LC Coordinator/Administrator Applicant Record Creation Request

EUROPEAN NAZARENE COLLEGE
LC Coordinator/Administrator
Applicant Record Request

This form is to be filled out by the Learning Center Coordinator/Administrator. Use this form to request a record to be created in GNECsis, by our admissions officer, for the applicant you are processing. NOTE: All fields should be entered in English.

Application Type

Accredited Studies

Non-Accredited Studies

Family Name(s) (as stated in passport)

Given Name(s) (as stated in passport)

Gender

Date of Birth

Street Address

City

Country Country

Postal Code

Home Phone

Cell Phone

Denomination Denomination

Country of Citizenship Country of Citizenship

Applicant is able to communicate in English

Educational Background

High School
Name

High School
Year Graduated

High School
Qualifications Received

High School

Fulfills Entry Requirements

Bachelor's
School Name

Bachelor's
Year Graduated

Bachelor's
Qualifications Received

Bachelor's

Fulfills Entry Requirements

Master's
School Name

Master's
Year Graduated

Master's
Qualifications Received

Master's

Fulfills Entry Requirements

Other/Additional
School Name

Other/Additional
Year Graduated

Other/Additional
Qualifications Received

Other/Additional

Fulfills Entry Requirements

What year will the applicant begin his/her studies?

To which LC should s/he be assigned?

Which programme or studies does s/he wish to pursue?

Does the student indicate they would like to submit transcripts for courses to be considered for transfer?

Enter any details provided about course transfers:

Does the student intend to pursue ordination in the Church of the Nazarene?

Additional Comments

Submitted By

Date

If you are human, leave this field blank.

EUROPEAN NAZARENE COLLEGELC Coordinator/Administrator Applicant Record Request

EUROPEAN NAZARENE COLLEGE
LC Coordinator/Administrator
Applicant Record Request