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<h4>Enrolment Information</h4>
		<div class="form-group tr_source_1">
			<div class="col-md-3"><label for="preferred_semester_enrolment" class="required">Preferred Semester: </label></div>
			<div class="col-md-3">
				<select name="enrolment_information[preferred_semester_enrolment]" id="preferred_semester_enrolment" class="required form-control noshow_req" required >
					<option value="">- Select -</option>
					<option>Spring (January)</option>
					<option>Summer (May)</option>
					<option>Fall (September)</option> 
				</select>
			</div>
 
			<div class="col-md-3"><label for="field_detail_604" class="required">Year of enrolment:</label></div>
			<div class="col-md-3">
			<select name="enrolment_information[year_enrolment]" id="field_detail_604" class="required form-control noshow_req" required >
			<option value="">- Year -</option>
			<option>2024</option><option>2025</option><option>2026</option><option>2027</option><option>2028</option>			</select>
			</div>
		</div>
		<input type="hidden" name="enrolment_information[concentration_minor]" id="field_detail_607" value="-">
		<br/>

<p><strong>Undergraduate Applicants</strong><br />Have you provided the following?</p>
		<ul>
			
			<li>Complete and signed application form (please observe deadlines below)</li>
			<li>Originals and a copy of all transcripts, diplomas, & certificates (N.B. originals will be returned)</li>
			<li>One (1) recent passport size photograph (write your name on reverse side)</li>
			<li>Copy of National Identity Card or Birth Certificate</li>
			<li>School Leaving Certificate</li>
		</ul>
		<p><strong>Graduate Applicants</strong><br />
		Have you provided the following?</p>
		<ul>
			
			<li>Complete and signed application form (please observe deadlines below)</li>
			<li>Original and copy of the degree certificate and transcripts for each college or professional school previously attended. (Transcripts should indicate when the degree was granted alongside syllabi of any college work taken to date)</li>
			<li>Originals and a copy of all supportive documents</li>
			<li>A two page essay addressing these two topics:</li>
			<li>(1) What experiences led you to select your professional objectives</li>
			<li>(2) What other two factors would you like to be considered in evaluating your application</li>
			<li>A curriculum vitae/resume</li>
			<li>Two letters of recommendation (forms enclosed)</li>
			<li>One (1) recent passport size photograph (write your name on reverse side)</li>
			<li>Copy of National Identity Card or Birth Certificate</li>
		</ul>
		
		<div class="checklist_international"><p><strong>International Students</strong><br />
		Have you provided the following additional items?</p>
		<ul>
			<li>An official translation of academic records (where applicable)</li>
			<li>An official test of English (TOEFL) or equivalent</li>
			<li>A current financial guarantee letter</li>
			<li>Completed Pupil’s Pass form</li>
			<li>Two (2) recent passport size photographs (write your names on reverse side)</li>
			<li>Pupil Pass processing fee of KES. 5000 - No cash payment (applicable to Non-East Africans)</li>
			<li>Applicant’s copy of National passport</li>
			<li>Sponsor’s copy of National passport</li>
			<li>Certificate of Good Conduct</li>
		</ul><br/>
		</div>

<p><strong>Have you provided the following?</strong></p>
		<ul>
			<li>Complete (and signed) application form (<strong>please observe deadlines</strong>)</li>
			<li>Non-refundable application fee (KES. 3000 or US$ 50) - No cash payment <br>
				<strong><em>See Bank account details <a href="387/wire-transfer-bank-deposit" target="_blank">here</a></em>.</strong>
			</li>    
			<li>Official/Original and copies of all Degree Certificates and accompanying transcripts as attained  (<strong><u>originals will be returned</u></strong>)</li>
			<li>Your updated curriculum vitae/resume</li>
			<li>One (1) recent passport size photograph (<u>write your name on reverse side</u>)</li>
			<li>Copy of National Identity Card or Birth Certificate or National Passport</li>
		</ul>
		
		<div class="checklist_international"><p><strong>International Students</strong><br />
		Have you provided the following additional items?</p>
		<ul>
			<li>An official translation of academic records (where applicable)</li>
			<li>An official test of English (TOEFL) or equivalent</li>
			<li>A current financial guarantee letter</li>
			<li>Completed Pupil’s Pass form</li>
			<li>Two (2) recent passport size photographs (write your names on reverse side)</li>
			<li>Pupil Pass processing fee of KES. 5000 - No cash payment (applicable to Non-East Africans)</li>
			<li>Applicant’s copy of National passport</li>
			<li>Sponsor’s copy of National passport</li>
			<li>Certificate of Good Conduct</li>
		</ul><br/></div>

<p><strong>Have you provided the following?</strong></p>
		<ul>
			<li>Complete (and signed) application form (<strong>please observe deadlines</strong>)</li>
			<li>Non-refundable application fee (KES. 3000 or US$ 50) - No cash payment <br>
				<strong><em>See Bank account details <a href="387/wire-transfer-bank-deposit" target="_blank">here</a></em>.</strong>
			</li>    
			<li>Official/Original and copies of all Degree Certificates and accompanying transcripts for both the Bachelors and Masters Degrees attained  (<strong><u>originals will be returned</u></strong>)</li>
			<li>Your updated curriculum vitae/resume</li>
			<li>One (1) recent passport size photograph (<u>write your name on reverse side</u>)</li>
			<li>Copy of National Identity Card (ID) or Birth Certificate or National Passport</li>
			<li>A one thousand (1000) words essay outlining your <strong>achievements</strong>, <strong>reasons</strong> for applying to the USIU-Africa DBA program and your <strong>expectations</strong>.</li>
			<li>Two (2) letters of recommendation from current or former lecturer or peers. <strong>(Recommenders must have known the applicant for at least two (2) years)</strong>.</li>
		</ul>
		
		<div class="checklist_international"><p><strong>International Students</strong><br />
		Have you provided the following additional items?</p>
		<ul>
			<li>An official translation of academic records (where applicable)</li>
			<li>An official test of English (TOEFL) or equivalent</li>
			<li>A current financial guarantee letter</li>
			<li>Completed Pupil’s Pass form</li>
			<li>Two (2) recent passport size photographs (write your names on reverse side)</li>
			<li>Pupil Pass processing fee of KES. 5000 - No cash payment (applicable to Non-East Africans)</li>
			<li>Applicant’s copy of National passport</li>
			<li>Sponsor’s copy of National passport</li>
			<li>Certificate of Good Conduct</li>
		</ul><br/></div>

<p><strong>Have you provided the following?</strong></p>
		<ul>
			<li>Complete (and signed) application form (<strong>please observe deadlines</strong>)</li>
			<li>Non-refundable application fee (KES. 3000 or US$ 50) - No cash payment <br>
				<strong><em>See Bank account details <a href="387/wire-transfer-bank-deposit" target="_blank">here</a></em>.</strong>
			</li>    
			<li>Official/Original and copies of all Degree Certificates and accompanying transcripts for both the Bachelors and Masters Degrees attained  (<strong><u>originals will be returned</u></strong>)</li>
			<li>Your updated curriculum vitae/resume</li>
			<li>One (1) recent passport size photograph (<u>write your name on reverse side</u>)</li>
			<li>Copy of National Identity Card (ID) or Birth Certificate or National Passport</li>
			<li>A biographical letter, including your past achievements, and reasons you wish to pursue this degree.</li>
			<li>An academic writing sample in APA style of eight to ten pages with references.</li>
			<li>Three (3) letters of recommendation from current or past supervisor, or former lecturers, or other professionals in the mental health field. <strong>(Recommenders must have known the applicant for at least two (2) years)</strong>.</li>
			<li>Scheduled interview with Psychology faculty after Admissions process.</li>
		</ul>
		
		<div class="checklist_international"><p><strong>International Students</strong><br />
		Have you provided the following additional items?</p>
		<ul>
			<li>An official translation of academic records (where applicable)</li>
			<li>An official test of English (TOEFL) or equivalent</li>
			<li>A current financial guarantee letter</li>
			<li>Completed Pupil’s Pass form</li>
			<li>Two (2) recent passport size photographs (write your names on reverse side)</li>
			<li>Pupil Pass processing fee of KES. 5000 - No cash payment (applicable to Non-East Africans)</li>
			<li>Applicant’s copy of National passport</li>
			<li>Sponsor’s copy of National passport</li>
			<li>Certificate of Good Conduct</li>
		</ul><br/></div>

<p><strong>Have you provided the following?</strong></p>
		<ul>
			<li>Complete (and signed) application form (<strong>please observe deadlines</strong>)</li>
			<li>Non-refundable application fee (KES. 3000 or US$ 50) - No cash payment <br>
				<strong><em>See Bank account details <a href="387/wire-transfer-bank-deposit" target="_blank">here</a></em>.</strong>
			</li>    
			<li>Official/Original and copies of all Degree Certificates and accompanying transcripts for both the Bachelors and Masters Degrees with demonstrated academic excellence at graduate level <em>(minimum GPA of 3.20 on 4.00 point scale under the American system or an equivalent attainment in other grading systems)</em>  (<strong><u>originals will be returned</u></strong>)</li>
			<li>Your updated curriculum vitae/resume</li>
			<li>One (1) recent passport size photograph (<u>write your name on reverse side</u>)</li>
			<li>Copy of National Identity Card (ID) or Birth Certificate or National Passport</li>
			<li>Submission of a mini-PhD research proposal of 4 – 6 pages.</li>
			<li><strong>Added advantage:</strong> Evidence of academic work published by the applicant.</li>
			<li>Relevant work or professional experience.</li>
		</ul>
		
		<div class="checklist_international"><p><strong>International Students</strong><br />
		Have you provided the following additional items?</p>
		<ul>
			<li>An official translation of academic records (where applicable)</li>
			<li>An official test of English (TOEFL) or equivalent</li>
			<li>A current financial guarantee letter</li>
			<li>Completed Pupil’s Pass form</li>
			<li>Two (2) recent passport size photographs (write your names on reverse side)</li>
			<li>Pupil Pass processing fee of KES. 5000 - No cash payment (applicable to Non-East Africans)</li>
			<li>Applicant’s copy of National passport</li>
			<li>Sponsor’s copy of National passport</li>
			<li>Certificate of Good Conduct</li>
		</ul><br/></div>

Online Application Form

Level:

Program/Major:

1

Applicant Name

Prefix:

Mr. Mrs. Ms.

Your Name:

Other Names (if any):

Personal Information

Date of Birth:

Place of Birth:

Citizenship:

Personal Identification No:

Gender:

Female Male Prefer Not to Disclose

Passport Number:

Residency:

East African Resident

NON East African Resident

• Admission Fee for Students residing in East Africa: Ksh. 0

• Admission Fee for Students NOT residing in East Africa: Ksh. 0 + USD 100.00 Pupils Pass

2

Mailing Address

Street Address:

City/Town:

Country:

State/County/Province:

P.O. Box Number:

Zip/Postal:

E-mail:

Cell Phone:

Current Mailing Address

(if different from above)

Street Address:

City/Town:

Country:

State/County/Province:

P.O. Box Number:

Zip/Postal:

3

Next of Kin details

Full Name:

Address:

Town:

Telephone:

Email:

Sponsor’s Details

Full Name:

Address:

Telephone:

E-mail:

4

Previous Enrolment Information

Previously enrolled at USIU-Africa?:

Yes No

Past USIU-Africa Student ID Number?:

Education

#1
Name of School/College/University:
City/State:
Country:
Period Attended Start:
Period Attended End:
Years Spent:
Certificates/Diplomas or Degrees Awarded:

#2
Name of School/College/University:
City/State:
Country:
Period Attended Start:
Period Attended End:
Years Spent:
Certificates/Diplomas or Degrees Awarded:

#3
Name of School/College/University:
City/State:
Country:
Period Attended Start:
Period Attended End:
Years Spent:
Certificates/Diplomas or Degrees Awarded:

#4
Name of School/College/University:
City/State:
Country:
Period Attended Start:
Period Attended End:
Years Spent:
Certificates/Diplomas or Degrees Awarded:

Involvements

Academic Achievements: Please list your academic honors, awards or scholarships

Experience: Please list your community involvement, activities or work experience

Sports participation: Please indicate your sports and clubs participation below

Athletics Basketball Golf Hockey Rugby Soccer Squash Swimming Tennis Tae Kwondo Volleyball

Other sports:

Indicate clubs participation:

5

Statistical Information

Disabilities:

None Hearing Mobility Sight Learning Disability

Other Disability:

College Interests: Please list the first three colleges and universities into which you have applied:

How did you learn about USIU-Africa?:

College Guide Newspaper Television Radio Mail College/High School Fair USIU Website Exhibition Parent Relative USIU-Africa Student USIU-Africa Faculty USIU-Africa Alumnus USIU-Africa Admission Representative Friend School Teacher

Social Media

Other

Relatives who have attended USIU-Africa: Indicate Name, Relationship and Year of Attendance

Have you visited the Campus?:

Yes No

If YES, when?:

Have you met with an USIU-Africa Admissions Representative?:

Yes No

If YES, who?:

Are you Employed?:

Yes No

If Employed, indicate Company Name:

If Employed, indicate Position:

If Employed, indicate Duration:

6

APPLICATION CHECKLIST

Kindly attach the requirements for EAST-AFRICAN CITIZEN listed above under the Checklist items:

To upload multiple files: Press 'CTRL' key then click files

Kindly attach the requirements for INTERNATIONAL APPLICANT listed above under the Checklist items:

To upload multiple files: Press 'CTRL' key then click files

I agree with the Terms and Conditions.

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Online Application Form

1

Applicant Name

Personal Information

2

Mailing Address

Current Mailing Address

3

Next of Kin details

Sponsor’s Details

4

Previous Enrolment Information

Education

#1

#2

#3

#4

Involvements

5

Statistical Information

6

APPLICATION CHECKLIST