REG. NO: ___________
CHRIST THE TEACHER INSTITUTE FOR EDUCATION
254-20-89-0339 (office)
254-20-89-1407 (message)
254-20-89-0018 (fax)
ctieadmissions@tangaza.org
Tangaza College
P.O. Box 15055
P.C. 00509 Langata
Nairobi, Kenya
APPLICATION FORM
PLEASE COMPLETE BOTH SIDES OF THIS FORM IN BLOCK LETTERS. THE INFORMATION YOU PROVIDE ON THIS FORM WILL BE
YOUR OFFICIAL FILE INFORMATION AT CTIE, TANGAZA COLLEGE.
APPLICANT’S PERSONAL INFORMATION
Surname: _____________________
First Name: _________________ Middle Name: ____________________
National ID No: ________________
Passport No: _________________
Date of Birth: __________________
Nationality: __________________
Gender: Female
Male
dd/mm/yyyy
Postal Address: ______________________________________________________________________________
Telephone # (Land Line): ___________________ Mobile: __________________ Email: _____________________
Religion: ____________________________
Affiliation:
Lay
Religious
Name of the Congregation: _________________________________
___________________________________________________________
Congregation Initials: ______________
SPONSOR’S INFORMATION
Sponsor’s Name: ___________________________
Address: _________________________________________
Telephone No: ____________________________
Email:
_________________________________________
ACADEMIC BACKGROUND INFORMATION
High School Education
NAME AND PLACE
ATTEND FROM/TO
MM/YYYY
MM/YYYY
CERTIFICATE
OBTAINED
FINAL GRADE
ACADEMIC AWARD
OBTAINED
DEGREE/
DIPLOMA
College/University Education
NAME AND PLACE
ATTEND FROM/TO
MM/YYYY
MM/YYYY
CLASS
Attach photocopies of all academic certificates and post- secondary transcripts.
Christ the Teacher Institute for Education is an institute of Saint Mary’s University of Minnesota, USA and
Tangaza College, a constituent college of The Catholic University of Eastern Africa (CUEA).
PROGRAMME OF INTEREST:
Diploma in Education
Bachelor of Education
WHEN WOULD YOU LIKE TO COMMENCE YOUR STUDIES?
______________________________________________
Month/ Year
PREFERRED AREA OF STUDY:
Indicate the preferred teaching subject combination you wish to pursue at CTIE by putting a tick in the
appropriate box ():
English-Literature / CRE
Biology / Chemistry
History / CRE
Mathematics / Computer Education
Geography / CRE
Mathematics / Physics
NB: Religious Education is part of the educational curriculum of CTIE.
INFORMATION ABOUT CTIE
How did you first come to learn about the CTIE Teacher Training Program? Put a tick in the appropriate box ():
Friend
Relative
Seed Magazine
CTIE Poster
National Mirror
Youth Group
Church Announcement
CTIE Brochure
Other indicate: __________________________________________________________________________
DOCUMENTS ATTACHED
Put a tick () against each of the following list of documents that you have attached:
Non-refundable application fee of Kshs.1500 (Banker’s Cheque or Deposit Slip) made payable to Christ
the Teacher Centre, Acc. #. (03-065) 1052432. Barclays Bank, Karen Branch
Secondary School Examination Results and School Leaving Certificate
Two passport size photographs
An essay on “Why I want to be a Christian Educator”
Recommendation letter from a person familiar with your ability to do university studies
A letter from a sponsor guaranteeing your tuition at CTIE
STATEMENT OF COMMITMENT
I testify that the information given above is correct and accurate to the best of my knowledge. I do understand that
giving false information may lead to termination of my matriculation at CTIE, if admitted. I together with my sponsor
do hereby append our signatures.
________________________________
Signature of the Sponsor
______________________________________
Date
________________________________
Signature of the Applicant
______________________________________
Date
FOR OFFICIAL USE ONLY
Date Received: ___________________________
Is the application package complete?
Yes
No
Applicant’s Admission Status
Accepted
Waiting
Not Accepted
Provisionally accepted
Correspondence Date: ______________________________
Christ the Teacher Institute for Education is an institute of Saint Mary’s University of Minnesota, USA and
Tangaza College, a constituent college of The Catholic University of Eastern Africa (CUEA).