Application for Independent Study - St Augustine's College of Theology

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The information that you provide will be used for the purpose of processing your application and maintaining your student record. Personal information will not be sold or provided to marketing companies. Personal information collected is held in accordance with the provisions of the Data Protection Act 1998. To see our privacy policy click here.

First name *

Middle name

Surname *

Title *

Date of birth (dd/mm/yyyy) *

Please add a passport image of yourself *
Accepted file types: .jpeg .jpg .png

The photograph should be a head and shoulders passport style photograph with a plain, white background.
You should be looking straight into the camera, with the picture clear and in sharp focus.
Your eyes should be open and you should not be wearing sunglasses or tinted lenses.
Your clothes should contrast the colour of the background.
You should not be wearing a hat or other items of clothing that obstruct your face. Your face must not be obstructed or covered by anything else.
Photographs should be in colour.

Permanent home address *

Daytime tel *

Mobile tel *

Email address *

Emergency contact name *

Emergency contact number *

Emergency contact’s relationship to you *

Applicants are given the opportunity to declare disabilities or additional needs to consider any particular provision that may be needed attending an open day or induction event.

Have you previously studied with St Augustine’s? *

If yes, which course did you study, and in which years?

Please give details of the modules, credits and/or level of study you wish to have accredited below.

Degrees and Professional qualifications: with name of school, college, university and date of award. If none, please list A Levels, GCSEs or equivalent

Which course are you applying for? *
Ministry and Mission (Independent student pathway: fees £1,975 per year part time; £3,950 full time)

Please choose either part time or full time study *

For part time study – choose one of the following:

Evening classes at Southwark Cathedral (Monday evenings – 6:30pm-9pm)
Evening classes at West Malling (Wednesday evenings – 6:30-9pm)
Teachings days at West Malling (15 Fridays throughout the year 10:30 – 4pm)

For full time study – choose one of the following:

Teaching days at West Malling (30 Fridays 10:30-4pm)
2 sets of evening classes one at Southwark Cathedral (Monday evenings 6:30pm-9pm) and one at West Malling (Wednesday evenings 6:30-9pm)
1 set of teaching days at West Malling and evening classes at Southwark Cathedral (Monday evenings 6:30pm-9pm)
1 set of teaching days at West Malling and evening classes at West Malling (Wednesday evenings 6:30-9pm)

Name of the Church you attend: *

Length of time you have been a member of the congregation: *

Minister of the Church you attend: *

Minister’s address *

Minister’s phone *

Minister’s email *

Reference 1 Name *

Reference 1 Address *

Reference 1 Relationship to you *

Reference 1 Telephone *

Reference 1 Email *

Reference 2 Name *

Reference 2 Address *

Reference 2 Relationship to you *

Reference 2 Telephone *

Reference 2 Email *

How did you hear about St Augustine’s? *

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