2013/14

CHRIST THE REDEEMER COLLEGE

A Partner College of

Student Application Form

STUDENT NAME
Student ID Number
[For Office Use only]

COURSE TITLE
CHECKLIST:
Make sure you have included the following before you send your application form:

Application fee (Non-refundable)

ATTACH TWO
PASSPORT
PHOTOGRAPHS
(Name printed on back)

2 Passport photos
Copies of academic qualifications

(Originals required prior to admittance)

2 signed letters from referees on headed paper and stamped

Copy of passport, visa and any form of photo ID

(Originals required prior to admittance)

English proficiency test result (where relevant)*

*(PLEASE ENSURE YOU CHECK THE GRADE REQUIREMENTS FOR YOUR PROGRAMME)
Completed Applications should be sent to:

Admission Office
Christ theRedeemer College
6-12 Kennington Lane, London.
SE11 4LS
Email: info@christredeemercollege.org
Tel: 020 7735 7100
Website: www.christredeemercollege.org

A Partner College of

6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: info@christredeemercollege.org Website: www.christredeemercollege.org

A. PROPOSED STUDIES
DEGREE:
Full Time BA Hons Theology and Biblical Studies
Full Time BA Hons Theology and Counselling
Full Time BA Hons Theology and Ministerial Studies

(3yrs)
(3yrs)
(3yrs)

Middlesex University
Middlesex University
Middlesex University

DIPLOMA/CERTIFICATE:
Full Time Certificate in Christian Counselling
Full Time Certificate in Theology
Part Time Certificate in Christian Counselling
Full Time Diploma in Christian Counselling
Full Time Diploma in Theology
Full Time Diploma in Christian Ministry
Part Time Diploma in Christian Counselling
Part Time Diploma in Christian Ministry
Part Time Associate Diploma in Christian Ministry

(1yr)
(1yr)
Intensive, one evening a week
(2yrs)
(2yrs)
(1yr)
Intensive, one evening a week
(2yrs)
(1yr)

SHORT COURSES:
Church Planting and Evangelism
Introduction to Christian Counselling Skills
Music Ministry
Children and Youth Ministry
Prayer and Spiritual Warfare
Microsoft Office Certificate [Word, PowerPoint, Excel]
Web Design and Development
Project management Using Microsoft Project 2010
Database Design and Management
Excel for Financial Analyst

6 Weeks
5 Weeks
10 Weeks
7 Weeks
6 - 10 Weeks
6 evenings
4 evenings
4 evenings
6 evenings
6 evenings

Part Time
Part Time
Part Time
Part Time
Part Time

ABE:
Diploma in Management Information Systems
Proposed Mode of Study
Full time

Diploma

Higher Dip.

Graduate Integrated Dip.

Part time

Proposed Start Date

Month

Year

Do you need a UK Students VISA Yes

No

A Partner College of

6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: info@christredeemercollege.org Website: www.christredeemercollege.org

B. PERSONAL DETAILS
This information is required to create an application record and is not used in the selection process .
Passport Number

Nationality (as on passport)

Country of Birth

Country of Permanent
Residence

How do you intend to pay your fees?

Title

First Name(s)

Surname/Family
Name

Previous
Surname

Gender
Male

Date of Birth
Female

Correspondence Address

Permanent Address (if different)

Postcode

Postcode

Telephone

Telephone

Mobile
Email Address
How did you hear about the College?

Friend

Flyers

Internet

FOL

Other

C. DISABILITY/SPECIAL NEEDSPlease tick the appropriate box.

I do not have a disability

Deaf/Hearing impaired

Mental health problems

Dyslexia

Wheelchair/mobility problems

Unseen disability

Blind/Partially sighted

Personal care support

Multiple Disability

Autistic Spectrum Disorder/

Aspergers Syndrome

A Disability Not Stated. Please State

A Partner College of

6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: info@christredeemercollege.org Website: www.christredeemercollege.org

D.EDUCATIONAL
Have you previously studied at Christ The Redeemer College?

Yes

No

If yes, fill in the following details:

Course

Student No.(if known)

Year

Academic Qualifications
Start with your most recent qualifications. If you have not yet received your award, indicate when
you expect to do so.
ALL QUALIFICATIONS LISTED SHOULD BE SUPPORTED BY ORIGINAL CERTIFICATES

Level
e.g. HND,
BSc, BA.

Gradese

Subject/Course

.g. A, 2:1

Institution/
Awarding Body

From

To

Month/Year

Month/Year

Higher Education
/

Secondary/Further Education

E. ENGLISH LANGUAGE ABILITY(International applicants only)

Entry is conditional on the attainment of the required proficiency in English Language
(A copy of your test certificate should be enclosed with this application)
English Language
Qualificatione.g.IELTS/TOEFL/OTH
ER

Score/Grade
Speaking

Listening

Award Date
Writing

Reading

Month

Year

A Partner College of

6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: info@christredeemercollege.org Website: www.christredeemercollege.org

F. WORK EXPERIENCE (Paid or Voluntary)

Length of Work
Organisation [Name and Address]

Job Title

Start
Month/Year

Job Title

Start
Month/Year

Job Title

Start
Month/Year

End
Month /Year

Duties & Responsibilities

Length of Work
Organisation [Name and Address]

End
Month /Year

Duties & Responsibilities

Length of Work
Organisation [Name and Address]

Duties & Responsibilities

End
Month /Year

A Partner College of

6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: info@christredeemercollege.org Website: www.christredeemercollege.org

G.PERSONAL STATEMENT
Please provide any relevant information to support your application (Max 1000 words).
For example: why you chose the course, why Christ the Redeemer College and how this course will
contribute to your future career plans.

H. INTRODUCTION (IF ANY):

Did somebody introduce you to CRC? Y/N
If yes, please let the person complete below:

Name:..........................

Address:..
Town:

Post Code: ..

Signature:...
Date:

A Partner College of

6 - 12 Kennington Lane, London. SE11 4LS Tel: 020 7735 7100Fax: 020 7735 7187
E-mail: info@christredeemercollege.org Website: www.christredeemercollege.org

I. REFEREES:
Please give the names and details of two people who have known you for at least 2 years. One of
the referees should be from an academic or a recent employer.

ALL REFERENCES SHOULD BEPRESENTEDON HEADED PAPER.

REFERENCES FROM FRIENDS AND FAMILY CANNOT BE ACCEPTED

REFEREE 1

REFEREE 2

First Name

First Name

Surname

Surname

Address Line 1

Address Line 1

Address Line 2

Address Line 2

Address Line 3

Address Line 3

Post Code /
Zip Code

Post Code /
Zip Code

Country

Country

Telephone

Telephone

Mobile

Mobile

Email Address

Email Address

Relationship to
Applicant

Relationship to
Applicant

J. DECLARATION
I declare to the best of my knowledge, that all the above information is true, complete and
accurate. I undertake to observe the regulations of the college and to comply with the
resolutions, rules and conditions which the college may make for its students from time to time. I
give my consent to the processing of my data by the college.

Signature

Date

FOR OFFICE USE ONLY

1. LEARNING SUPPORT NEEDS:

2. INTERVIEW

Official interviewingto please comment on any learning support needs.

SHORTLISTED

Any other remarks[including suitability for chosen course]:

INTERVIEWERS
1.

Position

2.

Position

ADMITTED

YES

AGREED FEE AMOUNT

NO

Principal

Vice Principal

Date

Date

NOT SHORTLISTED

COURSE LIST AND FEES 2013-2014

COURSE

DURATION

FULL
TIME/PART
TIME

AWARDING
BODY

FEES PER
ANNUM

INTAKES

BA (Hons) THEOLOGY & BIBLICAL STUDIES

3 YEARS

FULL TIME

5,750.00

SEPT

BA (Hons) THEOLOGY & CHRISTIAN COUNSELLING

3 YEARS

FULL TIME

5,750.00

SEPT

BA (Hons) THEOLOGY & MINISTERIAL STUDIES

3 YEARS

FULL TIME

MIDDLESEX
UNI
MIDDLESEX
UNI
MIDDLESEX
UNI

5,750.00

SEPT

DEGREE:

Please note there is an annual registration fee payable to Middlesex University by the student.

DIPLOMA/CERTIFICATE:
*CERTIFICATE IN CHRISTIAN COUNSELLING (LEVEL2)
*CERTIFICATE IN CHRISTIAN COUNSELLING (LEVEL3)
CERTIFICATE IN THEOLOGY
DIPLOMA IN CHRISTIAN COUNSELLING
DIPLOMA IN THEOLOGY
DIPLOMA IN CHRISTIAN MINISTRY

1 YEAR
1 YEAR
1 YEAR

PART TIME
PART TIME
FULL TIME

CPCAB
CPCAB
CRC

700.00
700.00
4,750.00

TBC
TBC
SEPT

2 YEARS
1 YEAR
1 YEAR

FULL TIME
FULL TIME
FULL TIME

CRC
CRC
CRC

3,250.00
4,750.00
850.00

SEPT
SEPT

DIPLOMA IN CHRISTIAN COUNSELLING

3 YEARS

PART TIME

CRC

2,000.00

DIPLOMA IN CHRISTIAN MINISTRY

ASSOCIATE DIPLOMA IN CHRISTIAN MINISTRY

2 YEARS
1 YEAR

PART TIME
PART TIME

CRC
CRC

850.00
850.00

SEPT, JAN,
APR
Intensive ,
1 evening
per week
SEPT, JAN,
APR

*Please note that the Part-time Counselling course can be run on intensive, weekend (2 Saturdays a month) or evenings (1 day a week).

SHORT COURSES:
CERTIFICATE IN CHILDREN & YOUTH MINISTRY
CERTIFICATE IN MUSIC MINISTRY
CERTIFICATE IN PRAYER AND SPIRITUAL WARFARE
CERTIFICATE IN CHURCH PLANTING AND EVANGELISM
INTRODUCTION TO CHRISTIAN COUNSELLING SKILLS
MICROSOFT OFFICE CERTIFICATE WORD, EXCEL,
POWER POINT
WEB DESIGN AND DEVELOPMENT
PROJECT MANAGEMENT USING MICROSOFT PROJECT
2010
DATABASE DESIGN AND MANAGEMENT
EXCEL FOR FINANCIAL ANALYST

APPLICATION FEES (NON-REFUNDABLE)

8 SATURDAYS
12 EVENINGS
10 EVENINGS/
6 SATURDAYS
6 SATURDAYS
5 SATURDAYS

PART TIME
PART TIME
PART TIME

CRC
CRC
CRC

250.00
250.00
250.00

TBC
TBC
TBC

PART TIME
PART TIME

CRC
CRC

250.00
250.00

TBC
TBC

6 EVENINGS

PART TIME

CRC

175.00

TBC

4 EVENINGS
4 EVENINGS

PART TIME
PART TIME

CRC
CRC

150.00
150.00

TBC
TBC

6 EVENINGS
6 EVENINGS

PART TIME
PART TIME

CRC
CRC

175.00
175.00

TBC
TBC

International Students = 150.00

Home (UK) Students = 100.00