Application For Admission : Alliance Graduate Shool

ALLIANCE GRADUATE SHOOL
101 Dangay St., Veterans Village, Project 7, Quezon City

Tel. Nos. 371-3984/85; 411-4357/58
Fax No: (632) 373-6439 E-mail: [email protected]
Web site: www.ags.edu.ph
APPLICATION FOR ADMISSION*

Instructions
The applicant must complete the application form for program admission, and all accompanying documentation,
in English. Before acceptance can be given, all questions on the form must be answered and all the following additional
documents must be received:
Academic Transcripts (for Bachelors degree and last school attended)
Application fee of PHP 500 for Filipinos; US $100 for foreigners
Two recent (2x2) pictures to be attached to the application form
Three completed confidential reference forms (See attached forms)
Letter(s) from supporting institutions or persons providing financial support (See attached form)
An English proficiency score of 550 and essay band of 4 on the TOEFL or its equivalent (213 & essay band of 4 on
the TOEFL computer-based) (PHP 500 English Exam Fee)
Note: foreign students for whom English is a second language must take the TOEFL at the country of origin
Biographical information and personal statement of purpose and faith (See attached form)
A completed medical form with chest x-ray result (See attached form)
NEO-PIR exam (PHP 500) and interview
For foreign students: photocopy of passport
The AGS Admissions Committee will send the notification of acceptance.
*All requirements must be completed by the following date: _______________________
ALLIANCE GRADUATE SCHOOL

Please attach your recent
picture here (2x2)
Application for Program Admission

I. PERSONAL INFORMATION (please type or print)
Name ___________________________________________________________________________________________
Title
Last
First
Maiden/Middle
Present Address ________________________________________________________________________________
Mailing Address _________________________________________________________________________________
Date of Birth ____________ Place of Birth ________________________ Gender ______ Nationality ____________
Phone: Home _____________ Office _______________ Cell _______________ E-mail ______________________
Civil Status (check appropriate one)
( ) Single
( ) Married
( ) Widow /Widower
( ) Separated
If married, name of spouse ________________________________ Phone No. _________________________

Name and Ages of Children ___________________________________________________________________
Languages spoken fluently __________________________________________________________________________
Contact person in case of emergency ____________________________ Phone No. of contact person ______________
Address of Contact Person __________________________________________________________________________
II. COURSE OF STUDY--Check the appropriate one below:
C I V I L D E G R E E S*
Master of Divinity (M.Div.) 96 units
Master of Arts (M.A.) 64 units
___ M. Div. in Christian Education

___ M. Div. in CE, major in Christian
Counseling
___ M.A. in Biblical Studies
___ M. Div. in Missiology

___ M. Div. in Miss., major in Community
Development
___ M. Div. in Pastoral Studies
___ M. Div. in Pastoral, major in Biblical
Studies
___ M. Div. in Pastoral, major in
Theological Studies
___ M. Div. in Pastoral, major in Youth
Studies
ECCLESIASTICAL DEGREES
___ M.A. in Missiology

___ M.A. in Missiology, major in
Community Development
On Campus
Certificate Program (18 units)
___ Certificate in Spiritual Formation (18
units)
Diploma (30 units)
___ Biblical Studies
___ Christian Counseling
___ Christian Education
___ Community Development
___ Pastoral Studies
___ Theological Studies
___ Youth Studies
___ M.A. in Pastoral Studies

___ M.A. in Pastoral, major in Theological
Studies
___ M.A. in Pastoral, major in Youth
Studies
Off-Campus (Center for Innovative

Studies, with different satellite locations)
___ Certificate in Marriage & Family
Ministry (16 units)
___ Master of Ministry (36 units)
___ M.A. in Christian Education

___ M. A. in CE, major in Christian
Counseling
___ M.A. in Educational Ministries
*Civil degrees are programs with CHEd recognition, and for which CHEd grants Special Orders pending student compliance with all requirements.
III. EDUCATIONAL INFORMATION

List below the degree/s you have received after graduating from high school:
Institution
Location
Degree Received
Date
Graduated
____________________________ __ ___________________________________ ____________________________ ________
____________________________ __ ___________________________________ ____________________________ ________
____________________________ __ ___________________________________ ____________________________ ________
Is your college DECS / CHED accredited _______________ If yes, what is your SO # ____________________________________
Have you applied to Alliance Graduate School previously? _____________ When? ____________________________________
Who or what influenced your decision to apply to Alliance Graduate School? _____________________________________________
____________________________________________________________________________________________________
Have you been dismissed or denied admission by any other seminaries? ______ If yes, please explain on a separate sheet
Are you transferring from another seminary or graduate institutions? ________ If so, you must have a letter from the current
seminary indicating student in good standing status.
IV. FINACIAL PLANNING
How do you plan to meet your expenses while at AGS? _____________________________________________________________
_______________________________________________________________________________________________________
Are you currently in debt or financially committed? Yes ( )
No ( ) If yes, please explain _________________________________
_______________________________________________________________________________________________________
V. CHURCH INFORMATION
Present Church
Name of church & address _________________________________________________________________________
Name of Pastor ____________________________ Denominational Affiliation ________________________________
How long have you been attending? ________________________
Regular? ( )
Member? ( )
Minimal Involvement? ( )
Significant involvement? ( )
Sporadically ( )
Home Church if different from present church

Name of church & address _________________________________________________________________________
Name of Pastor ____________________________ Denominational Affiliation ________________________________
How long have you been attending? ________________________
Member? ( )
Are you ( ) licensed
Significant involvement? ( )
( ) Ordained?
Regular? ( )
Sporadically ( )
Minimal Involvement? ( )
If yes, which denomination? ________________________________________________
VI. CHRISTIAN MINISTRY EXPERIENCE (Church minister, Para-church staff, Missionary, Sunday school teacher, etc.)
Church Organization
Title / Position
Job Description
____________________________ __ ___________________________________ ____________________________
____________________________ __ ___________________________________ ____________________________
____________________________ __ ___________________________________ ____________________________
Dates (Fr/To)
________
________
________
VII. EMPLOYMENT
( ) Employed
( ) Unemployed
If employed, name of employer ___________________________________________
Location __________________________________________ Types of work _________________________________________
VIII. REFERENCES
Give the names, complete addresses & phone numbers of three reliable references who have known you for some time.
(Pastor, Former Teacher or Church Leader, and Christian Friend)
1.
Pastor ______________________________________ Home / Office Phone Nos. ___________________________________

Home / Office Address ______________________________________________________________________________
E-mail Address _______________________________ Cell Phone No. ___________________________________________
2.
Christian Friend _____________________________ Home / Office Phone Nos. ______________________________

E-mail Address ______________________________ Cell Phone No. ___________________________________________
3.
Former Teacher/ Church Leader ____________________________ Home / Office Phone Nos. ________________________
E-mail Address ______________________________ Cell Phone No. ___________________________________________
IX. FOR FOREIGN APPLICANTS

What type of visa do you have? (9G, 9F, etc.) _____________ Authorized Stay _____________
Passport No: ___________________
Date of Issue ______________________
Name of guardian while in the Philippines __________________________________
I-CARD _____________________
Expiry Date __________________________

Relationship _________________________
Address ______________________________________________________________________________________________
Home / Office Phone No. ______________________________________________
E-mail Address _______________________
I will abide by the policies and regulations of AGS.
____________________________________
Signature of Applicant / Student
___________________________________
Date
---------------------------------------------------------------------------------------------------------------------------------------------------------------------For Office Use
( ) Application Fee __________
( ) Official Transcripts from ______________________________
( ) Pictures
( ) Certificates of Financial Support
( ) Permission / Recommendation Letter
Referrals: ( ) Pastor
( ) Teacher/ Church Leader
( ) Friend
( ) Personal statement of Faith
( ) TOEFL / EPE Score _______________
Date of Admission
_____________________
Identification #
_____________________

101 Dangay Street, Veterans Village, Project 7, Quezon City
P.O. Box 1095, Manila, 1099, Philippines
E-mail: [email protected]
Confidential Reference: Pastor

The Admissions Office would appreciate an evaluation from you concerning the person named below. Your honesty will
help us in doing a careful evaluation. We shall keep information strictly confidential. Please mail this to the registrar
immediately upon completion. Thank you for your assistance.
To be completed by the applicant:
Date _________________________
Name of applicant _______________________________________________________________________________

Last
First
Maiden/Middle
Address ________________________________________________________________________________________
Street Name
City
Telephone
Degree program applied for _____________________________________________ Year applied for _____________
1. How long have you known the applicant? ___________ Years ___________ months
2. How well do you know the applicant and in what context? ____________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
3. What evidence does the applicant show of being truly converted? _______________________________________
__________________________________________________________________________________________
4. What circumstances to your knowledge led the applicant to devote his / her life to Christian service? _____________
__________________________________________________________________________________________
__________________________________________________________________________________________
5. What is the applicants reputation with the opposite sex? _____________________________________________
__________________________________________________________________________________________
6. What factors in his family that will help or hinder the applicants success at AGS? ___________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
7. How does the applicant respond to authority? _____________________________________________________
__________________________________________________________________________________________
8. For this section, please check the comments that describe the applicant.
Spiritual Life
_____________________________________________________________________________________
Shows growth &
Christian lifestyle
Christian
Commitment
Average spirituality
Small evidence of
spiritual growth
No interest in
spiritual growth
Do not know
_____________________________________________________________________________________
Exemplary
Obvious to others
Underdeveloped in
Questionable
Do not know
Church
Involvement
_____________________________________________________________________________________________
Serves in
Leadership
Purposefulness
Serves in some
ministries
Attends frequently
Attends
occasionally
Do not know
_____________________________________________________________________________________________
Self-directed
Average potential
Vacillating in
purpose
Appears aimless
Do not know
Initiative
_____________________________________________________________________________________________
Shows good
initiative
Industry
Average initiative
Responds only
when asked
Acts only when

no one volunteers
Do not know
_____________________________________________________________________________________________
Exceeds what is
required
Leadership
Performs assigned
tasks
Needs prodding
Overextends
himself
Do not know
_____________________________________________________________________________________________
Dynamic Leader
Assumes occasional
Leadership successfully
Tries, but not a

natural leader
Tends to be a
follower
Do not know
Communication
Skills
_____________________________________________________________________________________________
Articulate, effective
communicator
Responsibility
Communicates
satisfactorily
Needs improvement
Poor communicator
Do not know
_____________________________________________________________________________________________
Always reliable
Dependable
Usually reliable
Irresponsible
Do not know
Reasoning & Decision

Making Ability _____________________________________________________________________________________________
Insightful, thinks
Emotional
Maturity
Do not know
Demonstrates emotional
stability
Insecure, poor selfimage
Prone to anger /
depression
Do not know
Tolerated
by others
Withdrawn, avoids
others
Difficulty in maintaining relationships
Do not know
_____________________________________________________________________________________________
Compassionate,
Caring
Ability to Work
With Others
Disregards sound
_____________________________________________________________________________________________
Gets along well
With others
Sensitivity to
Others
Impetuous, acts
_____________________________________________________________________________________________
Healthy appraisal
Of self
Interpersonal
Relationship
Prefers to rely on
Indifferent to the
feelings of others
Arrogant
Disregards the
needs of others
Do not know
_____________________________________________________________________________________________
Works well with
Others
Intimidated in group
setting
Dominates in group
setting
Intolerant of others
opinions
Do not know
9. To the best of your knowledge, has the applicant ever:

a) been convicted of a felony?
( ) Yes
( ) No
( ) Unable to comment
Comment ___________________________________________________________________________________
b) engaged in sexual misconduct in the past? ( ) Yes
( ) No
Comment ___________________________________________________________________________________
c) been treated for substance abuse/addiction? ( ) Yes
( ) No
Comment ___________________________________________________________________________________
10. What degree of success in graduate school would you predict for the applicant?
( ) Will excel
( ) Above average
( ) Average
( ) Below average
11. In considering the applicants suitability for seminary study and overall potential for ministry, please check one:
( ) I highly recommend
( ) I recommend
( ) I do not recommend ( ) I recommend with this reservation:
__________________________________________________________________________________________________
Name (print) ______________________________________________________ Signature ________________________
Email Address _____________________________________________________ Phone ___________________________
Title / Position _____________________________________________________ Date ____________________________
Name & Address of Church or Organization: ______________________________________________________________
_________________________________________________________________ Phone ___________________________
6

Confidential Reference: Teacher or Church Leader

Date _________________________

Last
First
Maiden/Middle
Address ________________________________________________________________________________________
Street Name
City
Telephone
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Spiritual Life
_____________________________________________________________________________________
Shows growth &
Christian lifestyle
Christian
Commitment
Small evidence of
spiritual growth
No interest in
spiritual growth
Do not know
_____________________________________________________________________________________
Exemplary
Obvious to others
Underdeveloped in
Questionable
Do not know
Church
Involvement
_____________________________________________________________________________________________
Serves in
Leadership
Purposefulness
Serves in some
ministries
Attends frequently
Attends
occasionally
Do not know
_____________________________________________________________________________________________
Self-directed
Average potential
Vacillating in
purpose
Appears aimless
Do not know
Initiative
_____________________________________________________________________________________________
Shows good
initiative
Industry
Average initiative
Responds only
when asked
Acts only when

no one volunteers
Do not know
_____________________________________________________________________________________________
Exceeds what is
required
Leadership
Performs assigned
tasks
Needs prodding
Overextends
himself
Do not know
_____________________________________________________________________________________________
Dynamic Leader
Assumes occasional
Tries, but not a

natural leader
Tends to be a
follower
Do not know
Communication
Skills
_____________________________________________________________________________________________
communicator
Responsibility
Communicates
satisfactorily
Needs improvement
Poor communicator
Do not know
_____________________________________________________________________________________________
Always reliable
Dependable
Usually reliable
Irresponsible
Do not know

Making Ability _____________________________________________________________________________________________
Insightful, thinks
Emotional
Maturity
Do not know
stability
Prone to anger /
depression
Do not know
Tolerated
by others
Withdrawn, avoids
others
Do not know
_____________________________________________________________________________________________
Compassionate,
Caring
Ability to Work
With Others
Disregards sound
_____________________________________________________________________________________________
Gets along well
With others
Sensitivity to
Others
Impetuous, acts
_____________________________________________________________________________________________
Healthy appraisal
Of self
Interpersonal
Relationship
Prefers to rely on
Indifferent to the
feelings of others
Arrogant
Disregards the
needs of others
Do not know
_____________________________________________________________________________________________
Works well with
Others
setting
Dominates in group
setting
opinions
Do not know

( ) Yes
( ) No
Comment ___________________________________________________________________________________
( ) No
Comment ___________________________________________________________________________________
( ) No
Comment ___________________________________________________________________________________
( ) Will excel
( ) Above average
( ) Average
( ) Below average
( ) I recommend
__________________________________________________________________________________________________
_________________________________________________________________ Phone ___________________________
8

Confidential Reference: Christian Friend

Date _________________________

Last
First
Maiden/Middle
Address ________________________________________________________________________________________
Street Name
City
Telephone
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Spiritual Life
_____________________________________________________________________________________
Shows growth &
Christian lifestyle
Christian
Commitment
Small evidence of
spiritual growth
No interest in
spiritual growth
Do not know
_____________________________________________________________________________________
Exemplary
Obvious to others
Underdeveloped in
Questionable
Do not know
Church
Involvement
_____________________________________________________________________________________________
Serves in
Leadership
Purposefulness
Serves in some
ministries
Attends frequently
Attends
occasionally
Do not know
_____________________________________________________________________________________________
Self-directed
Average potential
Vacillating in
purpose
Appears aimless
Do not know
Initiative
_____________________________________________________________________________________________
Shows good
initiative
Industry
Average initiative
Responds only
when asked
Acts only when

no one volunteers
Do not know
_____________________________________________________________________________________________
Exceeds what is
required
Leadership
Performs assigned
tasks
Needs prodding
Overextends
himself
Do not know
_____________________________________________________________________________________________
Dynamic Leader
Assumes occasional
Tries, but not a

natural leader
Tends to be a
follower
Do not know
Communication
Skills
_____________________________________________________________________________________________
communicator
Responsibility
Communicates
satisfactorily
Needs improvement
Poor communicator
Do not know
_____________________________________________________________________________________________
Always reliable
Dependable
Usually reliable
Irresponsible
Do not know

Making Ability _____________________________________________________________________________________________
Insightful, thinks
Emotional
Maturity
Do not know
stability
Prone to anger /
depression
Do not know
Tolerated
by others
Withdrawn, avoids
others
Do not know
_____________________________________________________________________________________________
Compassionate,
Caring
Ability to Work
With Others
Disregards sound
_____________________________________________________________________________________________
Gets along well
With others
Sensitivity to
Others
Impetuous, acts
_____________________________________________________________________________________________
Healthy appraisal
Of self
Interpersonal
Relationship
Prefers to rely on
Indifferent to the
feelings of others
Arrogant
Disregards the
needs of others
Do not know
_____________________________________________________________________________________________
Works well with
Others
setting
Dominates in group
setting
opinions
Do not know

( ) Yes
( ) No
Comment ___________________________________________________________________________________
( ) No
Comment ___________________________________________________________________________________
( ) No
Comment ___________________________________________________________________________________
( ) Will excel
( ) Above average
( ) Average
( ) Below average
( ) I recommend
__________________________________________________________________________________________________
_________________________________________________________________ Phone ___________________________
10

FINANCIAL STATEMENT BY SPONSOR

To the Sponsor: Please refer to the financial information of AGS and discuss this with the applicant before completing
and signing this statement. Please return the completed form to the applicant or mail it directly to the Registrars Office
at the address above.
1. Name of Applicant: ________________________________________________________________________________
2. Name of Sponsor (Organization or Individual): __________________________________________________________
3. On behalf of the applicant, I am prepared to pay to AGS the following fees and expenses (please include specific
amounts)
i.
Tuition & other school fees
US$
per year
ii.
Books and other study expenses
US$
per year
iii.
Room / House rental
US$
per month
iv.
Food & other household supplies
US$
per month
(meat, vegetables, bread, groceries, toiletries)

v.
Utilities (electricity, water, phone)
US$
per month
vi.
Miscellaneous
US$
per month
(transportation, snacks, clothing, etc.)

vii.
Actual medical expenses:
Yes? ______
No? ______
Portion? ______
viii.
Travel expenses home (round trip):
Yes? ______
No? ______
Portion? ______
NOTE: AGS is willing to channel expenses to the student on behalf of the sponsor but each accounting accommodation
(excluding tuition / school fees) is subject to administrative fees. AGS will retain 10% of the total amount or forwarded
through AGS dollar account.
Sponsors Signature: _________________________________________________________________________________
Sponsors position and contact information (address, fax, email):
__________________________________________________________________________________________________
__________________________________________________________________________________________________
If you would like AGS to bill you directly, please indicate which items you would like to be billed for and the name and
address of the person the bill should be sent to:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
11
BIOGRAPHICAL INFORMATION
(Please type or write legibly.)
1. Briefly describe your family background (early family life, siblings, and significant features of your
current family life).
2. Describe your spiritual journey (the beginnings of your spiritual awareness, your relationship with God,
your commitment to Christ, a past or present spiritual struggle and an area of recent growth or
challenge).
12
3. Describe your ministry / employment experiences since graduation from college, indicating employer,
location and length of time at each. (Include what you enjoyed most in your ministry / work and what
particular spiritual gifts were utilized,)
4. Share three strengths in your personal character and three areas where you need growth.
13
5. State your reasons for applying to Alliance Graduate School (include in your explanation the program
to which you are applying and why you feel that program is best suited to your educational and
spiritual goals.)
6. What are your personal life-goals and desires, and how do you anticipate your AGS experience could
assist you in your journey toward achieving these?
7. AGS is not just an academe for higher learning, but a community of Christians as well. If admitted, in
what way do you think you can contribute towards the building up (i.e. edifying, encouraging or
supporting) of the AGS community?
14
PERSONAL STATEMENT OF FAITH

Please describe in your own words what you believe to be essentials of the Christian Faith or provide your
personal doctrinal statement. Be sure to include your perspective on the significance of Jesus Christ, the
authority of the Scripture and the path of salvation.
15
MEDICAL FORM
It is in the applicants own interest to complete this form as honestly and as accurately as possible. Please type
or print legibly all information.
Portion to be completed by the applicant:
Full name _____________________________________________ Date of Birth _________________________
Sex ______________
Status _____________
Number and ages of children ____________
Family History. List illnesses or causes of death of the following:

Parents
: _________________________________________________________________
Brothers / Sisters
: _________________________________________________________________
Spouse and Children : _________________________________________________________________

_________________________________________________________________
Signed _______________________________________ Date Signed ____________________________
-------------------------------------------------------------------------------------------------------------------------------------------------Portion to be completed by the applicants doctor:
Medical history of the Applicant
1. Does he / she have any physical deformities or limitations? If so, please specify.
____________________________________________________________________________________
____________________________________________________________________________________
2. If he / she suffers from any of the following, please underline:
Poor vision
Allergies
Frequent diarrhea
Eye strain
Shortness of breath
Frequent Constipation
Poor hearing
Asthma
Muscle or bone pain
Noises in ear
Bronchitis
Insomnia
Frequent headaches
Palpitation of the heart
Frequent urination
Nose bleeds
Food intolerance
Dysmenorrheal
Bleeding gums
Indigestion
List any illness he / she had (including surgery, diabetes, heart trouble, seizures, venereal disease, and tuberculosis)
__________________________________________________________________________________________
Is he / she allergic to any drug? _______ If so, which? _________________________________

Is he / she taking long-term drugs? ________ Which? _________________________________
16
Examination of the applicant

Eyes: Visual acuity Right ______________________
Left ______________________
Ears: Hearing -
Left ______________________
Right ______________________
Mouth _______________________________________
Throat ______________________________
Teeth ________________________________________
Palpable glands ______________________
Chest: Expansion _______________________________
Auscultation _________________________
Cardio-Vascular System:
Pulse (resting) _________________ After 1 min. running _____________

Blood pressure
Abdomen:
Heart Sounds __________________
Scars? ___________________________________ Palpable organs? _______________

Tenderness _______________________________ Hernias? ______________________
Genitalia ______________________ Rectum ________________ Hemorrhoids __________________

Mental Evaluation
Has the applicant any history of mental disorder? _______ If so, state its duration and treatment given:
____________________________________________________________________________________
____________________________________________________________________________________
Is there now any sign of excess anxiety, depression, or hallucination? ___________________________
____________________________________________________________________________________
Laboratory Tests
Chest X-ray (or screen) ________________________________________________________________
Block type ________________________
IMPORTANT: Do you find from the applicants history and examination reasons to think he / she might not
tolerate intensive study, changes of diet, climate and culture?
____________________________________________________________________________________
____________________________________________________________________________________
Please summarize important findings:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Doctors Signature (over printed name): _________________________________________________________
Address ___________________________________________________________________________________
Contact no(s). ______________________________________________________________________________
17

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ALLIANCE GRADUATE SHOOL

101 Dangay St., Veterans Village, Project 7, Quezon City

APPLICATION FOR ADMISSION*

Academic Transcripts (for Bachelors degree and last school attended)

Application fee of PHP 500 for Filipinos; US $100 for foreigners

Two recent (2x2) pictures to be attached to the application form

Three completed confidential reference forms (See attached forms)

NEO-PIR exam (PHP 500) and interview

For foreign students: photocopy of passport

The AGS Admissions Committee will send the notification of acceptance.

*All requirements must be completed by the following date: _______________________

ALLIANCE GRADUATE SCHOOL

Application for Program Admission

If married, name of spouse ________________________________ Phone No. _________________________

Master of Arts (M.A.) 64 units

___ M. Div. in Christian Education

___ M.A. in Biblical Studies

___ M. Div. in Missiology

___ M.A. in Missiology

___ M.A. in Pastoral Studies

Off-Campus (Center for Innovative

___ M.A. in Christian Education

III. EDUCATIONAL INFORMATION

No ( ) If yes, please explain _________________________________

Home Church if different from present church

If yes, which denomination? ________________________________________________

If employed, name of employer ___________________________________________

Location __________________________________________ Types of work _________________________________________

Pastor ______________________________________ Home / Office Phone Nos. ___________________________________

Christian Friend _____________________________ Home / Office Phone Nos. ______________________________

IX. FOR FOREIGN APPLICANTS

Date of Issue ______________________

Name of guardian while in the Philippines __________________________________

Expiry Date __________________________

E-mail Address _______________________

I will abide by the policies and regulations of AGS.

( ) Certificates of Financial Support

( ) Permission / Recommendation Letter

( ) Teacher/ Church Leader

( ) Personal statement of Faith

( ) TOEFL / EPE Score _______________

ALLIANCE GRADUATE SCHOOL

Confidential Reference: Pastor

Name of applicant _______________________________________________________________________________

Acts only when

Tries, but not a

Reasoning & Decision

Insecure, poor selfimage

Difficulty in maintaining relationships

9. To the best of your knowledge, has the applicant ever:

ALLIANCE GRADUATE SCHOOL

Confidential Reference: Teacher or Church Leader

Name of applicant _______________________________________________________________________________

Acts only when

Tries, but not a

Reasoning & Decision

Insecure, poor selfimage

Difficulty in maintaining relationships

If married, name of spouse ________ Phone No. _

Location __ Types of work _

Pastor ____ Home / Office Phone Nos. _

Christian Friend _ Home / Office Phone Nos. __

Is he / she allergic to any drug? _ If so, which? ___________________________

Pulse (resting) _____ After 1 min. running _

Scars? _____________________ Palpable organs? _

Genitalia ____ Rectum Hemorrhoids