NEPAL EBENEZER BIBLE COLLEGE (Accredited by – ATA – Asia Theological Association) Basin Gaun, Jorpati -4, Post Box No 8975, EPC 1952, Kathmandu, Nepal Phone: 977-1-4915976, Email: nebc.academics@gmail.com APPLICATION FORM 2013/14 1. PROPOSED STUDY: Bachelor of Theology, DURATION: Three Years, MEDIUM: English. 2. ELIGIBILITY At least two years of born again experience and commitment to the Evangelical Faith and Christian ministry. Entrance qualification should be 10+2 or equivalent in any faculty. In case of mature candidate (that is above 25 of age), SLC or equivalent and 4 - 5 years of experience in Christian ministry. Total quota for the qualified mature candidate is only 10% of the enrolment. Mature candidate needs to submit the certificate of work / ministry experience, which should be attested by a recognised Christian leader. Applicants should be capable of speaking, reading and writing in the English language. S/he also should have a basic knowledge of the Bible. To help the applicants there will be an Orientation of four days and at the end there will be an entrance exam which needs to be passed. 3. SELLECTION PROCESS Completely filled in Application Form should be submitted by June 20, 2013 (2070-3-6 BS) along with two auto size and two passport size recent photographs and photocopies of all the certificates. Original certificates must be submitted at the time of interview. Migration certificate should be submitted once the admission is received. Financial Guarantee Letter from the concerned person/church/organisation/sponsor should be submitted before the entrance exam. Two letters of reference – one from the church pastor and another from a responsible leader of another church or organisation to be sent to the office directly to keep the matters confidential. Medical certificate from the recognised doctor should be submitted at the time of interview. All applicants must attend the Orientation of four days starting from 15 to 19 July, 2013. Final entrance exam and interview will be held on July 22, 2013. NPR 800.00 (Eight Hundred Only.) toward the bridge-course should be paid upon application (this covers Orientation materials, accommodation and meals for the period). Only those candidates who prove themselves competent and fulfil the requirements laid down by NEBC will be selected for the enrolment. Selected students can register their names and get admission on the same day, that is, July 22, 2013. A registration of NPR 3,000.00 (Three thousand only) and monthly fees for minimum of three months must be paid in advance upon admission. The class will begin from July 29, 2013. 4. FINANCIAL STATEMENT Total monthly fee is NPR 6,900.00 (82,800.00/12). Annual fee per student is as follows: However, the student willing to do theological studies but Tuition Fees: (2675×10) 26,750.00 incapable of paying the total fee is welcomed to write an Stationery/teaching materials 8,850.00 application for the scholarship of NPR 5100.00 per month Food: (2375×10) 23,750.00 and be willing to pay NPR 1800.00 per month. The fee Dormitory: (1100×12) 13,200.00 structure is designed to be applied for the twelve months. Administration Cost 4,400.00 All the fees need to be paid in advance whatever mode is Other Facilities 5,850.00 chosen: monthly / bimonthly / quarterly / half yearly / Total NPR 82,800.00 annually. Apart from this each student is responsible for his/her medical expenses, travel costs, pocket money, and other personal expenditures. Therefore, the Application Form should be submitted along with this Letter of Financial Guarantee from the concerned sponsor / church / family, without which the admission will not be entertained. If student wishes to discontinue during 3 yrs of their study, he/she needs to pay the total monthly fee and dues till date. 0 NEPAL EBENEZER BIBLE COLLEGE (Accredited by – ATA – Asia Theological Association) Basin Gaun, Jorpati -4 Post Box No 8975, EPC 1952, Kathmandu, Nepal Phone: 977-1-4915976 Email: nebc.academics@gmail.com Attach Passport Size Photo here APPLICATION FORM 5. PERSONAL PARTICULARS Name (as per your certificate): ......................................................................................................................... Family Name / First Name / Middle Name Name in Devanagiri: ................................................................................................ Male Female Your Country: .............................. Zone/ Province: ............................... District: ........................................... City/ Town/ Village/ VDC.: ........................................................ Ward No.: .............. House No.: ................ Date of Birth (in BS): ..................../............../........... Date of Birth (in AD): ............/.............../..................... Year Month Day Day Month Year Birth Place: ................................................................ District: .............................. Country: .......................... Nationality: .......................... Email: ......................................................... Phone: ........................................ 6. FAMILY PARTICULARS Father's Name: ............................................................ Mother's Name: .......................................................... Father’s Occupation: .................................................. Approximate monthly income: ................................. Mother’s Occupation: ................................................. Approximate monthly income: ................................ No of brothers: .......... Elder: .......... Younger: .......... No of sisters: .......... Elder: .......... Younger: ............ What is the nature of your family? Marital Status: Single Joint family system Married Neuclear family system Divorced Widowed Date of Marriage: ............/............./..................... Spouse's Name: .................................................................. Day Month Year Spouse's Occupation: ............................................................... Approximate monthly income: .................... Does your family/spouse agree with your decision to study the Bible College? Names of your children Sex Yes No Date of Birth a. ............................................................................................ ................... ................................................. b. ............................................................................................ ................... ................................................. c. ............................................................................................ ................... ................................................. 1 7. EDUCATION & TRAINING Name of Examination Name of the Board / University Year Passed a. ................................................. ................................................................................ ............................... b. ................................................. ................................................................................ ............................... c. ................................................. ................................................................................ ............................... Other Trainings Institute / Organisation / Place Date/Duration a. ........................................... ............................................................................... ..................................... b. ........................................... ............................................................................... ..................................... c. ........................................... ............................................................................... ..................................... 8. CHURCH AFFILIATION Name of the Church/Denomination: ................................................................................................................ Church’s Mailing Address: .............................................................................................................................. Name of the Church Leader: ............................................................................................................................ Church Leaders' Phone No: .......................................................... Email: ....................................................... 9. PERSONAL CHRISTIAN EXPERIENCE Date of Conversion: ............/............./........................ Date of Baptism: ............../................/........................ Day Month Year Day Month Year Do you have a definite personal call of God to a particular ministry? If yes, please indicate: Administration Teaching Youth Work Pastoral Music Mission & Evangelism Others (Specify): .............................................................................................................................................. Briefly write about (1) your personal conversion experience, and (2) ministry experience. ....................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... 2 ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... Briefly write about (1) your purpose for wanting to do theological study, and (2) reasons to choose NEBC for theological study. ....................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... 10. MEDICAL HISTORY / INFORMATION Mention with dates if you ever have had any mental/psychological problem, serious illness, infections, operations: ........................................................................................................................................................ Mention if you have any effects of above stated problem at present: ......................................................... Mention if you have suffered from any nervous disorders: ........................................................................... Mention if you have any physical handicaps: .................................................................................................. 11. FINANCIAL INFORMATION Mode of Payment (tick one): Monthly Bimonthly Quarterly Half Yearly Annually Name of the person/church/organization sponsoring: .................................................................................... Address:............................................................................................................................................................. Phone: ..................................................................... Email: ............................................................................. Seal/Signature and date of the person/church/organization sponsoring: ....................................................... BEFORE DECLARATION Note Please: There won’t be any compromise with any of the above mentioned particulars. Follow detail as stated. DECLARATION Hereby, I declare the above information is true to the best of my knowledge. I fully agree to abide by the guide of conduct and rules of the school if I get admission in the college. ................................................. Applicant's Signature ..................................... Date (in AD) Please complete this Application Form and send/submit to: The Dean of Academics Basin Gaun, Jorpati -4 GPO 8975, EPC 1952, Kathmandu, Nepal 3 Email: nebc.acdemics@gmail.com NEPAL EBENEZER BIBLE COLLEGE Letter of Reference: Strictly Confidential to be sent directly to: The Dean of Academics, Basin Gaun, Jorpati -4, NEBC, GPO 8975, EPC 1952, Kathmandu, Nepal Phone: 977-1-4915976, Email: nebc.academics@gmail.com As this college is training men and women for a lifetime of Christian work and ministry, it needs to take the utmost care in selecting applicants. Therefore please give adequate information on the applicant's strengths and weaknesses, which is very important for decision making. If you need extra space for any item, please use a separate sheet of paper. All information given will be treated strictly confidential. Please send your reply promptly and directly to the Principal/Registrar of NEBC. Thank you for your help. [ Name of the Applicant: ........................................................................................................................................... Name of the Referee: .............................................................................................................................................. 1. How long have you known the applicant? ......................................................................................................... 2. In what capacity have you known him/her? (e.g., employer, pastor, relative etc. If you are a blood relation, state the relationship): ............................................................................................................................................. 3. In your opinion, why does the applicant want to come to this college? ........................................................... .................................................................................................................................................................................. 4. What do you know about the applicant's personal commitment to Christ? ..................................................... .................................................................................................................................................................................. 5. In what ways has the applicant been involved in the life of his/her congregation and/or other Christian work? ....................................................................................................................................................................... .............................................................................................................................................................................. 6. What gifts do you think the applicant has shown that might be useful in Christian Service? .......................... .................................................................................................................................................................................. 7. All people have areas to improve. What do you think are the main areas to make improvement in the applicant's life? ....................................................................................................................................................... 8. Give your opinion of the applicant's character (including what you know of his/her general maturity and stability, relationships with others, honesty and reliability, moral standards and relevant points.): .................... .................................................................................................................................................................................. 9. Give your opinion of the applicant's health (keeping in mind the hard work and emotional pressures which he/she will face in the college and in future Christian ministry.): .......................................................................... .................................................................................................................................................................................. 10. Are there any problems in the applicant's family (opposition from parents, a relative's bad health, lack of finance or anything else) which might affect his/her studies? ................................................................................ 11. Please tick only one: a. I recommend the candidate very highly c. I recommend the candidate with certain hesitations b. I recommend the candidate d. I do not recommend the candidate Date: .................................. Signature: ........................................ Designation: ..................................................... Full Address: ........................................................................................................................................................... 4 ......................................... Email: ............................................................. Phone: .................................................. NEPAL EBENEZER BIBLE COLLEGE Letter of Reference: Strictly Confidential to be sent directly to: The Dean of Academics, Basin Gaun, Jorpati -4, NEBC, GPO 8975, EPC 1952, Kathmandu, Nepal Phone: 977-1-4915976, Email: nebc.academics@gmail.com As this college is training men and women for a lifetime of Christian work and ministry, it needs to take the utmost care in selecting applicants. Therefore please give adequate information on the applicant's strengths and weaknesses, which is very important for decision making. If you need extra space for any item, please use a separate sheet of paper. All information given will be treated strictly confidential. Please send your reply promptly and directly to the Principal/Registrar of NEBC. Thank you for your help. [ Name of the Applicant: ........................................................................................................................................... Name of the Referee: .............................................................................................................................................. 1. How long have you known the applicant? ......................................................................................................... 2. In what capacity have you known him/her? (e.g., employer, pastor, relative etc. If you are a blood relation, state the relationship): ............................................................................................................................................. 3. In your opinion, why does the applicant want to come to this college? ........................................................... .................................................................................................................................................................................. 4. What do you know about the applicant's personal commitment to Christ? ..................................................... .................................................................................................................................................................................. 5. In what ways has the applicant been involved in the life of his/her congregation and/or other Christian work? ....................................................................................................................................................................... .............................................................................................................................................................................. 6. What gifts do you think the applicant has shown that might be useful in Christian Service? .......................... .................................................................................................................................................................................. 7. All people have areas to improve. What do you think are the main areas to make improvement in the applicant's life? ....................................................................................................................................................... 8. Give your opinion of the applicant's character (including what you know of his/her general maturity and stability, relationships with others, honesty and reliability, moral standards and relevant points.): .................... .................................................................................................................................................................................. 9. Give your opinion of the applicant's health (keeping in mind the hard work and emotional pressures which he/she will face in the college and in future Christian ministry.): .......................................................................... .................................................................................................................................................................................. 10. Are there any problems in the applicant's family (opposition from parents, a relative's bad health, lack of finance or anything else) which might affect his/her studies? ................................................................................ 11. Please tick only one: a. I recommend the candidate very highly c. I recommend the candidate with certain hesitations b. I recommend the candidate d. I do not recommend the candidate Date: .................................. Signature: ........................................ Designation: ..................................................... 5 Full Address: ........................................................................................................................................................... ......................................... Email: ............................................................. Phone: .................................................. NEPAL EBENEZER BIBLE COLLEGE (Accredited by – ATA – Asia Theological Association) Basin Gaun, Jorpati -4, Post Box No 8975, EPC 1952, Kathmandu, Nepal. Phone: 977-1-4915976 Email: nebcfinance@gmail.com STATEMENT OF FINANCIAL POLICY Annual fee per student is as follows: Tuition Fees: (2675×10) Stationery/teaching materials Food: (2375×10) Dormitory: (1100×12) Administration Cost Other Facilities Total NPR 26,750.00 8,850.00 23,750.00 13,200.00 4,400.00 5,850.00 82,800.00 Total monthly fee is NPR 6,900.00 (82,800.00/12). However, the student willing to do theological studies but incapable of paying the total fee is welcomed to write an application for the scholarship of NPR 5100.00 per month and be willing to pay NPR 1800.00 per month. The fee structure is designed to be applied for the twelve months. All the fees need to be paid in advance whatever mode is chosen: monthly / bimonthly / quarterly / half yearly / annually. In this fee structure NPR 800.00 toward Orientation class and NPR 3,000.00 toward registration fee also should be included. Apart from this each student is responsible for his/her medical expenses, travel costs, pocket money, and other personal expenditures. Therefore, the Application Form should be submitted along with this Letter of Financial Guarantee from the concerned sponsor / church / family, without which the admission will not be entertained. If student wishes to discontinue during 3 yrs of their study, he/she needs to pay total monthly fee and dues till date. LETTER OF FINANCIAL GUARANTEE This is to inform that I/we have gone through the above statement of financial policy of Nepal Ebenezer Bible College and hereby guarantee that I/we fully agree to be responsible to pay the above mentioned fees if Mr./Mrs./Miss. ................…………….......…………………………................... of …………………….................…………......... church will be selected for three years' B.Th. course, I/we will pay his/her fees in advance: Monthly Annually Bimonthly Quarterly Half Yearly for the full course. Name of the person/church/organization sponsoring: ........................................................................... Address: ................................................................................................................................................ Phone: ............................................................. Email: ........................................................................... Alternative Phone/Mobile: ...................,................................................................................................ Seal/Signature/Date of the person/church/organization sponsoring: ..................................................... 6 Note (if any): ............................................................................................................................... 7