2025 Application Form

2025 1st Year Application Form
Read all these instructions carefully before completing this APPLICATION FORM.

All applicants must ensure to download a copy of the Pastoral and Personal Recommendation Forms.

Click the link: 1st YEAR PASTOR’S RECOMMENDATION 1st YEAR PERSONAL RECOMMENDATION to download the forms

Note: Send the Pastoral Recommendation Form to your Pastor and the Personal Recommendation Form to any two individuals that know you well (but not your relative), who will then send the forms to applications@rhemazambia.org

Applicants must complete all sections and attach all necessary documentation. If your spouse wants to study at RBTCZ, he/she must complete his/her own APPLICATION FORM.
Kindly ensure that you have the following documents ready*

Certified Copy of NRC/PassportCertified Copy of Grade 12 Certificate (with 5 Credits)1 Passport-Size PhotoPastoral Recommendation Form1st Personal Recommendation Form2nd Personal Recommendation Form

BASIC DATA
Name*

PrefixFirst NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Place of Birth: City/Town* Country.
Gender*

MaleFemale
Occupations (Professional Qualification / Skills)*
Are you applying as a local or international student?*

LocalInternational
Nationality*
NRC / Passport No. *
What Visa do you have or will you apply for (International Applicant)*
Nearest relative (not spouse) to be notified in case of emergency ( This person must have a phone)
Full Name *
Phone Number*
Street Address*

City*   Province*
Kindly attach your Passport-size Photo*

Cancelof
Kindly attach your certified scanned copy of Grade 12 Certificate (With 5 Credits)*

Cancelof
Kindly attach a certified scanned copy of your NRC/Passport *

Cancelof

CHURCH BACKGROUND AND REFERENCES
Which Church / Denomination do you consider yourself to have been raised?*
Name of the Church
Current Local Church you attend
Pastor's Full Name:   First Name   Last Name
How long have you attended this church?   Period*
Are you currently involved in your church?   Yes    No*

Minister completing your Pastor's Recommendation Form (must be your pastor in your local church)*

Pastors First NamePastors Last Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Kindly attach Pastoral Recommendation Form*

Cancelof

First Person completing your Personal Recommendation Form (someone that has known you for a year or more, but not your relative)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Kindly attach 1st Personal Recommendation Form*

Cancelof

Second Person completing your Personal Recommendation Form (someone that has known you for a year or more, but not your relative)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Kindly attach 2nd Personal Recommendation Form*

Cancelof

EDUCATIONAL RECORD

Entry Qualification to RBTCZ is Grade 12 GCE (with 5 credits)
Kindly upload Certified copy of your Grade 12 Certificate (With 5 credits) and any other academic certificate necessary*

Cancelof
Vocational / Technical (Years):
College / University (Years):
Other:
Have you ever been denied acceptance or been suspended / expelled from RBTCZ or any educational institution.*

YesNo
Briefly explain:*

Medical Consent
Medical Consent: “I hereby grant permission to 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 that occurs.*

YesNo

DECLARATION
Have you previously submitted an application for any RBTCZ study programme?*

YesNo
When?*
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 the course of study at RBTCZ is a two-year program. In order for me to obtain a diploma, I must comply with the attendance and academic requirements for the entire years of study.” I will comply with the above stated RBTCZ policy. I understand that if RBTCZ finds that I have violated this policy, it could be grounds for exclusion from studies. If any changes occur after I have submitted this application, I will inform RBTCZ with details and an explanation in writing.*

YesNo
Should be Empty:

2025 1st Year Application Form