Sacred Heart CollegeJunior College Division

Application for Admission

All applicants must complete the application form andsend it along with the necessary documents to reach TheAssistant Dean, Sacred Heart Junior College, P.O. Box163, San Ignacio, Cayo no later than May 2nd 2003.

Application Requirements

1. $20 non-refundable Fee ($40 Late).2. Two(2) official high school transcripts.3. Copy of Diploma4. Two completed recommendation forms (included

in the application booklet)5. A brief personal statement(space provided in the

application booklet).

SACRED HEART COLLEGEJUNIOR COLLEGE DIVISION

APPLICATION FOR ADMISSION(PLEASE PRINT OR TYPE ALL INFORMATION)

SECTION I : PERSONAL DATA

NAME:______________________________________________________

LAST FIRST MIDDLE

HOME ADDRESS:____________________________________________________________________

STREET CITY/TOWN DISTRICT

MAILING ADDRESS:_________________________________________________________________(if different from above)

Home Phone: ______________ Fax: _______________ E-Mail:_____________________

DATE OF BIRTH: ______/ _____/ _____ AGE: _______ PLACE OF BIRTH: ________

Mth day year

CITIZENSHIP: PLEASE TICK ONEBelizean National ڤ Permanent Resident ڤ Other ڤ Specify: ________________

Male ڤ Female ڤ

(Optional: For Statistical purposes only)Marital Status _____________ Religion: Catholic ______ Other (Please specify) ___________

Are you suffering from any ailment? Yes ____ No _____ If “yes” pleasespecify:

SECTION II: PARENTAL DATA OR CONTACT PERSONA Parent/Guardian’s/_______________________

Name _____________________ Living _________ Deceased _________

Relation _____________Address

_________________________________________________________

Number Street City/Town DistrictPhone

Employer: _____________________ Job/Title __________________

REPORT CARDS/REFUND (if any) mailed to:

Name: __________________________________________________________

Address: __________________________________________________________Number Street City/Town District Phone

SECTION III: EDUCATIONAL BACKGROUNDHigh Schools Attended Years of attendance Date of Graduation

_________________________ __________________ _______________________________________ __________________ _______________________________________ __________________ _______________________________________ __________________ ______________

What course of studies did you pursue in secondary school?_______________________

List below the Examinations you plan to take this year or have taken. Use G forGeneral Proficiency and B for Basic

Exam Subject Proficiency Exam SubjectProficiency

________ ____________ _________ _____ __________ _________________ ____________ _________ _____ __________ _________________ ____________ _________ _____ __________ _________________ ____________ _________ _____ __________ _________FOR TRANSFER STUDENTS ONLY

Institution Award Years of Attendance Date of Attendance

______________ ________________ ________________

(note: transfer students need to submit transcript of grades received at last schoolattended)

Section IV: PLAN OF STUDY

Do you intend to register as Full Time __________ Part-time ______ student?(Full time - 12 – 18 credits; Part –time 6 – 9 credits)A student who chooses to register as Part Time may take a minimum of Two courses (6credits) and a maximum of three credits (9 credits).

Please indicate how many credits you plan to take if you register for Part Time _______

SECTION V: PROGRAM OPTIONS

STUDENTS APPLYING TO CERTAIN PROGRAMS NEED TO SATISFYSPECIFIC REQUIREMENTS. THE SCHOOL HAS THE RIGHT TO DENYSTUDENTS ACCEPTANCE IF THEY DO NOT SATISFY THESEREQUIREMENTS.

MAJOR REQUIRED COURSESComputer Studies Computer Gen./Tech CXCEnvironmental Science Biology or Integrated ScienceBiology Biology 2 yrs

Please indicate your choice of MAJOR by placing a tick in the appropriate box.

COMPUTER STUDIES ڤ

SCIENCE

MajorsEnvironmental Science ڤ

Biology �

BUSINESS STUDIES

MAJORSMarketing ڤ

International Business ڤ

TOURISM

MAJORTourism Management ڤ

GENERAL STUDIES ڤ

SECTION VI: APPLICATION FEE AND SIGNATURE

Enclosed is my application fee of $20.00 or check payable to Sacred HeartCollege for that amount. I understand that this application fee is non-refundable.My signature below indicates: (1) that all the information contained in my application iscomplete, factually correct, and honestly presented; and that my admission andsubsequent registration may be canceled if this information is found to be false orintentionally omitted. (2) By signing this application, I agree to abide by the policies andregulations of the college.

Signature: _________________________ Date: _____________

PERSONAL STATEMENT

Please include a short statement explaining why you wish to study at Sacred HeartJunior College. The statement can be either typed or neatly handwritten. You may usethe space provided below or attach a separate page. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PRINCIPAL/TEACHER RECOMMENDATION FORM

GENERAL INSTRUCTIONSThe student should complete Section I and submit the form to the school’s principal or ateacher. After completing Section II, the principal or student should forward the form tothe Assistant Dean, Sacred Heart Junior College, P.O. Box 163, Joseph Andrew’s Drive,San Ignacio.

SECTION I (to be completed by student)Please Print or TypeName ____________________________________________________________

Last First Middle

Home Address______________________________________________________

Number Street City/Town DistrictHighSchool ______________________________ Principal/Teacher_______________

SECTION II (to be completed by the Principal or Teacher)Please comment on the following items with reference to the student’s ability andcharacter. Attach additional pages if more space is needed. (A recommendation lettermay replace Section II)

ACADEMIC ABILITY________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PERSONAL CHARACTER

Is the academic record of the student an accurate indication of the student’s ability?YES__ NO _____.

If not, please describe the circumstances.In the light of the student’s academic ability and personal character, I1. Recommend Enthusiastically _____ 4. Recommend without Enthusiasm _____2. Recommend strongly ______ 5. Do not recommend _____3. Recommend _____

Signature: _______________________ Date: ________________________

PRESENT EMPLOYER/PRINCIPAL RECOMMENDATION FORM

GENERAL INSTRUCTIONSThe student should complete Section I and submit the form to the school’s principal orpresent employer. After completing Section II, the principal or present employer shouldforward the form to the Assistant Dean, Sacred Heart Junior College, P.O. Box 163,Joseph Andrew’s Drive, San Ignacio.

SECTION I (to be completed by student)Please Print or TypeName____________________________________________________________

Last First MiddleHome Address______________________________________________________

Number Street City/Town DistrictHighSchool _________________________ Principal/Present Employer*____________

SECTION II (to be completed by the Principal or Present Employer*)Please comment on the following items with reference to the student’s ability andcharacter. Attach additional pages if more space is needed. (A recommendation lettermay replace Section II).

ACADEMIC ABILITY/SKILLS /APTITUDE________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PERSONAL CHARACTER

Is the academic record of the student an accurate indication of the student’s ability?YES__ No _____.

If not, please describe the circumstances.In the light of the student’s academic ability and personal character, I1. Recommend Enthusiastically _____ 4. Recommend without Enthusiasm _____2. Recommend strongly ______ 5. Do not recommend _____3. Recommend _____

Signature: _______________________ Date: ________________________* Present employer may be defined as an immediate supervisor.