• Surname *
• Middle Name *
• First Name *
• National Id No. / Passport No. *
• Gender *MaleFemale
• Date of Birth *
• Nationality * AbkhaziaAfghanistanAlandAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAscensionAshmore and Cartier IslandsAustraliaAustralian Antarctic TerritoryAustriaAzerbaijanBahamas, TheBahrainBaker IslandBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Antarctic TerritoryBritish Indian Ocean TerritoryBritish Sovereign Base AreasBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChina, Republic of (Taiwan)Christmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic Republic of the (Congo Kinshasa)Congo, Republic of the (Congo Brazzaville)Cook IslandsCoral Sea IslandsCosta RicaCote d'Ivoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Scattered Islands in the Indian OceanFrench Southern and Antarctic LandsGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHowland IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJarvis IslandJerseyJohnston AtollJordanKazakhstanKenyaKingman ReefKiribatiKorea, Democratic People's Republic of (North Korea)Korea, Republic of (South Korea)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)Nagorno-KarabakhNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern CyprusNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePalmyra AtollPanamaPapua New GuineaParaguayPeruPeter I IslandPhilippinesPitcairn IslandsPolandPortugalPridnestrovie (Transnistria)Puerto RicoQatarQueen Maud LandReunionRomaniaRoss DependencyRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth Georgia and the South Sandwich IslandsSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-Leste (East Timor)TogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamWake IslandWallis and FutunaWestern SaharaYemenZambiaZimbabwe
• Postal Address 
• Telephone No. (Landline)
• City 
• Mobile No. *
• Email Address *
• Religion 
• Affiliation LayReligious
• Name of Congregation 
• Congregation Initials 
• SPONSOR'S INFORMATION
  
  Sponsors Name 
• Address 
• Telephone No. 
• Email 
• High School Education

  NAME AND PLACE	ATTEND FROM/TO		CERTIFICATE OBTAINED	FINAL GRADE
  	MM/YYYY	MM/YYYY

• College/University Education

  NAME AND PLACE	ATTEND FROM/TO		ACADEMIC AWARD OBTAINED	DEGREE/DIPLOMA CLASS
  	MM/YYYY	MM/YYYY

• PROGRAMME OF INTEREST *Diploma In EducationBachelors Of EducationPre-University CertificateBridging Certificate
• WHEN WOULD YOU LIKE TO COMMENCE YOUR STUDIES? 
• Indicate the preferred teaching subject combination you wish to pursue at CTIE by putting a tick in the appropriate box:  English-Literature / CREHistory / CREBiology / ChemistryMathematics / Computer EducationGeography / CREMathematics / PhysicsKiswahili / CREOthers
• INFORMATION ABOUT CTIE
• How did you first come to learn about the CTIE Teacher Training Program? Put a tick in the appropriate box:   Friend Relative Seed Magazine CTIE Poster CTIE Brochure National Mirror Youth Group Church Announcement Other
• Specify Others (Refer Above)
• NB: Religious Education is part of the educational curriculum of CTIE.
• DOCUMENTS ATTACHED
  
  Upload Scanned Copy of Deposit Slip 
• Upload Scanned Copies of exams results and School leaving certificate  
• Upload 2 scanned passport sized photographs 
• Upload Essay  
• Upload Recommendation Letter  
• Upload Letter from Sponsor  
• Put a tick against each of the following list of documents that you have attached:  Non-refundable application fee of Kshs.1500 (Banker's Cheque or Deposit Slip) made payable to Christ the Teacher Centre, Acc. #. (03-065) 1052432. Barclays Bank, Karen BranchSecondary School Examination Results and School Leaving CertificateTwo passport size photographsAn essay on 'Why I want to be a Christian Educator'Recommendation letter from a person familiar with your ability to do university studiesA letter from a sponsor guaranteeing your tuition at CTIE
•  STATEMENT OF COMMITMENTI testify that the information given above is correct and accurate to the best of my knowledge.I do understand that giving false information may lead to termination of my matriculation at CTIE, if admitted.