you known the applicant? ___________ Years ___________ months

2. How well do you know the applicant and in what context?____________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

3. What evidence does the applicant show of being truly converted? _______________________________________

__________________________________________________________________________________________

4. What circumstances to your knowledge led the applicant to devote his / her life to Christian service? _____________

__________________________________________________________________________________________

__________________________________________________________________________________________

5. What is the applicants reputation with the opposite sex?_______________________________________________________________________________________________________________________________________

6. What factors in his family that will help or hinder the applicants success at AGS?___________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

7. How does the applicant respond to authority?_____________________________________________________

__________________________________________________________________________________________

8. For this section, please check the comments that describe the applicant.

Spiritual Life _____________________________________________________________________________________Shows growth & Average spirituality Small evidence of No interest in Do not know

Christian lifestyle spiritual growth spiritual growthChristian

Commitment _____________________________________________________________________________________Exemplary Obvious to others Underdeveloped in Questionable Do not know

Church

Involvement _____________________________________________________________________________________________Serves in Serves in some Attends frequently Attends Do not know

Leadership ministries occasionally

Purposefulness _____________________________________________________________________________________________Self-directed Average potential Vacillating in Appears aimless Do not know

purpose

To be completed by the applicant: Date _________________________

Name of applicant _______________________________________________________________________________

Last First Maiden/Middle

Address ________________________________________________________________________________________

Street Name City Telephone

Degree program applied for _____________________________________________ Year applied for _____________
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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Initiative _____________________________________________________________________________________________Shows good Average initiative Responds only Acts only when Do not know

initiative when asked no one volunteers

Industry _____________________________________________________________________________________________Exceeds what is Performs assigned Needs prodding Overextends Do not know

required tasks himself

Leadership _____________________________________________________________________________________________Dynamic Leader Assumes occasional Tries, but not a Tends to be a Do not know

Leadership successfully natural leader follower

Communication

Skills _____________________________________________________________________________________________Articulate, effective Communicates Needs improvement Poor communicator Do not know

communicator satisfactorily

Responsibility _____________________________________________________________________________________________Always reliable Dependable Usually reliable Irresponsible Do not know

Reasoning & Decision

Making Ability _____________________________________________________________________________________________Insightful, thinks Prefers to rely on Impetuous, acts Disregards sound Do not know

Emotional

Maturity _____________________________________________________________________________________________Healthy appraisal Demonstrates emotional Insecure, poor self- Prone to anger / Do not know

Of self stability image depression

Interpersonal

Relationship _____________________________________________________________________________________________Gets along well Tolerated Withdrawn, avoids Difficulty in main- Do not know

With others by others others taining relationships

Sensitivity to

Others _____________________________________________________________________________________________Compassionate, Indifferent to the Arrogant Disregards the Do not know

Caring feelings of others needs of others

Ability to Work

With Others _____________________________________________________________________________________________Works well with Intimidated in group Dominates in group Intolerant of others Do not know

Others setting setting opinions

9. To the best of your knowledge, has the applicant ever:

a) been convicted of a felony? ( ) Yes ( ) No ( ) Unable to commentComment ___________________________________________________________________________________

b) engaged in sexual misconduct in the past? ( ) Yes ( ) No ( ) Unable to comment

Comment ___________________________________________________________________________________

c) been treated for substance abuse/addiction? ( ) Yes ( ) No ( ) Unable to comment

Comment ___________________________________________________________________________________

10. What degree of success in graduate school would you predict for the applicant?

( ) Will excel ( ) Above average ( ) Average ( ) Below average

11. In considering the applicants suitability for seminary study and overall potential for ministry, please check one:

( ) I highly recommend ( ) I recommend ( ) I do not recommend ( ) I recommend with this reservation:__________________________________________________________________________________________________

Name (print) ______________________________________________________ Signature ________________________

Email Address _____________________________________________________ Phone ___________________________

Title / Position _____________________________________________________ Date ____________________________

Name & Address of Church or Organization: ______________________________________________________________

_________________________________________________________________ Phone ___________________________


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Confidential Reference: Teacher or Church Leader


help us in doing a careful evaluation. We shall keep information strictly confidential. Please mail this to the registraimmediately upon completion. Thank you for your assistance.



__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________


__________________________________________________________________________________________


__________________________________________________________________________________________

__________________________________________________________________________________________



__________________________________________________________________________________________

__________________________________________________________________________________________


__________________________________________________________________________________________





Church




purpose




Address ________________________________________________________________________________________




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Communication






Emotional



Interpersonal



Sensitivity to



Ability to Work






Comment ___________________________________________________________________________________


Comment ___________________________________________________________________________________









_________________________________________________________________ Phone ___________________________


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Confidential Reference: Christian Friend


help us in doing a careful evaluation. We shall keep information strictly confidential. Please mail this to the registraimmediately upon completion. Thank you for your assistance.



__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________


__________________________________________________________________________________________


__________________________________________________________________________________________

__________________________________________________________________________________________



__________________________________________________________________________________________

__________________________________________________________________________________________


__________________________________________________________________________________________





Church




purpose




Address ________________________________________________________________________________________




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Communication






Emotional



Interpersonal



Sensitivity to



Ability to Work






Comment ___________________________________________________________________________________


Comment ___________________________________________________________________________________









_________________________________________________________________ Phone ___________________________


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FINANCIAL STATEMENT BY SPONSOR

To the Sponsor: Please refer to the financial information of AGS and discuss this with the applicant before completing

and signing this statement. Please return the completed form to the applicant or mail it directly to the Registrars Officeat the address above.

1. Name of Applicant: ________________________________________________________________________________

2. Name of Sponsor (Organization or Individual): __________________________________________________________

3. On behalf of the applicant, I am prepared to pay to AGS the following fees and expenses (please include specific

amounts)

i. Tuition & other school fees US$ per yearii. Books and other study expenses US$ per year

iii. Room / House rental US$ per monthiv. Food & other household supplies US$ per month

(meat, vegetables, bread, groceries, toiletries)

v. Utilities (electricity, water, phone) US$ per monthvi. Miscellaneous US$ per month

(transportation, snacks, clothing, etc.)

vii. Actual medical expenses: Yes? ______ No? ______ Portion? ______viii. Travel expenses home (round trip): Yes? ______ No? ______ Portion? ______

NOTE: AGS is willing to channel expenses to the student on behalf of the sponsor but each accounting accommodation

(excluding tuition / school fees) is subject to administrative fees. AGS will retain 10% of the total amount or forwarded

through AGS dollar account.

Sponsors Signature: _________________________________________________________________________________

Sponsors position and contact information (address, fax, email):

__________________________________________________________________________________________________

__________________________________________________________________________________________________

If you would like AGS to bill you directly, please indicate which items you would like to be billed for and the name and

address of the person the bill should be sent to:

__________________________________________________________________________________________________

__________________________________________________________________________________________________


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BIOGRAPHICAL INFORMATION

(Please type or write legibly.)

1. Briefly describe your family background (early family life, siblings, and significant features of yourcurrent family life).

2. Describe your spiritual journey (the beginnings of your spiritual awareness, your relationship with God,your commitment to Christ, a past or present spiritual struggle and an area of recent growth or

challenge).


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3. Describe your ministry / employment experiences since graduation from college, indicating employer,location and length of time at each. (Include what you enjoyed most in your ministry / work and what

particular spiritual gifts were utilized,)

4. Share three strengths in your personal character and three areas where you need growth.


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5. State your reasons for applying to Alliance Graduate School (include in your explanation the programto which you are applying and why you feel that program is best suited to your educational and

spiritual goals.)

6. What are your personal life-goals and desires, and how do you anticipate your AGS experience couldassist you in your journey toward achieving these?

7. AGS is not just an academe for higher learning, but a community of Christians as well. If admitted, inwhat way do you think you can contribute towards the building up (i.e. edifying, encouraging or

supporting) of the AGS community?


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PERSONAL STATEMENT OF FAITH

Please describe in your own words what you believe to be essentials of the Christian Faith or provide your

personal doctrinal statement. Be sure to include your perspective on the significance of Jesus Christ, the

authority of the Scripture and the path of salvation.


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MEDICAL FORM

It is in the applicants own interest to complete this form as honestly and as accurately as possible. Please type

or print legibly all information.

Portion to be completed by the applicant:

Full name _____________________________________________ Date of Birth _________________________

Sex ______________ Status _____________ Number and ages of children ____________

Family History. List illnesses or causes of death of the following:

Parents : _________________________________________________________________

Brothers / Sisters : _________________________________________________________________

Spouse and Children : _________________________________________________________________

_________________________________________________________________

Signed _______________________________________ Date Signed ____________________________

--------------------------------------------------------------------------------------------------------------------------------------------------

Portion to be completed by the applicants doctor:

Medical history of the Applicant

1. Does he / she have any physical deformities or limitations? If so, please specify.____________________________________________________________________________________

____________________________________________________________________________________

2. If he / she suffers from any of the following, please underline:Poor vision Allergies Frequent diarrhea

Eye strain Shortness of breath Frequent Constipation

Poor hearing Asthma Muscle or bone pain

Noises in ear Bronchitis Insomnia

Frequent headaches Palpitation of the heart Frequent urination

Nose bleeds Food intolerance Dysmenorrheal

Bleeding gums Indigestion

List any illness he / she had (including surgery, diabetes, heart trouble, seizures, venereal disease, and tuberculosis)

__________________________________________________________________________________________

Is he / she allergic to any drug? _______ If so, which? _________________________________

Is he / she taking long-term drugs? ________ Which? _________________________________


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Examination of the applicant

Eyes: Visual acuity Right ______________________ Left ______________________

Ears: Hearing - Right ______________________ Left ______________________

Mouth _______________________________________ Throat ______________________________

Teeth ________________________________________ Palpable glands ______________________

Chest: Expansion _______________________________ Auscultation _________________________

Cardio-Vascular System: Pulse (resting) _________________ After 1 min. running _____________

Blood pressure Heart Sounds __________________

Abdomen: Scars? ___________________________________ Palpable organs? _______________

Tenderness _______________________________ Hernias? ______________________

Genitalia ______________________ Rectum ________________ Hemorrhoids __________________

Mental Evaluation

Has the applicant any history of mental disorder? _______ If so, state its duration and treatment given:

____________________________________________________________________________________

____________________________________________________________________________________

Is there now any sign of excess anxiety, depression, or hallucination? ___________________________

____________________________________________________________________________________

Laboratory Tests

Chest X-ray (or screen) ________________________________________________________________

Block type ________________________

IMPORTANT:Do you find from the applicants history and examination reasons to think he / she might not

tolerate intensive study, changes of diet, climate and culture?

____________________________________________________________________________________

____________________________________________________________________________________

Please summarize important findings:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Doctors Signature (over printed name): _________________________________________________________

Address ___________________________________________________________________________________

Contact no(s). ______________________________________________________________________________

AGS-Application-Forms-2013.docx

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