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MIAS Logo      Maryknoll Institute of African Studies      MIAS Logo

One Credit Course Application

 

MARYKNOLL INSTITUTE OF AFRICAN STUDIES
OF SAINT MARY'S UNIVERSITY OF MINNESOTA
AND TANGAZA COLLEGE, NAIROBI

PART I – PERSONAL INFORMATION

This part can be filled in on-line or downloaded and filled in by hand. If the latter, please print or type all information.

 

 


EDUCATIONAL BACKGROUND

2) Please list Colleges, Universities, Institutions, Theology Schools attended (undergraduates list schools):

Name of Institution Degree / Diploma Major Field Dates Attended
1.
2.
3.
4.

3) Please give a brief account of any previous study of African (or other non-Western) cultures and religions in school settings or workshops:


PERSONAL BACKGROUND

Date of Birth:

Place of Birth:

Marital Status:

Religious Affiliation:

Citizenship:

Passport #   or ID #

Check One:  Lay Person    Clergy    Religious If you checked "Clergy", year ordained:

1) What is your occupation?

Present: Dates:
Past: Dates:
Future plans: Dates:

2) Briefly describe briefly how you hope to profit from the course?


3) The MIAS programs do not allow AUDITING OF COURSES  UNDER ANY CIRCUMSTANCE
Are you prepared to make the following commitments 

a) working with a field assistant? Yes    No
b) writing a 5 page research/integration essay? Yes    No
c) attending all three classes and three debriefing sessions in the afternoon? Yes    No
d) reading all materials required for the course? Yes    No
e) doing field research? Yes    No

If any of your choices above were NO, please explain here:

4) Would you be interested in applying for a Semester (12 weeks) or Immersion (3 weeks) MIASMU course for updating or for a Master of Arts (MA) or Master of African Studies (MAS) degree program after completing the three day course?          Yes        No

 5) Do you have any special interest in a particular ethnic group of Kenya? (explain):

6) (For non-Africans only) Have you had any previous experience in Africa?    Yes    No

If 'yes' briefly indicate nature of experience, length of time, dates:

 


COPYRIGHT POLICY FOR STUDENT WORKS

Students own and have a copyright interest in all scholarly or educational materials, art works, musical compositions and dramatic and non-dramatic literary works created as a result of participation in the Maryknoll Institute of African Studies of Saint Mary's University of Minnesota/USA and Tangaza University College, Nairobi, Kenya ("student works"). However, a condition of enrollment and participation in the Maryknoll Institute of African Studies of Saint Mary's University of Minnesota/USA and Tangaza University College, Nairobi, Kenya is permission to use students' works for educational purposes, including publication of said works in appropriate journals.


PERSON TO CONTACT IN EMERGENCY

 

STATEMENT OF WAIVER
(for insurance purpose)

I understand that certain risks are inherent in participation in the Maryknoll Institute of African Studies of Saint Mary's University of Minnesota/USA and Tangaza University College, Nairobi, Kenya. I agree to assume those risks. I further agree to hold the Maryknoll Fathers and Brothers, Saint Mary's University of Minnesota/USA and Tangaza University College, Nairobi, Kenya and their representatives harmless of any and all liability that may arise in connection with participation in the Maryknoll Institute of African Studies three-day course.

(Your Signature): ___________________________________________

(Date): __________________________________________________

 


ADDRESS FOR MAIL, E-MAIL or FAX:

Maryknoll Institute of African Studies 
P.O. Box 15199, 00509, Lang'ata
Nairobi, Kenya
E-mail: miasmu@tangaza.org   
PH (254-732) 818-917
FAX (254-726) 818-917