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Course(s) applied for:
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Dates of course
Start: End:
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Surname
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First name
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Male / female
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Date of Birth
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Address
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Phone number
Email address
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Name and address of your church
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Name of church leader
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Church phone number
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Church email address
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Do you require a visa? (Please highlight)
YES NO
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If no, why not?
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Please give details of any police convictions
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Check obtained from your local police? (Please highlight)
YES NO
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Education - What educational certificates have you achieved? What school did you go to? Please include any English language courses.
School Qualification
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References
Please give us the name of a person who has known you for at least three years (in addition to your church leader) from whom we can ask a reference:
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Name
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Address
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Phone number
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Email
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How does this person know you?
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How long has this person known you?
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Costs you have to pay
Do you agree to pay your visa costs?
Do you agree to pay your travel costs (airfare) to and from the UK?
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Course Fees
- Look at the sheet that includes details about the course fees
- Please discuss this sheet with your church leaders and/or other possible sponsors as needed.
- Then write words in this section confirming your overall financial contribution towards the cost of your course.
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Please give an account of how you came to faith in the Lord Jesus Christ, including when you were baptised.
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Describe your goals that you hope to achieve by doing this course at KCC.
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What do you believe God has called you to do for Him in the future?
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Please give an account of what you have been doing over the past five years with dates including employment, voluntary work, serving in the church.
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Areas of your gifts: (please circle all that apply)
Church Planting Work with the poor Preaching Children’s work
Worship Youth work Elderly Administration Other
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English Language
The teaching is given in English – will you be able to understand it all? Please give details.
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Please state how long you have been learning English
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Have you ever worked in the UK? YES NO
If yes, please give details, ie where? doing what? how long for?
If you have worked in the UK and received money:
Did you have an accession worker card? YES NO DON’T KNOW
Did your employer have a work permit for you? YES NO DON’T KNOW
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MEDICAL QUESTIONNAIRE
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Are you currently taking or have been prescribed any medication?
YES NO
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If yes, please give details, eg name of medication and what it is for.
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Are you currently receiving treatment for any physical or mental condition?
YES NO
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If yes, please give details.
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Do you suffer from any injury, illness, medical condition or allergy that might affect you on this course?
YES NO
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If yes, please give details.
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Do you consider yourself to have a disability?
YES NO
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If yes, please give details.
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