Application – Pan Africa Christian College

Personal Details

Your Photo

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First Name(s)

Family/Last Name/Surname

Address

Contact Tel.

E-mail

Age

Date of Birth

Nationality

Non-Zimbabweans please clarify immigration status

Family Life

Marital Status

Single Married Separated Divorced Widowed

Number and ages of children

Christian Life

When & Where were you born again?

Have you been baptized in the Holy Spirit (Acts 2:4)?

Yes No

If “no”, what is your attitude towards this experience?

Member of what denomination?

Member of what local church? & For how long?

Are you currently engaged in any Christian Work? If

MEDICAL

How would you describe your health during the past 12 months?

Poor Fair Good Excellent

Please attach a medical report completed by a doctor or qualified medical personnel.

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Language

Do you Read/Write in English?

Yes No

Do you speak fluent English?

Yes No

Educational History

Last level completed in school?

List your “O” Level/”A” level results, if applicable

Other schools or colleges attended

Diploma or Degree earned:

Have you previously applied for admission to any other Bible School and been refused? If

Have you ever been dismissed from a school? If

Financial Data

Do you have any outstanding debts? If so, how much?

Do you have anyone depending on you for support? If so, who?

How do you propose to finance your studies at PACC?

References

Please give the Full Name(s), Address and Contact Number of three (3) references, namely the Pastor of your local church, an adult Christian friend, and any other. References must NOT be relatives.

Pastor (the Pastor of your local Church)

Full Name(s)

Address

Contact Number

Adult Christian friend (must be responsibly employed)

Full Name(s)

Address

Contact Number

Any Other

Full Name(s)

Address

Contact Number

Intentions

Briefly describe your Christian experience, family religious background, conversion, Christian activities, and areas of ministry you are interested in, or to which you feel called. Explain why you have chosen Pan Africa Christian College.

Do you agree to abide by the regulations of the college?

I agree. I do not agree.

If accepted, do you promise to give yourself to the preparation of mind and heart for Christian service and to refrain from all practices and habits which are inconsistent with a good Christian testimony?

Yes No

Important Note:

Please understand that there is NO GUARANTEE OF EMPLOYMENT implied upon completion of your studies at Pan Africa Christian College (PACC).

Signature

Please type in your Full Name(s) to represent your digital siganture.