Personal Information                                                                                                                                                              

Full Name   ______________________     _________________________    ________________________

                        Your Name                 Your Father’s Name         Your Grandfather’s Name

Nationality ______________________

Birth Place ______________________  ______________________

                          Country                     Town/City

Date of Birth (G.C.) ________/ _______/ ________

                          Month       Date          Year

Address    ____________________   _______   _______   _______  

Town/City                   Wereda                               Kebele         House No.               Phone (home)                 ____________________      ____________________       __________________ 

               Phone (office)                                         P. O. Box                                      E-Mail 

Marital Status: Single 5         Married 5        Widowed 5       Divorced 5         Remarried 5

 

Spouse’s Name (if married)____________________________

 

Your Occupation/Ministry ___________________________________________

 

If you have an employment who is your Employer? ____________________________________

 

Of which church group/denomination are you a member? ­­­­­­­­­­­­­­_______________________________

 

Church Address _____________________   _______   _______   _______   _______________

                          Town/City           Wereda         Kebele          House No.                 Phone                           

                _____________________       ______________________________   

                            P. O. Box                                      E-Mail

Are you handicapped? If yes, how? Hearing 5         Vision 5        Other 5  please specify     ____________________________________________________________________________

 

Schools

 

Give a complete record of all schools attended starting from high school (include college, university, Bible institute, seminary, correspondence and other schools).

Attention! You need to bring the originals of the results of each ESLCE (Ethiopian School Living Certificate Examination) that is relevant for the application process with a photocopy for each. The originals will be returned to you.

Application Questionnaire

 

Which program are you planning to attend?      Degree 5            Diploma 5

 

Note:   ETC requires a minimum grade point average (GPA) of 1.6 for the diploma programme and a minimum GPA of 2.0 for the degree programme. Both diploma and degree applicants should have five passes including Mathematics and at least  "C" in English. If you have completed under the new educational program (10+2), ETC requtes you to have a result that will enable you to join Addis Ababa University.

 

Are you planning to enroll full time or part time?    Full time 5           Part time 5

 

Note:   Students who are taking four courses and above in a semester are considered to be Full Time and those who are taking three courses and below are considered to be Part Time .

 

Are you able to cover all your expenses for attending ETC through your own resources or otherwise?  5 Yes         5 No      If not, what is your plan? ___________________________

_______________________________________________________________

 

If you are accepted, do you agree to abide by the rules of the College?   5 Yes              5 No

 

Signature of Applicant _________________________   

 

Note: The deadline to turn in your application to ETC is  April 15, 2005. The enterance exam is on May 7, 2005 at 8:00 a.m.

 

TO BE FILLED BY THE REGISTRAR

 

THE FOLLOWING ITEMS WILL BE CHECKED BY THE REGISTRAR BEFORE APPLICATION IS CONSIDERED COMPLETE FOR AN ACCEPTANCE PROCESS:

__________  The originals and photocopies of all ESLCE or 10 +2 results and transcripts that are relevant for

          the application     process

__________  The originals and photocopies of transcripts of all post secondary courses taken

__________  The originals and Photocopies of certificates, diplomas and/or degrees

__________  Two current photographs of the applicant (Applicant’s name written at the back)

__________  Applicant’s Personal Testimony

__________  Church Recommendation Form

__________  Ministry Supervision Form

__________  Non-refundable application fee of EB 20

 

 

 

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