Application for Admission to CCBC Ireland

Please be sure to complete this form accurately and in it's entirety. Applications will not be considered complete or reviewed for admission until a complete application is submitted, all references are received, and the application fee of €40 is paid. If you have any questions please don't hesitate to contact us via email at admissions@csmireland.com or via telephone at +353-51-323746.

basic information
Name *
Name
Date of Birth *
Date of Birth
City, Sate/County, County
Please enter your PPS, SSN or other National Id number.
Home Address *
Home Address
Mailing Address
Mailing Address
If different than home address.
Contact information
Phone *
Phone
Emergency Contact
Emergency Contact Name *
Emergency Contact Name
Relation To You *
Emergency Contact Phone *
Emergency Contact Phone
Emergency Contact Address *
Emergency Contact Address
Medical Information
Are You In Good Health? *
If No Please Explain
Do You Have Any Physical Handicaps? *
If Yes Please Explain
Do You Have Any Communicable Diseases? *
If Yes Please Explain
Are Your Presently On Any Prescribed Medication? *
If Yes Please Explain
Have You Ever Been Or Are You Presently Under Psychiatric Or Psychological Care? *
If Yes Please Explain
Have Your Ever Ben Hospitalised Or Admitted To A Treatment Facility For Any Reason? *
If Yes Please Explain
Education Information
Please list highest level of education completed
Date Attendance Began *
Date Attendance Began
Date Attendance Ended *
Date Attendance Ended
If This Does Not Apply Put N/A
Personal information
Is Your Spouse Or Significant Other Planning On Attending Our Campus The Same Term As You?
If Yes Please Submit Their Name
Have You Ever Used Illegal Drugs? *
If Yes Please Explain
Have You Ever Been Convicted Of A Crime? *
If Yes Please Explain
Do You Have A History Of Violence Or Abuse Towards Others? *
If Yes Please Explain
Do You Have Any Personal History With Sexual Abuse? *
If Yes Please Explain
Do You Have Any Habitual Sin Patterns? *
If Yes Or Maybe Please Explain
Have You Ever Been Involved With Any Cult Or The Occult? *
If Yes Please Explain
Are You A Disciple Of Christ? *
If Yes Please Describe What This Means To You, If No Please Explain
Do You Feel Called To Full Time Ministry? *
Other Than The Bible
Statement of faith
References
Pastoral Reference
Name *
Name
Phone *
Phone
Personal Reference One
Name
Name
Phone *
Phone
Personal Reference Two
Name *
Name
Phone *
Phone
practicl christian ministry and community service
An essential part of the education at Calvary School of Ministry is practical ministry. This means that all students must complete an ongoing course designed to teach the student to serve others in practical ways. Each student must serve eight hours per week in a practical area that serves the school, the local body of christ, and/or the community. Additionally, each student will spend at least two hours per week serving the community of Waterford in which the school is located.
I Have Read And Agree To Adhere To These Requirments *
Financial Responsibility
I hereby apply to Calvary School of Ministry in Waterford, Ireland. I also agree to observe all regulations and uphold the standards of the school. I understand that my tuition is due and payable before the start of the semester, according tot he published schedule of due ates for tuition and fees.
Signature *
Signature
I am signing this application electronically by typing my full, legal name below.
Todays Date *
Todays Date
Date Signed