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Please choose your diocese*
Date of birth*
Please add a passport image of yourself*
Permanent home address*
Dietary requirements (for Residential planning)
Have you a criminal record?*
If you have been convicted of any criminal offence in the last four years, please give details:
Current employer name and address
We welcome applications from people with disabilities. Please tell us of any impairment or disability you have, and of any reasonable adjustments that are needed as a result.
Preference for regular (shared modules) – choose one option*
Evening classes at Southwark Cathedral (Monday evenings – 6:30pm-9pm)Evening classes at West Malling (Wednesday evenings – 6:30pm-9pm)Teaching days at West Malling (15 Fridays throughout the year 10:30-4pm)
Qualifications in Theology and Ministry (not accredited by a Higher Education Institution) e.g. some C of E Reader Training, Bishop’s Certificate Study: with Name of programme, Institution, Modules Studied, Award, Grade, Date of Award
Please tick if you have done any other courses in theology (or similar) in the past and wish to have the formally recognised as part of your proposed programme at St Augustine’s.
Please give details of the modules, credits and/or level of study you wish to have accredited below.
GCSE’s & A-Levels: Please list all your GCSEs and A-Level qualifications, or equivalents, include grade and year studied.
Name of the Church you attend*
Length of time you have been a member of the congregation*
Minister/incumbent of the Church you attend*