RHEMA Bible Training Centre Zambia

Church Affiliation and References
What church do you currently attend? *
Church Address *
Name of Pastor *
Pastor's Mobile No. and Email address *
Is this the same Church and Pastor that recommended you for First Year Application at RHEMA Zambia? *

Yes No
If No, explain

Financial

Payments
Indicate how you plan on paying your Fees *

Current employment Savings Sponsored
For savings ('000)
(ZMK)
For Sponsored ('000)
(ZMK)
Have you had any civil/criminal proceedings against you or are there any current judgements against you? *

Yes No
If Yes, explain.
Include charges and sentences
Why do you want to continue at RBTCZ? *

Medical Consent
“I hereby grant permissionto RBTCZ or a consulting physician to render to me any emergency treatment or medical care that might be deemed necessary. When necessary for executing such care, I grant permission for hospitalisation at an accredited hospital. This healthcare will be covered at my own cost. I will not hold RBTCZ liable for any expense occurred. *

Yes No
If No, RBTCZ accepts that the permission for emergency treatment or medical care is NOT granted.
APPLICANT'S DECLARATION: "I have submitted all documents, necessary for this application. I hereby state that all the information contained in this application is correct and true. I will inform RBTCZ of any interim changes. If RBTCZ is notified that any of this information is false, my application could be rejected or, if I am accepted into RBTCZ, it could be grounds for immediate exclusion from studies. I understand that course of study at RBTCZ is a one or two year program. In order for me to obtain a certificate or Diploma I must comply with the attendance and academic requirements for the entire year of study.”
Should be Empty:

2nd Year Application Form