BRIGHT LEADERSHIP CENTRE

Application for Admission

• Master of Organizational Leadership

• Executive Master of Governance

Please print clearly or type as you fill in the form.

Send the completed forms, together with a non-refundable fee of KES 1,500/= or US$ 20 to the Registrar,
Nairobi International School of Theology, P. O. Box 60954, 00200 Nairobi, Kenya.

PERSONAL DATA (Tick where applicable):

Title:       Mr.         Mrs.        Miss         Other____________________________

Name: ______________________________________________________________________________
                First                                          Middle                                           Last

National Identification/Passport Number __________________________________________________

Address: ____________________________________________________________________________
                           P. O. Box #                                   City/Town                                     Country

Telephone:  Home ________________________________     Office__________________________

Fax No. ______________________________    E-mail:  _____________________________________

Birth Date:  ________ / ___________ / ___________ Nationality: ____________________________
                         Day            Month                  Year

Anticipated Module & Entry Year: ________________________________________________________

                  

EDUCATIONAL BACKGROUND:

Name of Highest Institution or University:  _________________________________________

Highest Educational Qualification Achieved (tick where applicable):

Diploma        Bachelor’s Degree          Master’s Degree          Doctorate           Other (Specify)

Please attach certified copies of certificates, transcripts and other supporting documents.
EMPLOYMENT: (Attach your current CV, stating responsibilities, skills, leadership positions and any academic and non academic awards received)

Information about your present employment

Employer:  ___________________________     Location:  ____________________________________

Title/Position:  ________________________     Telephone: ___________________________________

E-mail: ______________________________________________________________________________

Postal Address:  ______________________________________________________________________

REFERENCES:

Give names and complete addresses of two persons, proficient in English, to whom you will give reference
 forms. A referee could be an employer, a business or professional associate, or a church minister.

__________________________________________________________________________________________
Name                                                          Address                                      Relationship/Position

__________________________________________________________________________________________
Name                                                         Address                                      Relationship/Position


How did you know about programmes at the Nairobi International School of Theology? (Tick where applicable)   

Brochure                       Advertisement                   Church Minister

  • NIST Staff (Name) __________________________________________________________________

  • NIST Student (Name) _______________________________________________________________

  • NIST Alumnus (Name) _______________________________________________________________

  • Other (Specify) ____________________________________________________________________


To assist us in your admission, Write a 4-5 page essay explaining your long life goals and how this
program will contribute to your career development and long life goals. Include details of your academic
and professional experience and personal attributes that make this program suitable for you.
(Attach it to your application).

To the best of my knowledge, all information on this form is correct.


Signature:  ____________________________         Date:  _________________________________