Taylor College

Application for Admission

Program Inforamtion

Please indicate which program you are applying for:
Part -Time
One Year Certificate - "Xchange" Program
Three Year Diploma: (Please choose a course of study)

Personal Inforamtion

First Name:
Last Name:
Address 1:
Address 2:
City:
Province:
Postal/Zip Code:
Country:
Primary Phone:
Secondary Phone:
Email:
Date of Birth: // (dd/mm/yyyy)
Marital Status:
Emergency Contact Name:
Relation:
Phone:
In general, how would you rate your physical health?

Do you have any physical challenges or learning difficulties, etc…
Yes No
If yes, please explain:
Are you able to finance your studies from personal resources?
Yes No

Education

Please list any university, college or high schools attended, degree(s) attained and date of graduation:
School:
Grade/Degree/Diploma:
Dates:

School:
Grade/Degree/Diploma:
Dates:

Work Information

Part time studnts please go to the Declarations section below.

Name of Employer:
Position Held:
Dates Employed:

Christian Experience

Do you have a living relationship with Christ?
Yes No
Name of Church you attend:
Pastor/Leader:
Church Address:
Church Phone:
Church Email:
History of your involvement at your church
(eg: youth ministry, committee, etc…):

Volunteer work you have undertaken in your local community:

An account of your Christian walk – What have been the significant events and milestones so far? (In at least 500 words)

Why have you decided to apply to Taylor College at this time?

How did you hear about Taylor College?

References

Pastor:
Adress:
City:
Postal/Zip Code:
Country:
Phone:
Email:

Employer/Principal/Teacher:
Adress:
City:
Postal/Zip Code:
Country:
Phone:
Email:

Friend:
Adress:
City:
Postal/Zip Code:
Country:
Phone:
Email:

Declarations

Medical Declaration: “To my knowledge, I have no condition either physical or psychological which would prevent me from being a student.”

Financial Declaration: “I understand that I have an obligation to pay the College fees as stated. I am willing and able to do this. I understand that failure to do so could mean being withheld from graduation and from receiving transcripts. I also understand that late payment of fees will lead to a financial penalty.”

Application Declaration: “To the best of my knowledge, all information contained in this application is correct and complete.”

If you have read and understand these declarations please print your name: