Admission form – Recsom Education

Registration 2022-2023

Step 1 of 8

PROPOSED STUDIES (please select)(Required)

Proposed Start Date

Preferred Campus(Required)

Title(Required)

First Name(Required)

Last Name(Required)

Previous Last Name:

Gender(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Phone

DISABILITY/SPECIAL NEEDS Please tick the appropriate section.

Do you have any disability?(Required)

Deaf/Hearing impaired(Required)

Wheelchair/mobility problem

Blind/Partially sighted

Mental health problems(Required)

Dyslexia

A Disability Not Stated. Please let us know

EDUCATION

Start with your most recent qualifications. If you have not yet received your award, indicate when you expect to do so.

Date

Level: e.g. BSc, NVQ(Required)

Institution(Required)

Awarding Body (e.g. University)(Required)

From/To(Required)

Level: e.g. BSc, NVQ

Institution

Awarding Body (e.g. University)

From/To

Level: e.g. BSc, NVQ

Institution

Awarding Body (e.g. University)

Uploads Certificates(Required)

Drop files here or

Max. file size: 2 MB.

WORK EXPERIENCE

From(Required)

To(Required)

Organisation Name and Address(Required)

Job Title(Required)

From

Organisation Name and Address

Job Title

From

Organisation Name and Address

Job Title

Upload Resume(Required)

Max. file size: 2 MB.

REFERENCES

Please give the names and details of two people who have known you for at least 5 years. One of the references should be from your church leader

REFEREE 1

Title

First Name

Last Name

Address

Phone

Mobile

Do you have another Reference

Title

First Name

Last Name

Address

Phone

Mobile

ADDITIONAL DETAILS:

This information is required to create an application record and is not used in the selection process.

ID Card

Nationality(Required)

Country of Permanent Residence:(Required)

Country of Birth:(Required)

Religion:(Required)

How do you intend to pay your fees?(Required)

PERSONAL STATEMENT

Please provide any relevant information to support your application (Max 1000 words).

For example: why you chose the course, why 'Redeemed Christian School of Mission' and how this course will contribute to your future ministry plans

DECLARATION BY THE APPLICANT

I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, I shall be responsible for the consequences.

I also declare that if any information provided by me is found false, my candidature may be rejected at any point of time.

Date

Signature

Max. file size: 2 MB.