SEMINARI THEOLOJI MALAYSIA Attach recent photograph (passport size) (an interdenominational theological seminary for clergy and church workers) Lot 3011, Taman South East, Jalan Tampin Lama Batu 3, 70100 Seremban, Negeri Sembilan D.K. West Malaysia P.O. Box 175, 70720 Seremban, Negeri Sembilan D.K. West Malaysia. Tel : 6-06-6322815; Fax : 6-06-6329766 E-mail: eng-academic@stm2.edu.my Webpage: http://www.stm.edu.my Application for Admission to Master of Ministry FOR OFFICIAL USE ONLY: Year of Enrollment: Academic Load: Part-time Language medium: English PERSONAL INFORMATION Name in Full: Male Female According to your I/C & underline your SURNAME or FAMILY NAME Name in Chinese (if applicable): Correspondence address: Home Phone No: Mobile Phone No: Work Phone No: Facsimile No: Email Address: Permanent address (if the above address is temporary, please include your permanent address for future correspondence: Admission Form - Master of Ministry Program (update on 29 January 2016) Page 1
Date of Birth: NRIC / Passport No: Citizenship: Race: MARITAL & FAMILY DETAILS: Single: Married: Date Widowed: Date Divorced: Date Spouse s name: Date of birth: NAMES OF CHILDREN & THEIR DATE OF BIRTH 1. 4. 2. 5. 3. 6. CHURCH AFFILIATION AND CHRISTIAN EXPERIENCE Denomination: Name and address of your present local church: Date and place of baptism: Date and place of confirmation: Are your family members Christians? Present responsibilities (Parish minister, missionary, chaplain, etc) Are you ordained? When and by what body? Number of years in pastoral ministry: ACADEMIC HISTORY THEOLOGICAL COLLEGE / INSTITUTION YEAR OF ENTRANCE YEAR OF COMPLETION DEGREES RECEIVED Admission Form - Master of Ministry Program (update on 29 January 2016) Page 2
FINANCIAL INFORMATION How will your training in the Seminary be financed? SUPPORTING DOCUMENTS This application will not be valid unless supported by certified copies of the original documents. FOR MALAYSIANS ONLY a. Photocopy of your NRIC b. Certified documentary evidence of examinations passed c. A recommendation letter from your denomination ministerial / ordination committee or head of denomination / pastor / elder d. Two (2) passport size photographs e. Payment for Submission of Application RM100.00, payable to Seminari Theoloji Malaysia (bank in to Public Bank Berhad 3-0647599-00, please provide transaction slip as proof of payment) FOR INTERNATIONAL STUDENTS (kindly check with the institution before submitting application) 1. Photocopy of the relevant pages of your passport 2. Certified documentary evidence of examinations passed 3. A recommendation letter from your denomination ministerial / ordination committee or head of denomination / pastor / elder 4. Two (2) passport size photographs 5. TOEFL results for applicant whose main language is not English 6. Payment for Submission of Application RM100.00, payable to Seminari Theoloji Malaysia (bank in to Public Bank Berhad 3-0647599-00, please provide transaction slip as proof of payment) I declare that the above information contained herein is true and accurate. Signature: Date: Instructions for Mailing: One copy of this application together with all the necessary supporting documents and fee, should be sent directly to: Academic Office c/o Advanced Ministerial Studies Seminari Theoloji Malaysia Lot 3011, Taman South East 70100 Seremban Negeri Sembilan West Malaysia Admission Form - Master of Ministry Program (update on 29 January 2016) Page 3
LETTER OF RECOMMENDATION SEMINARI THEOLOJI MALAYSIA (an interdenominational theological seminary for clergy and church workers) Lot 3011, Taman South East, Jalan Tampin Lama Batu 3, 70100 Seremban, Negeri Sembilan Darul Khusus West Malaysia Tel : 6-06-6322815; Fax : 6-06-6329766 Website: www.stm.edu.my/version2 Email: eng-academic@stm2.edu.my Name of Applicant: Study program applied: Recommended by: Pastor Lay Leader Employer Others NOTE: THIS FORM IS NOT TO BE FILLED OUT BY ANY MEMBER OF YOUR IMMEDIATE FAMILY. The individual named above is applying for admission to Seminari Theoloji Malaysia. Please help us by giving your personal assessment in this important phase of the applicant s life. 1. How do you assess his or her abilities and character in the following categories? Not observed Weak Fair Average Very Good Out Standing Intellectual ability Ability to work with others Initiative Creativity & Imagination Maturity Interpersonal skills Self-confidence Self-discipline Oral communication skills in English Oral communication skills in Chinese Written communication skills in English Written communication skills in Chinese Quality of work Ability to analyze problems and formulate solutions Leadership skills Motivation for proposed program of study Aptitude for chosen ministry or profession STM Recommendation Letter for MMin Program (update on 29 January 2016)
2. How long have you known the applicant? Please rate: Very well Rather well Casually Not well In what capacity? 3. Please provide us with a statement concerning the applicant s spirituality maturity, abilities, personality, character and professional promise. Also include in your statement an assessment of his or her strengths and weaknesses. 4. Do you see this person as someone whom you would have as the pastor of a church or church worker, or you would hire to work with as a colleague? Yes No Unsure Please comment: 5. I recommend this applicant for admission to Seminari Theoloji Malaysia. Highly recommended Recommended Recommended with reservation Do not recommend Signed: Name: Date: Position: Church Name & Address: Phone No: Fax No: Email Address: Please send this directly to: Academic Office c/o Advanced Ministerial Studies Seminari Theoloji Malaysia Lot 3011, Taman South East Seremban Negeri Sembilan West Malaysia STM Recommendation Letter for MMin Program (update on 29 January 2016)