ST. FRANCIS SCHOOL OF HEALTH Application no:...………..
CH SCIENCES
OOL OF HEA
L
Attach your
S
TH
IS
ST. FRANC
SC
“Pro Gentibus Sapientia” most recent
IENCES
P.o Box 111 Mukono passport size
Tel: +256 753 309268 | +256 772 309268 | 0392 158476 photograph
SFR ASH Licensed by Ministry of Education & Sports, NCHE and accredited by
Ministry of Health through Allied Health Professionals Council (AHPC) & UAHEB
APPLICATION FOR ADMISSION
NOTE:
(i) Copies of both ‘0’ level and ‘A’ level result slips/Certificate, and other qualifications should
be attached to this form.
(ii) Candidates selected for any programme of study will be required to present Original certificates at
the time of registration.
(iii) It is essential that you complete all relevant sections of this form. This will ensure efficient processing of
your application. Complete the form in BLUE or BLACK ink. Please use CAPITAL letters.
(iv) For the available courses, admission requirements and course duration, please refer to the back of this
application.
CHOICE OF INTAKE (Indicate if May or September Intake) | ACADEMIC YEAR (Indicate below)
SECTION 1A: APPLICANT’S PERSONAL INFORMATION
Name Surname:
Other names:
Gender:
Date of Birth: DD : MM: YR:
Nationality:
Country of residence:
District of birth: County: Sub-county:
District of residence:
Marital Status: No. of Children (if any):
SECTION 1B: APPLICANT’S CONTACT
Postal address P.o Box:
Mobile:
E-mail:
www.sfrash.ac.ug St.Francis School of Health Sciences - SFRASH
SECTION 1C: DISABILITY
Do you have any disability? Yes No If yes, state the type of disability.
Chronic illness
Physical Disability
Impairment (Hearing, Speaking, Seeing, etc)
Others
SECTION 1D: PARENT / GUARDIAN’S INFORMATION
Name:
Nationality:
Place of Residence:
Your relationship with the guardian:
Mobile:
E-mail:
SECTION 2A: ACADEMIC AND PROFESSIONAL PERFORMANCE
List the education institutions (colleges & secondary schools) you attended, beginning with the latest and
attach photostat copies of relevsnt certificates.
Name of Institution From To Award
1.
2.
3.
SECTION 2B: SOURCE OF INFORMATION
How did you learn about St. Francis School of Health Sciences, and the programme (s) you are applying for?
Print advertisement Internet search (our website)
Radio/ TV advertisement Social media
Student / Alumni Other (state here)
www.sfrash.ac.ug St.Francis School of Health Sciences - SFRASH
SECTION 2C: CHOICE OF PROGRAMME
Indicate your preference, specifying whether for Day, Evening, Weekend or Inservice. Note: Some programmes
are offered ONLY as Day programmes, please inquire before you indicate.
DIPLOMA COURSES Day | Evening | Weekend Inservice
1st Choice
2nd Choice
CERTIFICATE COURSES Day | Evening | Weekend Inservice
1st Choice
2nd Choice
interest/ future job responsibilities
SECTION 2D: SPONSORSHIP
Name of sponsor:
Nationality:
Place of Residence:
Your relationship with sponsor:
Mobile:
E-mail:
SECTION 3: DECLARATION
I certify that to the best of my knowledge, the information given above on this form is true.
Signature of applicant: Date:
Please, return the fully completed application form to:
The Admissions Office
St. Francis School of Health Sciences
P.o Box 111 Mukono
www.sfrash.ac.ug St.Francis School of Health Sciences - SFRASH
DIPLOMA COURSES FOR MAY & SEPT. INTAKE
Course Admission requirements Duration No. of Semesters
Diploma in Medical - O’ level with atleast 5 passes 2 years 4
Records Management - A’ level with atleast one
& Informatics principal pass in any subject &
two subsidiary passes.
Diploma in Public Health - O’ level with atleast 5 passes 2 years 4
- A’ level with atleast one principal
pass & two subsidiaries in science subjects.
Diploma in Biomedical - O’ level with atleast 5 passes 2 years 4
Engineering - A’ level with atleast one principal
pass in Physics & two subsidiary passes
in any science subjects preferably
Biology.
Diploma in Health - O’ level with atleast 5 passes 2 years 4
Counselling & Social Care - A’ level with atleast one principal
pass in any subject & two subsidiary
passes.
Diploma in Clinical Medicine - Principal pass in Biology and a 3 years 6
and Community Health subsidiary pass in Chemistry plus a
subsidiary pass in any science subject.
Diploma in Medical - O’ level with atleast 5 passes 3 years 6
Laboratory Technology - A’ level with atleast one principal
pass in Biology or Chemistry & two
subsidiary passes in any science subjects
Diploma in Clinical & - O’ level atleast 5 passes 3 years 6
Community Nutrition - A level Principal pass in Biology or Food
& Nutritionand any two subsidiaries in
sciences subjects.
Diploma in Pharmacy -O’ Level with atleast a 5 passes 3 years 6
-A’ level with a principal pass in Biology
or Chemistry and two subsidiary passes
in any science subjects
Diploma in Health care - Any qualification in any Medical 2 years 4
Management & Leadership field with a minimum certificate
CERTIFICATE COURSES
Course Admission requirements Duration No. of Semesters
Certificate in Medical - O’ level with atleast 5 passes 2 years 4
Laboratory Techniques including Maths, English, Physics,
Biology, Chemistry.
Certificate in Medical - O’ level with atleast 5 passes 2 years 4
Records & Health Informatics including Maths and English.
INSERVICE COURSES
Course Duration
Diploma in Health Promotion & Education 2 years 4
Diploma in Medical Records & Health Informatics 2 years 4
Diploma in Health care Mgt & Leadership 2 years 4
www.sfrash.ac.ug St.Francis School of Health Sciences - SFRASH
