Application for the 2018/2019 Programs

MARYKNOLL INSTITUTE OF AFRICAN STUDIES OF ST. MARY’S UNIVERSITY OF MINNESOTA
AND TANGAZA UNIVERSITY 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.

Full Name:

Address:

City:

State/Province/Region:

Country:

Telephone:

Fax: (optional)

E-mail:

EDUCATIONAL BACKGROUND

1) Academic Level:

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.

ATTN.: You must have a copy of the transcript of your grades sent to the Maryknoll Institute of African Studies,
Box 15199 Lang’ata, 00509, Kenya. The transcript can be enclosed with the documents mailed with Part III of the application forms.

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 MIAS program?

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) riding the local transportation system?	Yes No
c) visiting overnight the rural home of a field assistant?	Yes No
d) writing a 15 page research/integration paper per course?	Yes No
e) attending all classes?	Yes No
f) reading all materials required for the courses?	Yes No
g) putting aside non-essential medical and vacational needs?	Yes No
h) bypassing tourist places and sites?	Yes No
i) doing field research in all parts of Nairobi including squatter’s camps?	Yes No
j) (For non-Africans) living in an African environment?	Yes No

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

4) Would you be interested in applying for the Master (MA/MAS) degree program after completing two or more courses? Yes No

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

6) Do you need assistance with accommodations in Nairobi? Yes No

If YES, what is your preference:

7) (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

Full Name:

Full Address:

Telephone:

Fax: (optional)

E-Mail:

ADDRESSES FOR PERMANENT FILE

1) FUTURE ADDRESS (IF DIFFERENT THAN CURRENT ADDRESS)

Name of Institution:

P.O. Box / Street Address:

City:

State/Province/Region:

Zip Code:

Country:

Telephone:

Fax: (optional)

E-Mail:

2) NAME, ADDRESS, PHONE NUMBER, FAX & E-MAIL of parents or nearest living relative:

3) Religious Superior (if applicable):

Name:

Religious Community:

Full Address:

Telephone:

DEADLINE FOR FORMAL APPLICATION TO THE 2016/2017 PROGRAMS

August 15, 2018 — September 7 – November 30, 2018 Semester program.

Dec 15, 2018 —Jan 18 – April 12, 2019 Semester program.

May 1, 2019 —May 14 – June 5, 2019 First Immersion program.

June 1, 2019 — June 11 – July 3, 2019 Second Immersion program.

August 15, 2019 — September 8 – December 1, 2019 Semester program.

ADDRESS FOR MAIL, E-MAIL or FAX:

Michael C. Kirwen
Director, MIASMU
Box 15199 Lang’ata, 00509, Kenya

E-mail: miasmu@tangaza.org
PH +254 (0) 20 806 7667 Ext. 329, 333, 319
Mobile Phone: +254 (0) 732 818 917/ +254 (0) 726 818 917

CURRICULUM VITAE FOR PROGRAM DIRECTORY

(Write two short paragraphs)

CHECK LIST:

APPLICATION FORMS

_____ Part I – Personal Information (Submitted on-line or mailed)

_____ Part II – Pre-registration (Submitted on-line or mailed)

_____ Part III – Documents (mailed to MIAS Directly):

_____ a) TRANSCRIPTS OF GRADES

_____ b) FIRST LETTER OF RECOMMENDATION

_____ c) SECOND LETTER OF RECOMMENDATION

_____ d) DOCTOR’S RECOMMENDATION (if not resident of Africa)

_____ e) TWO PASSPORT SIZE PHOTOS

_____ f) STATEMENT OF WAIVER (Insurance)

_____ g) TUITION DOWN PAYMENT OF:

Semester programs TUITION DOWN PAYMENT

-All Citizens and Residents of Africa: Ksh. 17,250 (US$ 238) per course.
-Foreign students from overseas: US$ 475 per course.

Immersion programs TUITION DOWN PAYMENT:
-All Citizens and Residents of Africa: Ksh. 18,750 (US$270) per course.
-Foreign students from overseas: US$ 540 per course.

[ MAKE ALL KENYA SHILLINGS CHECKS PAYABLE TO: MARYKNOLL INSTITUTE OF AFRICAN STUDIES. FOR USD AND EUROS SEND BY WIRE TRANSFER TO: MIAS PUBLICATIONS USD A/C OR MIAS PUBLICATIONS EUR A/C. WRITE FOR WIRE TRANSFER ADDRESS]