[ Mount Calvary Cross College P. O. Box MP 205, Mamprobi-Accra Phone #:0302448822, 0302450778Email: info@mountcalvarycrosscollege.com STUDENT APPLICATION FORM CERTIFICATE COURSE IN MINISTERIAL THEOLOGYRM_StatsUpload Passport Size Picture *Upload Your Passport Size PictureFirst Name *Last Name *Email *Enter email again *Username *Password *Password must be at least 7 characters long.Enter password again *Password must be at least 7 characters long. Phone *Date of Birth *Please enter your Date of BirthAGE *Gender: Pick One! * Male Female Place of Birth *Select Your Region *AshantiBonoBono EastAhafoCentralEasternGreater AccraNorthernSavannahNorth EastUpper EastUpper WestVoltaOtiWesternWestern NorthSelect Your Country *--Select Country--AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and the McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIraqIranIrelandIsle Of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Republic OfKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and The GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzania, United Republic OfThailandTimor-lesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweNationality By: Pick One! * By Birth Acquired If MCCM member are you a * Branch Leader/Assistant Worker of the Vine Yard Soldier of the Cross Pastor Member of General Congregation Select Your Branch *Ablekumah Resurrection ChapelAburi Bread of Life ChapelAda Foah Revelation ChapelAdjen Kotoku Dominion ChapelAfienya El - Shaddai ChapelAkraman Overcomers ChapelAkurabo Love ChapelAmamorley Peace ChapelAmasaman Shiloh ChapelAnyaa Living Flame ChapelAshongman Holy Spirit ChapelBereku Mount Zion ChapelBig Ada The Promise ChapelBobikuma Rock of Ages ChapelBontrase Elohim ChapelChorkor Joy ChapelDangman Rapha ChapelDichemso Hope ChapelEkye Perseverance ChapelFetteh Kakraba Salem ChapelGbawe Shalom ChapelHeadquarters House of RefugeHeadquarters House of Refuge AnnexKasoa Revival ChapelKoforidua Word of Life ChapelKokrobite Praise ChapelKpone Breakthrough ChapelKwame Whettey Aglow ChapelLa Beautiful Gate ChapelMaame Krobo His Banner ChapelManhean Rhema ChapelMataheko Peniel ChapelNew Abirem Mercy ChapelNkawkaw Cornerstone ChapelNsakinaa Maranatha ChapelNungua Redeemer ChapelOdotom Victory ChapelOfankor His Grace ChapelOjobi Conquerors ChapelOkushibiade Blessed ChapelOsu Celestial ChapelPapase Savior’s ChapelPokuase Restoration ChapelPrampram Living Streams ChapelSogakope Patience ChapelSomanya Yahweh ChapelSunyani Goodnews ChapelTease Ebenezer ChapelTema Comm Shekinah ChoirTema New Town Faith ChapelTeshie Living Waters ChapelTwento Gethsemane ChapelWeija Amazing ChapelZenu Adonai ChapelIf married, Name of Spouse (Husband /Wife)Do you have any particular health problem or condition? Pick One! * Yes No If Yes, please specifyIf yes please specifyIf accepted, do you pledge to subscribe to the tenets of Faith of the College and submit to Authority as well as abide by the Policies and Regulations of the College? * Yes No EDUCATIONAL INFORMATIONMinimum Level of Education * MSLC Common Entrance JHS SHS Technical O’Level Name of School *From *To * Higher Level of Education * Degree Professional Masters PhD Other SHS JHS If Others SpecifyName of School *SCHOOL DURATIONFrom *To *CHRISTIAN EXPERIENCE & REASONS OF YOUR DESIRE TO ATTEND MCCC *REFERENCESPlease Note: It is your responsibility to inform all referees about your application. They may be contacted if the need arises. If there is any indication that they don’t know who you are, it may invalidate your application.Pastor's Full Name *Pastor's Full NamePastor's Email *Pastor's Email Referee's Full Nme *Referee's Full NameReferee's Email *Referee's Email PLEDGE TAKING UPON MATRICULATION: I agree to live in full submission to Authority and to uphold the policy of Mount Calvary Cross College. I pledge to exhibit and maintain standards of conduct that are in accordance with the Holy Scriptures and also with the aims and objectives of the College as set forth in the College handbook: “ACADEMIC POLICIES AND RULES AND REGULATIONS FOR STAFF AND STUDENTS”Pledge Date *DateAgree to the terms of the pledge * I agree Agree to the terms of the pledge Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. 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P. O. Box MP 205, Mamprobi-Accra
Phone #:0302448822, 0302450778Email: info@mountcalvarycrosscollege.com
SCHOOL DURATION
