Christian Leaders’ Training College

of Papua New Guinea

Serving the Churches of the South Pacific Islands –
since 1965
A Registered Institute of Higher Learning
Port Moresby Academic Administrator, Tarmari Fitakec
[email protected] 7161 3847 / 7674 7857

APPLICATION FORM
PORT MORESBY OPEN CAMPUS

Name: __________________________________________________________

Program for which you are applying (tick one)

ADVANCED DIPLOMA OF MINISTRY – 3 years. Prerequisite:Grade
12 or equivalent (for example, Grade 10 plus a 2-year certificate).
Applicants who have completed relevant courses in another
institution may be exempted from the first year.
DIPLOMA OF CHRISTIAN STUDIES – 1 year. Prerequisite: A non-
theological diploma from an accredited institution (e.g., Diploma of
Teaching) plus experience in their field of training.
BACHELOR OF THEOLOGY – 2 years. Prerequisite: A theological
diploma with at least a B+ average from an accredited theological
institution. Some applicants may be required to do the Diploma of
Christian Studies as a bridging year.
GRADUATE DIPLOMA OF CHRISTIAN STUDIES – 1 year.
Prerequisite: A non-theological degree from an accredited
institution (e.g., Bachelor of Education) plus experience in their field
of training.

OFFICE USE ONLY: Indicate below the date that each item is received
Main appl Church Community Health Certificates Work Exp English

Page 1 of 17
CLTC Application Form, 26 April 2023
Sit for your CLTC Entrance Test
Contact the Port Moresby Academic Administrator, or a CLTC Admissions
Agent. (See the “CLTC Admissions Agents” section near the back of the
application packet.)

Complete the following checklist

For you to complete
□ “Applicant Information” section
For you to start, and then detach for others to complete and return to you
□ “Church Endorsement” form
□ “Community Endorsement” form
□ “Health Information” form
For you to provide copies as supporting documents
□ Certificates / transcripts of education completed
1. Highest tertiary, secondary, or primary education
2. Any additional certificates or awards

□ Evidence of work experience

1. Reference letters, and/or…
2. Curriculum vitae (CV)

Detach and save the last page “Keep This Page”

On the last page of this application packet, fill in the date you submit your
application and save the page for your records and to plan your next steps.

Submit all of the above documents

Email Post Office In Person

[email protected] CLTC POM CLTC Port Moresby

PO Box 1619 Section 276, Lot 47
Vision City, NCD 131 Pitpit Street
North Waigani, NCD

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CLTC Application Form, 26 April 2023
Student Fees (Port Moresby Campus)

Per Part-time: Full-Time: Full-Time:

Program
Credit 2 Courses Semester Year
Certificate K26 K416 K1,664 K3,328
Diploma K33 K528 K2,112 K4,224
Degree K40 K640 K2,560 K5,120
Basic Information

Your name(s):________________________________________________________

Email address(es): ______________________________________________________________________

Phone number(s):_______________________________________________________________________

Optional – postal address: _______________________________________________________________

__________________________________________________________________________________________

The college will use the following information to verify sponsorship eligibility:

Church denomination:__________________________________________________

Country: _____________________________________________________________

Province: _____________________________________________________________

District: ______________________________________________________________

Your date of birth: (dd/mm/yyyy)___________________________

If you have ever applied to study at CLTC, for which year did you apply? ___________

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CLTC Application Form, 26 April 2023
Your Education
Complete all types of education that apply. Be sure to include any FODE, TEE, and
ministry courses if applicable.

Name of Grade/Qualification Achieved, Year

Institution or Program of Study Completed

Primary

Vocational/
Secondary

Trade/
Tertiary

Trade/
Tertiary

Other
Certificate
/Award

Other
Certificate
/Award

Other

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CLTC Application Form, 26 April 2023
Your Work Experience
Professional Experience
List all volunteer and paid professional work that you have done.

Type of Work Employer’s Name and Address Years

Additional Ministry Experience

List any part-time or lay ministry experience (not included above).

Description Organization or Years

church

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CLTC Application Form, 26 April 2023
Your Christian Experience and Life Goals

Describe how you came to follow Christ. Share briefly your experience since then. _____

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Why do you want to study at CLTC? ___________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

What do you hope to do when you graduate from CLTC? _________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Page 6 of 17
CLTC Application Form, 26 April 2023
CLTC Community Lifestyle Commitment
The Christian Leaders’ Training College (CLTC) is a Christian community joined
together for the purpose of academic study, personal development and spiritual growth.
We are committed to the Lordship of Jesus Christ and believe that the scriptures
establish the basic principles that should guide our life together. These principles
include the responsibility to love God with all our being, love our neighbours as
ourselves, seek after righteousness, practice justice, help those in need, forgive others,
seek forgiveness and responsibly exercise freedom with loving regard for others. One of
the important lessons you will learn here is about the way you should live together with
people from different places and with different customs. We acknowledge that it is
impossible to create a community with expectations that are totally acceptable to every
member. Nevertheless, clearly stated expectations promote orderly community life. The
Word of God tells us that “everything must be done decently and in order” (I Cor.
14:40).

As a member of the CLTC community, I will strive to practice stewardship of mind, time,
abilities and finances. I will pursue opportunities for intellectual and spiritual growth and
demonstrate care for my body. I also will exercise social responsibility in my standard of
living and use of economic resources. Realizing the destructive character of an unforgiving
spirit and harmful discrimination based on prejudice, I will seek to demonstrate unselfish
love in my actions, attitudes and relationships. I will be honest and show respect for the
rights and property of others. I recognize that some social practices are harmful to me, as
well as harmful or offensive to others. Therefore, respecting the values of others and the
mission of the Christian Leaders’ Training College, I recognize my responsibility as a
member of the community to refrain from sexual relationships outside of marriage, sexual
harassment and abuse, pornography, acts of violence, abusive or demeaning language and
the use of illegal drugs. Recognizing that CLTC supports non-use of alcohol, tobacco, and
betelnut, I will respect and abide by the college policy that prohibits their use both on and
off campus. I pledge myself to carry out this commitment in a spirit of openness and
helpfulness through mutual accountability motivated by love.

□ I have read the Community Lifestyle Commitment and understand the purpose
and mission of CLTC.
□ I accept the lifestyle expectations as my own while I am a student at CLTC.
□ I agree to withdraw from my studies should I find myself unable to uphold the
CLTC lifestyle expectations.
□ I have also completed the rest of this application truthfully.

***Intentionally false statements will invalidate the application,

and if found after admission will result in dismissal from the college.***

Signature _____________________________________ Date _______________________

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CLTC Application Form, 26 April 2023
 Page 8 of 17
CLTC Application Form, 26 April 2023
Church Endorsement Form
Applicant

Your name: _______________________ Program you are applying for: _________________

Total compulsory fees for first year: __________

Pastor, or Church Representative

This individual is applying to study at Christian Leaders’ Training College. Please complete
the following questions to indicate your evaluation of their readiness for training, and
your church’s endorsement of their plans.

Your Details

Your name (with title): ________________________________________________________

Location: ________________________Name of church: ____________________________

Email address: ____________________________Phone number: _____________________

Optional – postal address ______________________________________________________

Your Evaluation of the Applicant

For how many years have you known this person?________________________________

For how many years have they been active in the church? ____________________________

How is their Christian commitment shown in their life? ______________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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CLTC Application Form, 26 April 2023
What are they doing to help the church? __________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

How would you describe their characters, abilities, and potential?______________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Your Church’s Endorsement

Does your church endorse this individual’s application to study at CLTC? _______________

If they are accepted, what amount of their compulory fees will the church contribute?______

___________________________________________________________________________

If accepted, in what other ways will your church support them during their studies? ________

___________________________________________________________________________

___________________________________________________________________________

If accepted, what do you expect them to do after graduating from CLTC? ________________

___________________________________________________________________________

Your signature: _____________________________________ Date: _________________

Your position in the church: __________________________________________________

Page 10 of 17
CLTC Application Form, 26 April 2023
Community Reference Form
Applicant

Your name: ____________________ Program you are applying for: _______________

Total compulsory fees for first year: __________

Community Leader
This individual is applying to study at Christian Leaders’ Training College. Please complete
the following questions to indicate your evaluation of their readiness for training, and
your endorsement of their plans.

Your Details

Your name (with title): ________________________________________________________

Location: ________________________Name of community: ________________________

Email address: ____________________________Phone number: _____________________

Optional – postal address ______________________________________________________

Your Evaluation of the Applicants

For how many years have you known this person?__________________________________

Describe your relationship with them: ____________________________________________

___________________________________________________________________________

___________________________________________________________________________

What are they doing to help the community?_______________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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CLTC Application Form, 26 April 2023
How would you describe their characters, abilities, and potential? ______________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

What would be the benefit of this individual training at CLTC?________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

If they are accepted, what amount of their fees will the community contribute?___________

___________________________________________________________________________

If accepted, in what other ways will your community support this person during their studies?

___________________________________________________________________________

___________________________________________________________________________

What else would you like to say? ________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Your signature: _____________________________________ Date: _________________

Your position in the community: ______________________________________________

Page 12 of 17
CLTC Application Form, 26 April 2023
Medical Section
Please complete the questions on this page yourself, then give the form to a doctor,
community health nurse, or nursing officer to complete the questions over the page.

Questions to answer about yourself

What serious sicknesses or injuries have you had? What year and what kind?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

What other times did you receive medical treatment? What year and for what reason?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

What physical and health difficulties do you face at the moment?

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

Are you willing to stop chewing betelnut, smoking, and drinking alcohol during the time
you are students at CLTC? __________________

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CLTC Application Form, 26 April 2023
Medical Form

Dear Health Officer,

The person presenting this form is applying to study at Christian Leaders’ Training College.
Could you please assist us by providing the following information:

Height: _________________ cm Weight: ________________ kg Blood pressure: _____________________

1. Does the candidate have a visual impairment? Yes/No

2. Does the candidate have a hearing impairment? Yes/No

3. Does the candidate have a physical disability? Yes/No

4. Does the candidate have a history of psychiatric illness? Yes/No

5. Does the candidate have a chronic illness? Yes/No

(such as diabetes, epilepsy, asthma, heart condition)

6. Are there any issues from the medical history the candidate has provided that is of concern
and could have ongoing implications? Yes/No
7. Is there any evidence that he/she chews or has habitually chewed betelnut? Yes/No
8. Is there any evidence that he/she smokes or has habitually smoked tobacco? Yes/No
9. Is there any evidence that he/she smokes or has smoked marijuana? Yes/No
10. Is there any evidence that he/she is using or has used illegal drugs? Yes/No
11. Is there any evidence that the candidate drinks alcohol? Yes/No

If you answered YES to any of the above questions, please give details below.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Is the candidate fit and healthy and able to take part in study and work such as gardening, sport
and general duties?

__________________________________________________________________________________________________

Health Officer’s name

Signature
Professional role
Date of examination
Phone number
Address
PLEASE AFFIX THE OFFICIAL STAMP OF YOUR HEALTH CENTRE/FACILITY/HOSPITAL

Page 14 of 17
CLTC Application Form, 26 April 2023
 INDIVIDUALS AND INSTITUTIONS AUTHORISED TO SUPERVISE
THE CLTC ENTRANCE ENGLISH TEST
# NAME PROVINCE / COUNTRY CONTACT
1. Pastor Mase Wodia Western Province Mobile: 7393 1585
ECPNG E-mail: [email protected]
2. Pastor Steven Angkaki Western Province Mobile: 7393 1585
ECPNG E-mail: [email protected]
3. Pastor Jeffrey Modua Tabubil, Western Province Mobile: 7327 9593
Baptist Tabubil E-mail: [email protected]
4. Pastor Dacky Wakili Western/Hela Provinces Mobile: 7349 0582
ECPNG Training Coordinator: E-mail: [email protected]
[email protected]
5. Noah Sibane Hela Province Mobile: 7101 3528
Dauli Teachers College E-mail: [email protected]
6. Conrad Koea Hela Province Mobile: 73640251
Dauli Teachers College E-mail: [email protected]
7. Pastor Simil Hondolwa Mendi Town, SHP Mobile: 7363 4652
CLTC Council member: E-mail: [email protected]
8. Rev. Justin Wapu Mendi SHP Mobile: 72439944
United Church Email: [email protected]
9. Patricia Kambua Simbu/ Jiwaka/ Enga/ Western Mobile: 7908 7580
Admissions, Highlands Provinces E-mail: [email protected]
CLTC Banz Campus Website: www.cltc.ac.pg
10. Benjamín Nano Western Highlands Province Mobile: 7395 6273
BUPNG National Ministry Email: [email protected]
Co-ordinator
11. Pastor Barry Kupo Kundiawa, Simbu Province Mobile: 71879 2888
Help Ministry International E-mail: [email protected]
12. Pastor Jonathan Inapelo Goroka, Eastern Highlands Mobile: 7256 6947
Baptist Church Administrator Province E-mail: [email protected]
13. Pastor Joro Girupano Goroka, Eastern Highlands Mobile: 70550709
Foursquare Gospel Province E-mail: [email protected]
14. Mike Saida Goroka, Eastern Highlands Mobile: 79327335
Zogi Baptist Church Province E-mail: [email protected]
15. Pastor Donley Keki Vanimo, West Sepik Province Mobile: 7319 6463
CBC Health Secretary E-mail: [email protected]
16. Pastor Carl Hombla Wewak, East Sepik Province Mobile: 7286 7488
CBC Head Office E-mail: [email protected]
17. Pastor Barrywan Tuwai Wewak, East Sepik Province Mobile: 7054 5203
CBC Wewak E-mail: [email protected]
18. Pastor Mack Yarbange Maprik, East Sepik Province Mobile: 71768657
SSEC National Church/ E-mail: [email protected]
Education Secretary
19. Pastor Simon Wahin Madang, Madang Province Mobile: 7114 6123
Baptist Church (BUPNG) E-mail: [email protected]
20. Ps. Daniel Wasani Madang Province Mobile: 73842381
21. Simon Minigamba Morobe Lae Mobile: 72748218/ 75910559
Dean, CLTC Lae Campus E-mail: [email protected]

22. Jessie Solomon Morobe Lae Mobile: 73003886

EBC PNG Email: [email protected]
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CLTC Application Form, 26 April 2023
23. Rev. Geisa Panpan Morobe Lae Ph: 70464856
ELC PNG Email: [email protected]
24. Sharon Yayada Oro province Mobile: 70348751
E-mail: [email protected]
25. Albert Doka Milne Bay - Alotau Mobile: 72746103
E-mail: [email protected]
26. Rev. David Nason Milne Bay - Mobile: 74728019
United Church Email:[email protected]
27. Rev. George Kabuamo Milne Bay – Salamo Mobile: 7394 4733
E-mail: [email protected]
28. Marcus Fitakec Port Moresby, Central/NCD Mobile: 7571 9759/ 7704 0756
Dean, CLTC POM Campus E-mail: [email protected]
29. Ruth Akia Port Moresby, Central/NCD Mobile: 7394 2384/ 75644565
Administrator, CLTC POM E-mail: [email protected]
Campus
30. Rev. Oscar Kuni Gulf Province Mobile: 7328 6974
United Church E-mail: [email protected]
31. Pastor Andrew Kubwesan Manus Province E-mail: [email protected]
ECOM Town Church
Lorengau
32. Pastor Paully Job Manus Province Mobile: 72964780
ECOM Church E-mail: [email protected]
33. Ben Pia, Principal Hoskins, West New Britain Mobile: 7907 1987
SSEC Gavuvu Bible College Province E-mail: [email protected]
34. Peni Diave and Nellis Peni Kokopo, East New Britain Mobile: 71639618/ 72897968
Association of Local Province E-mail: [email protected]
Churches, Kinabot : [email protected]
35. Rev. Margaret Tioti New Island Province Mobile: 7349 6459
Principal, Ligga Bible College
36. Pastor Noel Wangi Maprik, East Sepik Province Mobile: 7482 3864
Administrator AOG Northern E-mail: [email protected]
Region Bible College
37. Pastor Sammy Maurua Buka, ARoB E-mail: [email protected]
Kidron Ministry Director
38. Jeffrey Magum ARoB Mobile: 7345 9128
Email: [email protected]
39. Jesimiel Paul Wale Honiara, Solomon Islands E-mail: [email protected]
SSEC General Secretary : [email protected]
40. Rolland Hopa Munda, Solomon Islands E-mail: [email protected]
UCSI Human Resource Desk
41. John Maite Port Vila, Vanuatu E-mail:[email protected]
Presbyterian Church
42. Karl Masing Port Vila, Vanuatu E-mail:[email protected]
Lecturer, Talua Bible College
43. Rev. Dr. Ma’afu Palu Tonga E-mail: [email protected]
44. Pastor Tuifao Sauaga Samoa E-mail: [email protected]
45. Rev. Aporosa Rageci Suva, Fiji E-mail: [email protected]
Fiji Baptist Convention
Training

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CLTC Application Form, 26 April 2023
 Keep This Page

For Your Records and Planning

Detach, fill in the date below, and save this page as a record of when you submitted your
application and to remind yourself of the next steps in the admissions process.

Date you submitted your application: __________________________________________

Wait for the decision of the CLTC Selection Committee

If you are selected, we will notify you by phone and in writing. Otherwise, we will notify you
by phone. If after one month of sitting for your entrance test you do not receive an answer,
you may follow up by contacting the Port Moresby Academic Administrator, Tarmari
Fitakec:

[email protected] OR 7161 3847 / 7674 7857

If you are selected, you will receive both an offer letter and a student confirmation form.

***Beginning in 2024***
With your student confirmation form, you will attach:
1. Proof that you have deposited 20% of your compulsory fees.
2. For the remaining 80%, any combination of:
a. Proof of any additional amount deposited.
b. A proposed payment plan.
If you expect sponsorship, you will attach:
3. A guarantee letter from the sponsor, or a copy of your
application to that sponsor.
The Port Moresby Academic Administrator must approve and sign
your confirmation form before you enter the classroom.

CLTC Port Moresby Bank Details

Bank Name Westpac Bank

Branch Name Waigani Branch

Account Name CLTC POM Campus Operating Account

Account # 6001002770

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