Northrise University Application Form PDF Details

Northrise University offers students from all over the world a unique opportunity to receive a quality education. The application process is simple, and the university is committed to helping each student reach his or her full potential. In order to apply, students will need to complete the Northrise University Application Form. This document asks for basic information about the applicant, such as name, address, and academic history. Once the form is submitted, it will be reviewed by university staff. Students may be asked to complete an interview or provide additional documents before being admitted into the program of their choice.

You may find info about the type of form you intend to fill out in the table. It can tell you the length of time you will need to fill out northrise university application form, what parts you will have to fill in, etc.

QuestionAnswer
Form NameNorthrise University Application Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesnursing schools in zambia 2021 intake, ndola school of nursing 2021 intake application form, ndola school of nursing application form, ndola school of nursing 2021 intake fees

Form Preview Example

 

 

 

 

 

 

 

 

 

Application for Admission

 

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Center for Professional Studies

 

 

 

 

 

 

 

 

 

 

Caravelle House

 

 

 

 

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Academic Year 2010

 

 

 

 

 

 

 

 

 

 

Buteko Avenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P.O. Box 240271

 

 

 

 

 

 

Deadlines for Submission:

 

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Ndola, Zambia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Voice: 260-212-622-195

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fax: 260-212-622-198

 

 

 

 

November 30th, 2009 for Term 1, 2010 courses

 

 

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1.

Personal Details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

Male (M) /

 

 

Single (S) /

 

Date of Birth

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M

M

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Y

Y

 

 

 

Age on

 

 

 

 

 

 

 

 

 

 

 

 

 

Female (F)

 

Married (M)

 

(DD/MM/YY)

 

 

Jan 1, 2010

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surname /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forename(s) /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Given Name(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Main

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Province /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mobile

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nat Reg. Card/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Passport Num

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nationality

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In case of emergency, whom should we contact:

 

 

 

 

 

 

 

 

Relationship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of Contact

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surname /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Main

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forename(s) /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mobile

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Given Names(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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City /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Province /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO Please check Yes or No for the following questions. If Yes is checked, please explain in the space provided.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you had any criminal convictions? If so, please explain:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have any disabilities or special needs (including dyslexia, are you deaf or blind, wheelchair bound, etc.). If so, please explain:

Do you suffer from any medical condition or disease which may affect your ability to attend classes? If so, please explain:

Do you regularly take any medication? If so, please explain:

Do you have any dependents? If so, please indicate their Names and Current Ages:

 

 

Name

Relationship

Age

Name

Relationship

Age

APT0900001

Application for Admission

Academic Year 2010

Page 2

N

2. Academic Credentials

University/College Name

Part Time or

Full Time

From

To

Level, Certificate,

 

 

 

 

Diploma or

 

 

 

 

Month

Year

Month

Year

Degree Obtained

 

 

 

 

 

Overall

Grade

Admin

Only

Scholastic Honors, Professional Certifications or Accomplishments

Name of Organization

Received

Month Year

Honor, Level,

Certification Obtained

Admin

Only

3. a. Employment History

List your most recent employment first

Name of Organization

Job Title

From

To

Month Year Month Year

Name of

Last Supervisor

Reason for

Termination

b. Details of Your Current Responsibilities

Industry Sector:

Description of responsibilities:

4. Applying For

The following program (s) are being offered for Academic Year 2010. Please write your program of choice in the shaded space below:

MBA– Master of Business Administration

BBA—Bachelor of Business Administration

BFA—Bachelor of Finance and Accounting

BPM—Bachelor of Project Management

BTH—Bachelor of Theology

ONLINE PROGRAMS

CTH—Certificate in Theology

PDHRM—Professional Diploma in Human Resource Management

Note : FULFILLMENT OF MINIMUM REQUIREMENTS

Note: If you do not meet the minimum academics and professional requirements for enrollment in a NU MBA, you will be required to take at least three courses at undergraduate level to fulfill a pre-entry require-

Aptitude Testing: Indicate (tick) below the method that you would prefer to write the aptitude test:

On the Computer

On a hard copy (Paper)

Please note that our Center for Professional Studies courses run every six weeks. Registration is required at least two weeks before the commencement of each course. Please collect the latest schedule from Northrise offices so that you are aware of the registration calendar.

Application for Admission

Academic Year 2010

Page 3

N

5. Personal Statement

Please give an assessment of your personal strengths and weaknesses and state how you think your program of choice at NU will assist with your develop- ment (400 words).

Declaration: I confirm that the information given on this form is true, complete and accurate, and no information requested or other material information has been omitted. I have read the entire Application for Admission document. I undertake to be bound by the terms set out in it and I give my consent to the processing of my data by Northrise University. I accept that if I do not fully comply with these requirements, Northrise University shall have the right to cancel my application and I shall have no claim against Northrise University.

Applicant’s Signature:

 

Date:

Please photocopy this application and keep a copy for your records. Submit your academic and professional documents together with a copy of your NRC by the application due date indicated on the first page of this application.

To find out more information about Northrise University, about deadlines related to the application for admission process, and details of all programs offered visit our site at http://www.northriseuniversity.com. You can also send an email to apply@northrise.org if you have questions or need clarification.

APT0900001

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