P.O. Box 307 Mwanza, Tanzania

ST. AUGUSTINE UNIVERSITY OF TANZANIA P.O. Box 307 Mwanza, Tanzania Tel: 255-028-2552725, 2550560, 2550166 Fax: 255-028-2550167, 2500575 e-mail: [email protected]

APPLICATION FOR ADMISSION Please answer all questions and mail to: Admissions Office, St. Augustine University of Tanzania, P.O. Box 307, Mwanza, Tanzania with a non- refundable application fee (send only money order) of Tshs. 10,000 or US $15 made payable to: St. Augustine University of Tanzania.

1. Course for which you are applying ______Bachelor of Arts in Mass Communication ______Bachelor of Business Administration ______Advanced Diploma in Accountancy ______Advanced Diploma in Journalism ______Advanced Diploma in Materials Management ______Certificate in Accountancy ______Certificate in Journalism & Media Studies ______Certificate in Health Administration 2. Personal data (please print)

Your name ______Male/Female (M/F) _____ SURNAME FIRST NAME MIDDLE NAME ______ADDRESS CITY TELEPHONE FAX OR E-MAIL For emergencies: ______NAME RELATIONSHIP ______ADDRESS TELEPHONE FAX OR E-MAIL Date of birth______Place of birth______Nationality ______Passport # ______

Profession______Married/single ______Religion ______

Father's name ______Mother's name ______

3. Academic data

ALL SEC. SCHOOLS ATTENDED LOCATION DATES: FROM (MO/YR) TO (MONTH AND YEAR) CERTIF. INDEX NO.

ALL COLLEGES/UNIV. ATTENDED LOCATION DATES: FROM TO DEGREE/DIPL EARNED

Total number of years of schooling: ______years and ______months

4. Language fluency

LANGUAGE SPOKEN WRITTEN

FAIR GOOD VERY GOOD FAIR GOOD VERY GOOD 5. Names and addresses of two referees who know your ability as a student and can assess your competence in written and spoken English.

a) ______

b) ______

6. Check List. Please include the following with this application:

a) A Medical Doctor's Certificate stating that you are fit to follow this course. b) Two (2) passport-size photos of yourself. c) A short history of your life in English (500-750 words or two foolscap pages) in your own handwriting, describing the important details of your life, your reasons for pursuing this course of studies, and your plans for the future. d) Photocopies of your school records and certificates. e) Your Sponsor's name, signature, and stamp (if he or she has one). f) Your non-refundable application fee of Tshs 10,000 or US $15 in money order (no cheques, please), or in cash if personally delivered.

When you have attached all the required materials and have included certification of sponsorship (below), kindly send this to the office of the: Admissions Office, St. Augustine University of Tanzania, P.O. Box 307, Mwanza, Tanzania

7. Signature and date

I certify that to the best of my knowledge the information I have given above is correct.

(date) ______(signed) ______

8. Sponsorship. The Sponsor should indicate here that the candidate will receive financial support for the years he or she will spend at St. Augustine University.

NAME OF SPONSOR ______

P.O. BOX, CITY OR TOWN ______TEL______

BUSINESS OR ACTIVITY______FAX/E-MAIL______I myself I confirm that my organisation will give full financial support to ______during the period of his/her education at St. Augustine University, if he/she is accepted.

(date) ______(signed) ______Official stamp or seal

------FOR OFFICIAL USE ONLY

23-4-01 PLEASE ENCLOSE PHOTOCOPIES OF ALL TRANSCRIPTS.