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Attach two
LEADSTAR THEOLOGICAL COLLEGE Recent
OFFICE OF THE REGISTRAR Passport Size
STUDENT APPLICATION FORM Photographs
DISTANCE EDUCATION
Graduate/Under Graduate Program
This application form must be submitted to the Office of the Registrar on or before the application date deadline. The
form must be completed, signed and accompanied with original and photocopies of the necessary documents, two
recent photographs (3 x 4) and bank deposit slip. Applicants should collect their original documents after the
documents have been cross checked with the photocopies submitted.
Failure to give the required information may disqualify your application.
The application fee is non-refundable.
Use “” to check the boxes.
1. Year of Admission: ________________ Center: _________________ (to be filled by the Center Coordinator)
2. Program: Doctor of Ministry Graduate (MA) Undergraduate (BTh ) Diploma
3. Preferred Field of Study
Please choose one of the following fields of study currently available at the Leadstar Theological College.
Diploma
Theology and Pastoral Studies
Undergraduate Program Bachelor of Theology ([Link])
Concentration Area in
Biblical Theology Church Ministry
World Mission Pastoral Counseling
Christian Leadership Family Education and Therapy
Community Development Youth and Child Ministry
Language (for undergraduate program): English Amharic Oromiffa
Post Graduate Program (MA)
Masters of Theology Masters of Art in Pastoral Counseling
Masters of Art in Leadership Masters of Art in Community Development
Language English Amharic Oromiffa
Doctor of Ministry
Mission
- Leadership Community development
LTC Distance Education P.O. Box 2033/1250, Addis Ababa
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Homiletics
4. Personal Information
5.1. Full Name:
In English: ______________________/____________________________/______________________________
Applicant’s Name Father’s Name Grand Father’s Name
በአማርኛ: ______________________/_____________________________/______________________________
ስም የአባት ስም የአያት ስም
5.2. Sex: Male Female
5.3. Date of Birth
______/_________/_________ ______/___________/________
In E.C. [DD MM YEAR] G.C. [DD MM YEAR]
5.4. Contact Address
Mobile/Cell Phone: ___________________/______ _______________ Office Telephone: _______________________
7. School Leaving Examination [ESLCE/ EGSEC] Details
Name of school leaving certificate examination taken: ESLCE EGSEC
* Write your five best results for Ethiopian School Leaving Certificate Examination [ESLCE] and seven best results for Ethiopia
General Secondary Examination Certificate [EGSEC] including English and Mathematics.
S. No. Subject Years taken Grade Registration Number
1 ENGLISH
2 MATHEMATICS
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4
5
6
7
Grade Point Average [GPA]
If other, please specify name of the school leaving Examination:
_________________________
8. Agreement
I hereby certify that all information given on this application form is true. I am for any. I am personally responsible and
aware of the College’s action against me including Dismissal at any time of my study at the college, if the information has
been given is false and the documents submitted are forged documents. I am quite aware that I cannot make any claim of
reimbursement of whatever fee paid in case of measures leading to my suspension or dismissal from the College I also
pledge to observe and abide to all rules and regulations of the College including those of my department.
Applicant’s Name: ________________________________ Signature: _________________
Date of application: ___________/_________/___________
LTC Distance Education P.O. Box 2033/1250, Addis Ababa
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[DD MM YEAR]
LTC Distance Education P.O. Box 2033/1250, Addis Ababa