GRACE AND PEACE LEADERSHIP INSTITUTE (G.P.L.I)

GRACE AND PEACE LEADERSHIP INSTITUTE (G.P.L.I)
Bachelor's Degrees and Post Graduate Diploma Application Form
Name*

First NameMiddle NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupation
Email (this will be used to contact you*
Upon successful admission, the school will provide you with another email address
Date of Birth*

MonthDayYear
Date
Marital Status*

MarriedSingleDivorced
Nationality*
State of Origin (Nigerians only)
LGA (Nigerians only)
Upload a passport size image of yourself displaying your face clearly.*

accepted formats jpg, jpeg, png
Cancelof
Name Of Next Of kin*

First NameMiddle NameLast Name
Phone Number Of Next of Kin*
Please enter a valid phone number.
Relationship With Next Of Kin
CHOICE OF COURSE FOR BACHELORS DEGREE

Bachelor of Arts in Leadership and Strategic Policy.Bachelor of Arts in Leadership and Church Management.Bachelor of Arts in Leadership and Counseling Psychology.Bachelor of Arts in Leadership and Political Studies.Bachelor of Arts in Leadership and Development Studies.Bachelor of Arts in Leadership and Security Studies.Bachelor of Arts in Leadership and Peace Management.
CHOICE OF COURSE FOR POST GRADUATE DIPLOMA

P.G.D in Leadership and Strategic Policy.P.G.D in Leadership and Church Management.P.G.D in Leadership and Counseling Psychology.P.G.D in Leadership and Political Studies.P.G.D in Leadership and Development Studies.P.G.D in Leadership and Security Studies.P.G.D in Leadership and Peace Management.
State the reason for your choice of course.
If yes, please state what you were convicted for.
Do you have any relevant unspent criminal conviction(s)?

YesNo
Please describe your salvation experience
Upload scanned copies of previous academic qualifications*

maximum of 6 files. Accepted formats includes pdf, doc, docx, xls, xlsx, csv, jpg, jpeg, png
Cancelof
Name of your sponsor (individual or organization)
Address of sponsor. (not necessary if you are sponsoring yourself)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of sponsor
Please enter a valid phone number.
By submitting this form, you hereby declare that all the information given above is true, and you promise to abide by the institution's rules and regulations including the payment of all fees. and therefore, accept responsibility for any inaccuracies or falsification which Grace and Peace Leadership Institute may discover and consider grave enough to lead to the termination for your studentship or even the withdrawal of any degree awarded based on the information given above.
Should be Empty:

GRACE AND PEACE LEADERSHIP INSTITUTE (G.P.L.I)

Bachelor's Degrees and Post Graduate Diploma Application Form