Admission Form - NAFTI Degree Programs 2015/2016

 NATIONAL FILM AND TELEVISION INSTITUTE
(NAFTI) Accra, Ghana.
APPLICATION FORM FOR ADMISSION TO REGULAR DEGREE
PROGRAMMES FOR ACADEMIC YEAR BEGINNING
______/_________/________ PRINT IN BLOCK LETTERS
1. Full name……………………………………………………………..
(Surname)
……………………………………………………………………………………………………………………………… (Other Names)
2. Current Mailing Address……………………………………………..
Attach Passport size
Photograph here
………………………………………………………………………..
Home Telephone………………………………….Mobile………………………………………………….
Office Telephone………………………………….E-Mail………………………………………………….
3. Date of Birth………………………………………Place of Birth………………………………………….
(Day
Month
Year)
4. Nationality…………………………….Gender (Male /Female)……………Marital Status…………………..
5. Name and Address of Guardian/Sponsor……………………………………………………………………
……………………………………………………………………………………………………………….
Telephone (Home)………………………..(Office)……………………….(Mobile)……………………….
Fax…………………………………………..E-Mail………………………………………………………..
6. Name and Address of Educational Institutions attended with Certificates obtained.
No Name and Address
Year
From
To
Certificate Obtained
Other Professional Courses:
(iv)
(v)
1 7. Pease tick the appropriate entry option:
MATURE STUDENT
WASSCE
SSSCE
GCE
8. Indicate WASSCE/SSSCE, GCE ‘O’ and ‘A’ Level grades abtained in each attempt in their respective
columns.
WASSCE / SSSCE
Grades
‘O’ Level Grades
‘A’ Level Grades
Subject
1st
2nd
3rd
1st
2nd
3rd
1st
2nd
3rd
9. Details of Experience in the Media. (e.g. Theatre, Film and Television)
……………………………………………………………………………………………………………........
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
10. Other relevant skills including your leisure activities
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
2 11. PROGRAMME REFERENCE
Please tick to indicate the Programme in which you would like to specialize:
Film Directing
Editing
Television Production
Art Direction
Motion Picture Photography
Animation
Film Sound Production
12. STATEMENT OF INTENTION: Briefly indicate why you are applying for this programme and what
you hope to achieve at the end of it.
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
…………………………………………………………………………………………………………….
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…………………………………………………………………………………………………………….
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13. Supporting Materials: List below all Certificates (photocopies only), photographs, paintings, drawings,
scripts, films or videos that you are sending with this application.
1…………………………………………
2………………………………………….
3…………………………………………
4………………………………………….
5…………………………………………
6………………………………………….
7…………………………………………
8………………………………………….
9…………………………………………
10………………………………………...
14. How do you intend to finance your studies at NAFTI?..............................................................................
•
Attach a letter of Financial Support from your Sponsor.
3 15. Name three Referees (one of which may be Head of your school).
No
NAME
ADDRESS
OCCUPATION
1. 2.
3.
16. Language Proficiency (Proficiency in English is a requirement). Please state whether you have a fluent,
average or limited knowledge.
Language
English
Reading
Writing
Speaking
FOR FOREIGN STUDENTS ONLY
17. State currency in which your fees will be paid (US. Dollars, French Francs, Euros, Pound Sterling) etc:
…………………………………………………………………………
DECLARATION
18.
I certify that the information given in this form and the accompanying materials are complete and
accurate to the best of my knowledge. I understand that any misrepresentation will render my
application null and void. I accept NAFTI’s right to reject applications at any stage without giving
specific reasons and I understand that the decision of NAFTI to reject an application is final.
………………………………………
………………………………………..
Date
Signature of Applicant
19.
FOR OFFICIAL USE ONLY
Qualification Vetted by :
Application Fee:
Name
Receipt No:
Signature :
Date :
Date
:
:
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