Registration Form Application Form Step 1 of 4 25% Your Personal InformationName TitleMr.Mrs.MissMs.Dr.Prof.Rev. Title First name Middle name Last name Previous family namePrevious given nameDate of change Day Month Year Your Email Address(Required) Enter Email Confirm Email Permanent Address Street Address Address Line 2 Town / City County / State / Region Postcode / Zip code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone number(Required)Date of Birth(Required) Day Month Year GenderNationality(Required)Country of Birth(Required)Do you hold dual nationality? No Yes Do you have the 'Right to Study' in the UK?(Required) Yes No Is English your first language? Yes No If 'No' please provide evidence level of English Language ProficiencyI am providing results for:TOEFLIELTS (Academic)Cambridge Certificate of Proficiency in EnglishCambridge Certificate in Advanced EnglishOther (please specify) Add RemoveUpload Your PhotoUpload your photo in jpg, png or gif formatAccepted file types: jpg, gif, png, Max. file size: 5 MB.Do you hold a current DBS?(Required) Yes No Do you wish to declare a disability including SpLD? Yes No If 'Yes' please provide details PROPOSED PROGRAMME OF STUDYProgramme You're Applying For(Required) Foundation Award in Theology, Ministry and Mission Certificate of Higher Education in Theology, Ministry and Mission Diploma of Higher Education in Theology, Ministry and Mission BA(Hons) in Theology, Ministry and Mission Graduate Certificate in Theology, Ministry and Mission Graduate Diploma in Theology, Ministry and Mission Postgraduate Certificate in Theology, Ministry and Mission Postgraduate Diploma in Theology, Ministry and Mission MA in Theology, Ministry and Mission Mode of Training(Required) Full Time online distance learning Part Time online distance learning Previous Experience and EducationYour Current Employer (if applicable)Your Previous EmployersPlease list your previous employers for the last five yearsEmployerDatesPositionPhone Add RemoveQualificationsPlease provide grades and dates obtained for 'A' Level or equivalentSubjectGrade Add RemovePlease provide grades and dates obtained for University degree or diplomaPlease provide grades and dates obtained for University degree or diplomaSubjectGrade Add RemoveOther Professional QualificationsForthcoming ExaminationsUpload transcripts and certificates(Required)Please upload copies of transcripts and certificates for the most recent completed qualification. These documents are not required for awards gained through St Stephens House. Drop files here or Select files Max. file size: 64 MB. Personal statement(Required) ReferencesEcclesial referenceName(Required)Email address(Required)Role, Institution(Required)Address(Required)City, Postcode, Country(Required)Academic referenceName(Required)Email address(Required)Role, Institution(Required)Address(Required)City, Postcode, Country(Required) Declaration(Required)By completing this application, I / you agree to the processing of personal data (including, in appropriate circumstances, sensitive personal data) by the College for purposes necessary to processing your application and the teaching and administration of your studies (and documentation of any subsequent qualification or degree) and for other lawful purposes. This includes information which you supplied in connection with your application to study. You also agree to the sharing by the College of such data for the same purposes with the University of Durham and the Church of England. This will be done in accordance with the principles set out in the College Privacy Notice https://www.ssho.ox.ac.uk/policies/. This includes ensuring that your data will only be used in a way which is fair, lawful and secure. By pressing ‘submit’ I / you also declare the information provided in this application be a true and accurate.CAPTCHA
