FREETOWN TEACHERS COLLEGE

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FREETOWN TEACHERS COLLEGE

(Motto: Sincerity in Service)

DISTANCE EDUCATION PROGRAMME

TEACHERS CERTIFICATE (T.C) Distance

ADMISSION APPLICATION FORM

ACADEMIC YEAR

Cost of Form Le 250,000

Centre Location____________________________

1. Name of Applicant

_______________________

Surname

_____________

First Name

_____________

Middle Name

2. Address: _______________________________________________________________

Mobile Number___________________________ Email: __________________________

3. Chiefdom:_______________________________________District____________________

4. Age_________________ Date of Birth:__________

_________

Day

5. Sex: Male

__________

Month

Year

Female

6. Religion: Christianity

Islam

7. Marital Status: Married

Other (Specify) _____________________

Single

Divorced

8. If married, will your spouse allow you to pursue the course?

Widowed

Yes

No

9. Number of children _________

10. Educational background:

Name of Primary School_____________________________________________________

Name of Secondary School:

(Junior):____________________________________(Senior)________________________

11. What class/form did you stop in school:______________________

12. Which year did you complete or leave school______________________

Please pay Form fees to: Freetown Teachers College Account No. 003001109873100116 Sierra Leone

Commercial Bank

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13. Name of school you are presently teaching

_________________________________________________________________________

_

Address:

__________________________________________________________________

14. Name of present Head Teacher/Principal:

________________________________________

15. Will you inform your Head Teacher/Principal that you are applying to pursue a course?

Yes__________ No ___________

16. The Course is for 3 years minimum and a maximum of 6 years. How long do you want to

do the course________________

17. If you are in Freetown, you will be required to attend meeting sessions with course

tutors/lecturers on Saturdays from 9:00 am to 5:00 pm and on other days or during the

holiday from 2:30 pm to *:30 pm. Will you have time for these meetings every week?

Yes _________

No ____________

18. Can you afford to pay for all your College charges for your course? Yes ____ No_____

19. if no, in question 18, who will sponsor your course?

Please name your sponsor:__________________________________________________

Mobile number of your Sponsor______________________________________________

SUBJECTS OFFERED

I.

II.

III.

IV.

V.

VI.

VII.

VIII.

IX.

X.

XI.

XII.

Language Arts

Mathematics

Environmental Science

Pre-Vocational Studies (Home Economics & Agriculture)

Practical and Performing Arts

Physical Health Education

Social Studies

Religious Moral Education

French

Sierra Leonean Languages (select either Krio or Themne)

Education

Community Development Studies (CDS)

Please pay Form fees to: Freetown Teachers College Account No. 003001109873100116 Sierra Leone

Commercial Bank

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XIII.

XIV.

Emerging Issues (EMI)

Nursery Education

OPTIONS FOR FINAL YEAR STUDENTS ¨C (Choose ONE of the Following subjects below)

1. PHYSICAL HEALTH EDUCATION

2. RELIGIOUS MORAL EDUCATION

3. FRENCH

Signature of Applicant ___________________________date__________________

TO BE FILLED BY YOUR SPONSOR

This is to certify that I_____________________________________________________ will

Sponsor _____________________________________ for three years of his/her course.

Mobile _________________ Email ___________________________________________

Signature of Sponsor _____________________________Date______________________

Witness;_____________________________________________Date_________________

CERTIFICATION

(This is to be completed by the Head of Institution or employer)

Name of Institution or Organization ____________________________________________

Name of person certifying _______________________________position or Rank _______

I certified that Mr/Mrs/Miss ___________________________________________________

Has been employed in this educational institution and has been personally known to me for

a period of _____________years and that to the best of my knowledge and belief the

particulars given in this form are correct.

Mobile ______________________ Email ______________________________________

Signature__________________________________ Date ____________________Please pay Form fees to: Freetown Teachers College Account No. 003001109873100116 Sierra Leone

Commercial Bank

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For Official Use ONLY

Date application received __________________________

Accepted___________________ Not Accepted _______________________

Signature of Registrar or his/her designee ___________________________________

Date___________________

Please pay Form fees to: Freetown Teachers College Account No. 003001109873100116 Sierra Leone

Commercial Bank

Page 4

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