Status:  New Applicant  Reactivating student Previously enrolled as a GU student  Yes  No ID Card/Passport: ________________________ Family Name/Last Name: ________________________ Maiden Name: ___________________________________ First Name: ________________________ Middle Name: ___________________________________ Home Address: ________________________ Day Phone: ___________________________________ ________________________ Whatsapp: ___________________________________ ________________________ Mob Phone: ___________________________________ Country ________________________ E-mail: ___________________________________ Date of Birth: ________________________ Church: ___________________________________ DD Month YY Nationality: ________________________ I agree to the regulations governing the study program set forth by the Global Institute of Theology which I am applying for. I understand that my completion of this study program does not guarantee my acceptance for any position by any church or organization. I agree that it is my responsibility to verify the accreditation of this program before presenting it to any institution as part of my CV. Appropriate application fee is included (as per website). The application fee is non-refundable five business days after this form is received by Global Institute of Theology.

Applicant’s Signature: ________________________ Date: ________________________ DD Month YY

MQF Level 3

FOR OFFICE USE ONLY ________________________ Director’s Signature ______________________ DD Month YY Registrar’s Signature ______________________

How did you hear about GIT  Friend  Internet  Literature  Church/Pastor  Other (specify) _____________ You may contact us at: Global Institute of Theology 17, Triq il Klin, Iklin IKL1030 Malta 21435529 | 79475618 director@git.edu.mt www.git.edu.mt

CHRISTIAN SERVICE IN THE COMMUNITY ADMISSION FORM