Online Application Form

PERSONAL
Your First Name
Your First Name
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Select Gender
  • Select Gender
  • Female
  • Male
  • Rather not say
Select Gender
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Email Address
Email Address
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Age
enter your age
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Postal/Mailing Address
Postal/Mailing Address
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Date
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Residential Address
Residential Address
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Your Last Name
Your Last Name
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Nationality
Enter your nationality
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Spoken Languages
Spoken Languages
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Marital status
  • Marital status
  • Single
  • Married
  • Divorced
  • Widowed
Marital status
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Mobile Phone
Mobile Phone
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NRC
NRC (National Students only)
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Passport Number
Passport Number
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NEXT OF KIN
Next of Kin name
Next of Kin name
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Relationship to applicant
Relationship to applicant
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Address
Address
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Email
Email
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Mobile
Mobile
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SPIRITUAL BACKGROUND
Have you personally received Christ as your Savior?
Have you personally received Christ as your Savior?
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Write a brief account of your conversion
Write a brief account of your conversion...
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Have you ever had the privilege of leading another person to Christ?
Have you ever had the privilege of leading another person to Christ?
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Do you have a personal time of daily devotions, i.e. a time when you draw aside from life’s activities to pray and read God’s word?
Do you have a personal time of daily devotions, i.e. a time when you draw aside from life’s activities to pray and read God’s word?
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When did you receive Christ?
When did you receive Christ?
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How do you know that Christ is in your life?
How do you know that Christ is in your life?
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Give two scriptural references which confirms the above question
Give two scriptural references which confirms the above question
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Have you ever had the privilege of leading another person to Christ?
  • Have you ever had the privilege of leading another person to Christ?
  • Yes
  • No
Have you ever had the privilege of leading another person to Christ?
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MARRIED APPLICANTS ONLY
How long have you been married?
How long have you been married?
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Date of marriage:
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Spouse’s name:
Spouse’s name
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Spouse Age
Spouse Age
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Write an account (written by your spouse) of her/his experience of conversion.
Write an account (written by your spouse) of her/his experience of conversion.
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Spouse Date of Birth
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His/her education
His/her education
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Is he/she a christian?
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Is your spouse in agreement with your plans to come to EU?
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Is she/he happy to participate in one of the programmes?
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List names of all your children and Date of Birth of each one
List names of all your children and Date of Birth of each one
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ACADEMIC QUALIFICATION

HIGH SCHOOL

Enter your High School
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Enter your High School
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UNIVERSITY/COLLEGE

University / College
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University / College
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YEAR ENTERED

Enter the Year Entered
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Enter the Year Entered
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YEAR ENTERED

Enter the Year Entered
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Enter the Year Entered
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CERTIFICATE EARNED

Certificate Earned
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Certificate Earned
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DEGREE EARNED

Degree Earned
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Degree Earned
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YEAR GRADUATED

Year Graduated
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Year Graduated
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YEAR GRADUATED

Year Graduated
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Year Graduated
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How did you learn about the Evangelical University? (Tick [√] where appropriate)
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Professional Qualification?
Personal Qualification
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Were you involved with a Youth ministry, such as Scripture Union or Youth for Christ, while in Secondary/ High School?
Were you involved with a Youth ministry, such as Scripture Union or Youth for Christ, while in Secondary/ High School?
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Were you involved in any other clubs while in Secondary/High School?
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If so, which one(s) ?
If so, which one(s) ?
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HEALTH HISTORY
The information submitted here is to help you get proper medical assistance in the event of an emergency. The attached Medical form has to be completed and submitted together with this application form.
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FINANCIAL STATUS
How do you plan to pay your fees at EU? (Please tick [√] as appropriate)
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Name of proposed financial supporter(s) together with mailing & email addresses:

Financial Supporter(s) name
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Financial Supporter(s) name
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Financial Supporter(s) name
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Financial Supporter(s) name
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Supporters Email Address
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Supporters Email Address
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Supporters Email Address
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Supporters Email Address
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Do you plan to work a part-time job during your time at EU?
Do you plan to work a part-time job during your time at EU?
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MINISTRY INVOLVEMENT
Name the church you attend
Name the church you attend
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For how long have you been a member?
For how long have you been a member?
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With what other church (es) or parachurch organisations have you been involved?
With what other church (es) or parachurch organisations have you been involved?
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What denomination or group is it?
What denomination or group is it?
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Pastor’s /Elder’s name & mailing & email addresses:
Pastor’s /Elder’s name & mailing & email addresses:
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Describe your ministry involvement over the last five years:
Describe your ministry involvement over the last five years:
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NB: The purpose of EU is to train men and women to follow Christ, to fulfill His command to make disciples of all nations, and to equip others in turn for the work of ministry.
EMPLOYMENT RECORD
Where are you currently employed?
Where are you currently employed?
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Position held:
Position held:
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Name of employer
Name of employer
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Address of employer
Address of employer
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Describe your work experience (whether remunerated or not) over the last five years:
Describe your work experience (whether remunerated or not) over the last five years:
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May the university send a letter of reference to your employer?
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If this would not be appropriate, please explain why.
If this would not be appropriate, please explain why.
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REFERENCES

A letter of reference will be sent to your Church, School and Employer. Give details of three referees

Church Leader

Name
Full Name
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Church Leader Postal Address
Postal Address
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Email Address
Email Address
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Phone Number
Phone Number
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Teacher/Employer:

Name
Full Name
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Postal Address
Postal Address
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Email Address
Email Address
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Phone Number
Phone Number
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Friend

Name
Full Name
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Postal Address
Postal Address
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Email Address
Email Address
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Phone Number
Phone Number
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CODE OF CONDUCT

I have read and understood the code of conduct. I accept to abide by the stipulated rules and regulations. I understand that should I break or violate the Code of Conduct, I will be subjected to disciplinary action and I will abide by the decision of the University Disciplinary Committee.

The attached Code of Conduct form has to be completed and submitted together with this application form .
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COURSE APPLIED FOR

I am applying for the:

School of Education
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School of Theology
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School of Missions & Developmental Studies
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Open Distance Learning
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UNDERGRADUATE PROGRAMME

Admission Requirements

The Degree Courses are 180 credit hours. Whose minimum entry requirements are five ‘O’ levels or equivalent, one of which must be English Language at Credit (Grades 5), with an additional four subjects at credit (Grades 5 or 6) or better. The total number of points must not exceed 25. The Diploma programmes are 135 credit hour courses. Whose minimum requirement for entry is five “O” levels, one of which must be English Language at least at Credit (Grades 5 or 6) or better. The total number of points must not exceed 32.
I hereby state that all the answers are correct on this application. I also hereby state that, if accepted, I will submit to the authority and rules of the college and abide by its policies.

(Signature by checking if you agree or disagree)
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(Date)
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Payment Information
Please note that neither the admissions office nor the finance office will accept cash money or personal cheques from applicants and students. Payment is to be made through the university bank account enclosing a copy of the bank deposit slip for the application fee.
Please enclose with this application the relevant copy of the deposit slip for the Registration fee and a recent Passport size photo, and send to:

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Account Name: Evangelical University
Bank Name: Stanbic
Account Number: 9130-0000-12967
Branch Name: NDOLA Branch
Swift Code: SBICZMLX
Sort Code: 040103
The Registrar
Evangelical University
P.O. Box 250100
Ndola, ZAMBIA
E-mail: registrar@evangelicaluniversity.ac.zm or tccaregistrar@gmail.com
Website: www.evangelicaluniversity.ac.zm