The Association for Theological Education by Extension

Master of Theology (M.Th)

in

Applied Theology
with Specialisations in
Pastoral Practice
Mission Practice
Development Practice

Application form for the course commencing August 2009

Please attach a recent

Passport size
photograph of
yourself here

Tick the specialisation for which you wish Pastoral Practice: Mission Practice: Development
to apply:   Practice 

Please complete in BLOCK CAPITALS

Title (Delete as Appropriate) Rev/Dr./Mr./Mrs./ Other ……………………………
Full Name (as given on official documents)
.................................................................................................................
Name you are known by (if different from above)
.................................................................................................................
Mother Tongue ..................................... Date of Birth …..................
Denomination ....................................... Marital Status ....................
Address for Correspondence
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
Pincode (Compulsory): ................................
Residential Address (if different from above)
………………………………………………………………………………
………………………………………………………………………………
Pincode ................................
Telephone No (with the city code) :.…………………………..............................
E-Mail Address ................................ Fax No ...............................................
MTh in Applied Theology – Application 2009 Entry
Details of Education and Training, and Formal Qualifications

Medium of
Dates Details (University/College, Qualification & Subject)
Study

Country of Origin: ……………… Ethnic Background: ………………

Languages Known:
Speak: …………………………………………………………………………
Write: …………………………………………………………………………

Details of Present Post and Current Ministry with details of key

Responsibilities in Church/Diocese/Organisation

Dates Details

MTh in Applied Theology – Application 2009 Entry

Details of other Relevant Work Experience with Key Responsibilities

Dates Details

In the space below, state your reasons for applying for this course.

How did you hear about this course?

MTh in Applied Theology – Application 2009 Entry

Declaration:

I have read the Prospectus and understand the requirements of the programme in terms of time
and finance. All the information that is given on this application form is correct and I have
completed the attached assignment without taking help from others.

If accepted onto this course, I agree to pay my fees promptly either at the beginning of each year,
or in two installments each year at the beginning of each semester.

SIGNATURE ........................................................... Date ......................

Please enclose with this form:

 Relevant degree certificates, or attested copies of such certificates with marks
transcripts.
 Proof of age (School Leaving Certificate or anything relevant)
 A 500 word assignment (See below)
 Two Academic References, two Professional References (normally a
recognised authority in your church) and one Personal Reference.
 An endorsement form completed and signed by an office bearer in your local
congregation.
 Either an endorsement form completed and signed by a senior office bearer
in your denomination (e.g., your bishop).
Or, an endorsement form completed and signed by your employer.

This completed application form should be returned before 30th July 2009 to the address below. If
you require a scholarship form please attach your request for the same.

The Director,
TAFTEE
36 Bornmann Enclave,
Kothanur, Bangalore – 560077 INDIA

500 Word Assignment

On a separate piece of A4 paper, describe a significant event that has taken place in your ministry
within the last year. State why you considered it significant and how your reaction to the situation
reflects your theology.

MTh in Applied Theology – Application 2009 Entry

 DIOCESAN/EMPLOYERS ENDORSEMENT
for candidates applying to study a
Master of Theology in Applied Theology
offered by
The Association for Theological Education by Extension

1. Endorsement
Having checked the Recruitment Criteria, the .........................……..... Church
endorses the application of.................................................................................
for this course, judging the course to be appropriate for the candidate and the candidate for
the course.
2. Finance
Tick (i) or (ii):-
 (i) This student will be responsible for all fees.
 (ii) The church/organisation will sponsor this student financially to the extent of Rs...
………..…….p.a., or ..….......% of course fees.
Tick (a) or (b)
This amount will be paid  (a) directly to TAFTEE
 (b) to the student
3. Other Comments
Please add any special recommendations of this student or supportive remarks
which you may wish to make. Continue overleaf if necessary.

Name of person signing......................................................................................

Position held......................................................................................................
Address ……………….……………………….………………….………….
…………………………..................................................................................................
............................................................................................
Email: ………………………………………………… Ph. No. …………………
(with city code)

Signature ........................................................ Date ....................

Please return this endorsement to the candidate or forward it to:

The Director,
TAFTEE
36 Bornmann Enclave,
Kothanur, Bangalore – 560077 INDIA

MTh in Applied Theology – Application 2009 Entry

 ENDORSEMENT FROM THE LOCAL CONGREGATION

for candidates applying to study a

Master of Theology in Applied Theology
offered by
The Association for Theological Education by Extension

1. Endorsement
I have seen the application form from ...............................................…..
to undertake the above Course. The application has been discussed by the relevant
officers in the applicant’s local Church. The personal and vocational implications
have been seriously considered. I judge the Course to be appropriate for the
applicant and the applicant for the Course.
2. Commitment
The relevant officers in the applicant’s local Church have discussed the implications
of this endorsement and agree to support the applicant in his/her studies, allowing
the necessary time and leave for the applicant to complete the Course.
3. Other Comments
Please add any special recommendations of this student or supportive remarks
which you may wish to make. Continue overleaf if necessary.

Name of person signing.....................................................................................

Position held.......................................................................................................
Address ………………………………………………….………………….………….
…………………………..................................................................................................
............................................................................................
Email: ……………………………………….. Ph.No.: ………………………
(with city code)

Signature ........................................................ Date ....................

Please return this endorsement to the candidate or forward it to:

The Director,
TAFTEE
36 Bornmann Enclave,
Kothanur, Bangalore – 560077 INDIA

MTh in Applied Theology – Application 2009 Entry

 R E F E R E N C E S
ACADEMIC REFERENCES
Please Provide Contact Details for Two Referees
(You should select those who are able to comment on your ability to undertake postgraduate study)

1. Name and Address

…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
Pincode ................................

Telephone No (with city code): …………................................

E-Mail Address ................................ Fax No ..........................

2. Name and Address

…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
Pincode ................................

Telephone No (with city code): ……………………................................

E-Mail Address ................................ Fax No ..........................

PERSONAL REFERENCES
Please Provide Contact Details for One Referee
(You should select someone who is able to comment on your Personal qualities)

Name and Address

......................................................................................................
......................................................................................................
......................................................................................................
Pincode ................................

Telephone No (with city code): …………………….................................

E-Mail Address ............................ Fax No .......................................

MTh in Applied Theology – Application 2009 Entry