Registered Address: Logos House,
74 East Way,
Dalgety Bay,
Fife,
Scotland.
KY11 9JF
Tel/Fax: 44(0) 1383-825095 E-Mail Web site www.logoseuro.co.uk
2016/2017 Application Form
/FOR OFFICE USE ONLY
Date received:______Student ID No. ______
[ ] Application fee [ ] Interview
[ ] Minister’s Reference [ ] Accepted
[ ] Personal Reference [ ] Rejected
[ ] Relative’s Reference [ ] Conditional
[ ] International [ ] Finance
[ ] Acceptance Letter Sent: ______
ATTACH 1ST
PHOTO HERE
Passport Size
Photos Only / ATTACH 2ND
PHOTO HERE
Do not send
Application
Without Photos
Course being applied for
[ ] Associate Degree [ ] Bachelor Degree [ ] Master Degree [ ] Doctoral Degree
A. Personal AND GENERAL Details
1. FULL NAMETitle: [ ] Mr [ ] Mrs [ ] Miss [ ] Rev [ ] Dr Other ______
First Names: ______
Last/Family Name: ______
2. Address: ______
______Post Code: ______
Country: ______
3. Mailing Address (if different from above) ______
______
4. TelEPHONE NUMBERS
home no.(Full Country Code): ______Mobile: ______
5. Email ADDRESS: ______
6. Date of Birth: Day__ Month __ Year______7. NATIONALITY: ______
NIS NO. ______9. MALE/FEMALE: ______
10. First language ______
If English is your second language, do you have any of the following qualifications:
Ø TOEFL minimum score of 560 with TWE written score of 4 [ ] Yes [ ] No
Ø A computer based TOEFL 220 [ ] Yes [ ] No
Ø IELTS a minimum of 6.0 with no individual component score lower than 5.5 [ ] Yes [ ] No
Ø Cambridge Advanced or Cambridge Proficiency [ ] Yes [ ] No
11. To study at LEC would you need to apply/reapply for a Student Visa? [ ] Yes [ ] No
12. Do you already have a Visa to study in the UK? [ ] Yes [ ] No
13. Are you computer literate? [ ] Yes [ ] No
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b. Marital Status INFORMATION
1. MARITAL STATUS:[ ] Single [ ] Married [ ] Widower [ ] Divorced [ ] Engaged [ ] Widow [ ] Separated [ ] Remarried
Date of Marriage: ______
Indicate whether you will be attending as: [ ] Individual [ ] Married Couple [ ] Family
List Dependants:
First Name: ______Surname: ______
Date of Birth: ______Relationship: ______
First Name: ______Surname: ______
Date of Birth: ______Relationship: ______
First Name: ______Surname: ______
Date of Birth: ______Relationship: ______
First Name: ______Surname: ______
Date of Birth: ______Relationship: ______
Please use another sheet for any further dependants.
C. EMPLOYMENT
1. Present occupation ______
Name of Employer: ______
Address of Employer:______
______Post Code: ______
Contact Name in case of emergency: ______
Address: ______
______
Telephone No: ______
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2016/2017 Application FormD. Spiritual Details
1. Have you been born again according to John 3:3-7? [ ] Yes [ ] No
Please give details : ______
______
______
2. Have you received the Baptism of the Holy Spirit with evidence of speaking in other tongues according to Acts 2:4? [ ] Yes [ ] No
Please give details : ______
______
______
3. Have you been baptised as a believer by full immersion in water? [ ] Yes [ ] No
Please give details: ______
______
______
4. Please give a brief description of your fundamental beliefs:
______
______
______
5. DO YOU:
Use tobacco? [ ] Yes [ ] No Drink alcoholic beverages? [ ] Yes [ ] No
Gamble? [ ] Yes [ ] No Use illegal/habit forming drugs? [ ] Yes [ ] No
6. Have you ever been involved in any of the following RELIGIONS?
[ ] Freemasonry
[ ] Mind Science/Hypnotism
[ ] Spiritism/Spiritualism
[ ] Astrology/Fortune Telling/Occult
[ ] Christian Science
[ ] Hinduism/Buddhism
[ ] Jehovah Witnesses
[ ] Anything else please specify: / [ ] Scientology
[ ] Islam
[ ] The Unification Church
[ ] Baha’i
[ ] The World Wide Church of God
[ ] Mormonism
[ ] Hare Krishna
If none of the above apply write NA here: ______
______
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2016/2017 Application FormD. Church Affiliation
1. CHURCH MEMBERSHIP
Of which church are you a member? ______
______
Length of membership: ______
Position held (if any): ______
Credentials (if any) : ______List any activities you are involved in and length of involvement:
______
______
______
2. What is your attitude to church leadership? Please give brief details of your views.
______
______
______
3. List any previous church affiliations over the last 10 years and reason for leaving:
______
______
4. Please list any paid or voluntary Christian service in which you have been engaged and for how long:
______
______
______
5. Please give any experience you have had of working in a team situation and what role you played:
______
______
______
6. Is God calling you to a particular area of work or ministry? Please Specify
______
7. What do you expect to gain from your experience at LEC?
______
______
______
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2016/2017 Application Forme. rEFERENCES
1. Minister/Pastor
Name: ______
Address: ______
______Post Code: ______
Telephone No: ______Email: ______
2. Mature Christian who knows you well
Name: ______
Address: ______
______Post code: ______
Telephone No: ______Email: ______
3. Mature Christian who knows you well
Name: ______
Address: ______
______Post Code: ______
Telephone No: ______Email: ______
f. Educational Attainments
1. School leaving qualification (eg SCE, GCE, GCSE etc)
Year Examination Board Level Std/H/O/A & Subject Grade
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
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2016/2017 Application FormG. EDUCATIONAL ATTAINMENT CONT
2. Further Educational Awards (Eg Certificates, Diplomas, Degrees)
Year Examination Board Subject Certificate/Diploma/Degree Level/
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ]
H. FINANCE
1. Do you already HAVE resources to pay your fees? [ ] Yes [ ] No
If NO please give us details of how and when you propose to raise the funds:
______
______
______
If YES please supply details of your sponsor ie who is funding your studies. (Bear in mind some overseas Students may need to pay in advance to secure a Student Visa):
______
______
______
I. MEDICAL
The following questions relate to personal information which will assist us in assessing your suitability for the College but also will help us to make adequate provision for you if you are successful. All applicants are given an equal opportunity irrespective of medical conditions, special needs or past actions. The details you provide will not disadvantage your application.
1. Do you suffer from any of the following medical conditions :-
[ ] Asthma
[ ] Depression
[ ] Aids
[ ]Heart/Kidney/Lung Problems / [ ] Epilepsy
[ ] Malaria
[ ] HIV
[ ] Eyesight Impairment / [ ] Diabetes
[ ]Hepatitis
[ ] TB
[ ] Hearing Impairment
Any Other (please specify:
______
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2016/2017 Application FormI. MEDICAL CONT
1. Dietary Requirements
Do you have any food allergies or other dietary problems? If so, please specify:
______
______
2. Special Needs/DisabilityDo you have any disabilities including learning difficulties e.g. dyslexia? If so, please specify:
______
______
3. DRUGS/ALCOHOL ABUSE
Do you suffer from any effects of past drug/alcohol abuse? If so, please specify:
______
______
J. Declaration
1. Have you ever been convicted of a criminal offence or have you had any dealings with the police relating to offences against children or young people? If so, please specify:
______
______
2. Are you currently CRB checked? Any student working with children
on outreach must undergo a CRB (Criminal Records Bureau Check). [ ] Yes [ ] No
I certify that to the best of my knowledge this application form is accurate and complete. I understand that the withholding of any information requested or the giving of any false information may make me ineligible for admission to Logos European College or if revealed at a later stage, dismissal from the course.
Signed:______Date:______
Please return this form for the attention of :-
The Registrar, Logos European College, Logos House, 74 East Way, Dalgety Bay, Fife KY11 9JF
Data Protection Act
Unless otherwise informed, all relevant information contained in this application form will be kept on the LEC database for use by LEC: to maintain student records. It is the policy of LEC not to pass on information to third parties, but to keep you informed of events as necessary.
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