form ac b1 (non refundable) - mulungushi university · 2021. 5. 3. · form ac b1 4 all programmes...
TRANSCRIPT
FORM AC B1
1
1. K150 ( Zambian) 2. US $50 (Non Zambian)
(Non Refundable)
FOR OFFICIAL USE ONIF YOU DON’T HEAR FROM US 10 DAYS AFTER SUBMITTING YOUR APPLICATION, KINDLY TEXT YOUR FULL NAME, NRC NUMBER, AND EMAIL ADDRESS TO 0977-134107 AND
MULUNGUSHI UNIVERSITY Pursuing the Frontiers of Knowledge
Research & Postgraduate Studies
P.O Box 80415, KABWE, ZAMBIA Tel: +260 -215 228004
Cell: 0977-134107
Email: [email protected] [email protected]
Receipt No……………………….
Application Fee…………………
Date of Receipt of Application
Form……………………………….
Received by………………………
Data entry by ………………..
Date of Entry: ………………..
BANK DETAILS FOR DEPOSITING APPLICATION FEE OF K150
ZANACO ACCOUNT NUMBER: 1067654300160
APPLICATION FOR ADMISSION TO POST-GRADUATE DEGREE PROGRAMMES
FOR AUGUST 2021/2022 INTAKE
Degree Programme Applied For: MSc MA MBA PhD
Name of Programme: …………………………………………………………………………………………......
Mode of Study: Full Time Distance
School / Institute of Programme…………………………………………………………………………………
Date of Commencement o f Programme: ……………………………………………………………………....
FORM AC B1
2
1.Visibility 2. Mobility 3. Speech 4. Hearing 5. Others
PART I 1. PERSONAL DETAILS
Surname…………………………………………………..
Other Names……………………………………………
Date of Birth……………………………………………
Place of Birth……….…………………………………..
Sex: Male Female
NRC/Passport No……………………………………..Nationality …………………………
Postal Address…………………………………………………………………………………..
Residential Address……………………………………………………………………………..
Tel/Cell …………………………………………………………………………………………...
E – Mail …………………………………………………………………………………………….
Do you have any physical or communication Disabilities?
Encircle the number applicable
If any of the above give details of disability………………………………………………………………………
How did you hear about Mulungushi University……………………………………………………………………………
Which method do prefer to receive your acceptance letter?
If it’s by email, please indicate a valid and working email
address ……………………………………………………………………………………………………………………….
1.By Post 2. Email
FORM AC B1
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PART II
ADDITIONAL PERSONAL INFORMATION
a) Indicate Proficiency in English Language
PART III EDUCATION BACKGROUND
1. SECONDARY SCHOOL ATTENDED (Grade 12) Schools attended (Years and level of attainment) ……………………………………………………………………………………………………….. ……………………………………………………………………………………………………… ………………………………………………………………………………………………………. GRADE 12/FORM 5 EXAMINATIONS NUMBER EXAMINATION BODY YEAR
Indicate ‘O’ level subjects or equivalents passed and grades scored in the space provided below:
SUBJECT GRADES
…………………………………………………………
…………………………………………………………
…………………………………………………………
…………………………………………………………
…………………………………………………………
…………………………………………………………
…………………………………………………………
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Excellent Very Good Good Poor
h)
b) Have you previously been enrolled at this institution?
If Yes provide your MU Student Number
YES NO N
O
FORM AC B1
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All programmes are available on Distance
1.1 School of Agriculture and Natural Resources (SANR)
1.1.1 Masters Programmes
Master in Disaster Studies
Master in Climate Change and Sustainable Development
Master of Science in Agribusiness
Master of Science in Agricultural Risk Management
New Programmes
Master of Science in Environmental and Natural Resources
Master of Science in Agronomy
1.2 School of Business Studies
1.2.1 Masters Programmes
Master of Laws
Master in Business Administration
Master of Labour and Employment Relations
Master of Marketing
Master of Science in Human Resource Management
Master of Science in Accounting and Finance
Master of Business Administration and Entrepreneurship
1.3 School of Education (SoE)
1.3.1 Postgraduate (PG) Diploma
Postgraduate (PG) Diploma in Teaching Methodology
1.3.2 Masters Programmes
Master of Arts in Linguistics Sciences
Master of Art in History
Master of Civic Education and Transformational Leadership
Master of Education (MEd) -Curriculum Studies;
Master of Education (MEd) -Educational Management, Administration and Leadership
Master of Education (MEd) –Monitoring, Assessment, Measurement and Evaluation;
Master of Education (MEd) -Educational Policy and Planning.
New Programmes
Master of Arts in Literature
Master of Science in Agricultural Education
1.3.3 Doctoral (PhD) Programmes
PhD in Educational Leadership
FORM AC B1
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1.4 SCHOOL OF SCIENCE, ENGINEERING AND TECHNOLOGY (SSET)
1.4.1 Masters Programmes
Master of Science in Computer Studies
Master of Engineering in Project Management
Master of Information Technology
New Programmes
Master of Science in Applied Mathematics
Master of Science in Particle and Nuclear Physics
• Master of Science in Computer Science with Artificial Intelligence
• Master of Science in Data Science and Big Data
• Master of Science in Information Technology
• Master of Science in Cyber Security
• Master in Water Sanitation.
• PhD in Information Systems
• Doctorate of Information Technology (Professional)
1.4.2 Doctoral (PhD) Programmes
•Doctor of Philosophy (PhD) in Computing Sciences
1.5 SCHOOL OF SOCIAL SCIENCES (SSS)
1.5.1 Masters Programmes
Master of Public Administration
Master of International Relations and Development
Master of Social Work
Master of Arts Degree in Economics
Master of Transformative Community Development
7.6 SCHOOL OF MEDICINE AND HEALTH SCIENCES
Master of Science in Human Anatomy
Master of Science in Biochemistry
Master of Science in Chemical Pathology
Master of Science in Immuno-Pathology
Entry Requirements
Postgraduate Diploma
(i) Five (5) “O” Level credits (6) or better in subjects from Zambian School Certificate or its equivalent; (ii) A first degree from a recognized institution. Masters
(i) Five (5) “O” Level credits (6) or better in subjects from Zambian School Certificate or its equivalent; (ii) A first degree at least graded credit from a recognised institution; (iii) Special entrance requirements prescribed by the relevant School as being necessary.
FORM AC B1
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Doctoral (PhD) Programmes
(i) Five (5) “O” Level credits (6) or better in subjects from Zambian School Certificate or its equivalent; (ii) A first degree with at least credit from a recognized institution; (iii) A Master’s Degree relevant to the field of specialization being applied for; (iv) Special entrance requirements prescribed by the relevant School as being necessary.
2. TERTIARY QUALIFICATIONS OBTAINED
a) Please attach certified copies of your degree certificate(s) or transcripts with this application.
University
or
College Attended
Dates of
Attendance
Qualification
Obtained
Date of Award
Degree
Classification
b) Give details of your career positions to date (you may use additional sheet of paper if
necessary)
Dates
Establishment
Position Held
Nature of Responsibility
FORM AC B1
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PART IV
PERSONAL BRIEF
Question Response
(a) Provide reasons why you want to pursue
graduate studies?
(b) How will the graduate programme of study
affect your personal development?
(c) How will the graduate programme
of study affect your career plans?
FORM AC B1
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PART V
i) FUNDING OF YOUR STUDIES
a) If institutional sponsorship please attach the commitment letter from your institution.
b) If you will sponsor yourself please endorse by signing Name……………….Signature…
ii)
a)
REFEREES IN SUPPORT OF YOUR APPLICATION
Give names and addresses of two (2) referees
1. Name of Referee: ..............................................................................................
Address:..............................................................................................................
Telephone No. ................................ Email Address...........................................
2. Name of Referee: ..............................................................................................
Address: ............................................................................................................
............................................................................................................................
Telephone No. ................................Email Address...........................................
Please request the referees to provide you with References. The references must be sealed
and signed on.
iii) CLOSING DATE FOR SUBMISSION OF APPLICATIONS
Completed application forms must be submitted to the Registrar (Academic) by
30st
June, 2021.
iv) DECLARATION
I declare t h a t the information provided by me in this application is correct and complete. I
authorise the Mulungushi University to reserve t h e right to vary or reverse any o f f e r of
Admission made on the basis of incorrect or incomplete information.
SIGNATURE:...............................................DATE OF APPLICATION:.......................................
FORM AC B1
REFERENCE FORM I (A C A D E M I C)
Mulungushi University
Research & Postgraduate Studies
FOR APPLICANT’S USE
Name of Applicant: .........................................................................................................................
Degree Programme Applied For: MSc MA MBA PhD
Name of Programme: ……………………………………………………………………………………...... Mode of Study: Full
Time Distance
School offering Programme…………………………………………………………………………………
Date of Commencement o f Programme……………………………………………………………………....
FORM AC B1
FOR REFERENCE USE ONLY
The above candidate is applying to Mulungushi University for admission to postgraduate s t u d y . It
would be of s ign if ican t assistance to the University in considering his or her application if you would
kindly complete this form or attach a reference addressing the questions below.
a) For how long and in what capacity have you known the applicant? ......................................
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
b) What is your assessment o f the intellectual ability of the applicant? ………………………….
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
c) What is your assessment of the applicant’s academic potential and ability to handle a
graduate study programme and advanced research work………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
d) What are the applicant’s main strengths and weaknesses in a
professional/scientific/academic context?
Strengths: …………………………………………………………………………………………….
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Weaknesses: ………………………………………………………………………………………..
…………………………………………………………………………………………………………
e) Please rate the applicant in comparison to his/her peers
Criteria for Assessment
Top 5%
Top 10%
Average
50%
Below
Average 50%
Intrinsic intellectual ability
Creativity and originality
FORM AC B1
Breadth of general knowledge
Emotional Maturity
Seriousness of purpose
Quality of oral expression
Ability to work with others
Academic performance
Analytical ability
Ability to conduct individual research
f ) What is your overall recommendation of the applicant’s ability to pursue postgraduate
Study
I highly recommend the applicant
I recommend the applicant
I do not recommend the applicant
I recommend with reservation
g) If you w i sh to provide additional information you perceive may be relevant please you
are free to do so in the slot given below or a separate sheet of paper:
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Referee’s Signature: ………………………………………… Date: ……………………………...
Name: ……………………………………………………........ Position: ………………………….
Name of Institution: ………………………………………………………………………………….
Address: ………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Telephone No. at Work: ……………………………… Cell Phone No: …………………………
Official Stamp here
To guarantee confidentiality, it would be appreciated if you would issue this reference under sealed envelope addressed to Academic Office at MU. The Sealed envelope must be posted together with the completed form.
FORM AC B1
REFERENCE FORM II (P R O F E S S I O N A L)
Mulungushi University Research & Postgraduate
Studies FOR APPLICANT’S USE
Name of Applicant: .........................................................................................................................
Degree Programme Applied For: MSc MA MBA PhD
Name of Programme: ……………………………………………………………………………
………...... Mode of Study: Full Time Distance
School / Institute of
Programme…………………………………………………………………………………
Date of Commencement o f Programme: ……………………………………………………………………....
FORM AC B1
FOR REFEREE’S USE
The above candidate is applying to Mulungushi University for admission to postgraduate s t u d y . It
would be of significant assistance to the University in considering his or her application if you would
kindly complete this form or attach a reference addressing the questions below.
a) For how long and in what capacity have you known the applicant?
......................................……………………………………………………………………………
………………………………………………………………………………………………………......
…………………………………………………………………………………………………………
b) What is your assessment of the intellectual ability of the applicant?
………………………….……………………………………………………………………………… …………………………………………………………………………………………………………..
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
c) What is your assessment of the applicant’s academic potential and ability to handle a
graduate study programme and advanced research
work………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
d) What are the applicant’s main strengths and weaknesses in a
professional/scientific/academic context?
Strengths: …………………………………………………………………………………………….
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Weaknesses: ………………………………………………………………………………………..
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
e) Please rate the applicant in comparison to his/her peers
Criteria for Assessment
Top 5%
Top 10%
Average
50%
Below
Average 50%
Intrinsic intellectual ability
Creativity and originality
Breadth of general knowledge
FORM AC B1
Emotional Maturity
Seriousness of purpose
Quality of oral expression
Ability to work with others
Academic performance
Analytical ability
Ability to conduct individual research
f) What is your overall recommendation of the applicant’s ability to pursue
postgraduate study?
I highly recommend the applicant
I recommend the applicant
I do not recommend the applicant
I recommend with reservation
g) If you wi sh to provide additional information you perceive may be relevant please you
are free to do so in the slot given below or a separate sheet of paper:
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Referee’s Signature: ………………………………………… Date: ……………………………...
Name: ……………………………………………………........ Position: ………………………….
Name of Institution: ………………………………………………………………………………….
Address: ………………………………………………………………………………………………
…………………………………………………………………………………………………………
Telephone No. at Work: ……………………………… Cell Phone No: …………………………
Official Stamp here
To guarantee confidentiality, it would be appreciated if you would issue this reference under sealed envelope
addressed to Academic Office at MU. The Sealed envelope must be posted together with the completed form
FORM AC B1