APPLICATION
INSTRUCTION SHEET
Bachelor’s Degree, Associate Degree, Diploma and Certificate programmes
Please read instructions before proceeding.
1)Please complete all sections using BLOCK LETTERS. A completed application form will ensure that your application is processed in the shortest time possible. Methods of application include:
a. Online application
b. Printed application
2)This form should be returned to any NCU campus.
3)Upon your acceptance you will be required to do a medical assessment in order to complete your registration. Nursing students are required to do the medical before acceptance is granted. The forms can be accessed through the admissions department or online at http://www.ncu.edu.jm/applicationform. These forms are to be submitted directly to the department of Health Services.
4)Submit the following documents along with your application:
●Birth certificate
●TRN (REQUIRED FOR ALL STUDENTS). International students will be facilitated to apply for their TRN through the Office of International Students Services.
●OEC (Overseas Examination Commission) Transcript which can be acquired from your institutions.
●2 certified passport sized photographs.
●Proof of payment of application fee: Jamaican students JA$1000, CARICOM students US$ 30.00, International students US$55. You may choose to make the payment through any of the following:
a)Any paymaster location to ac# 1115166171
b)NCU Cashier
c)Wire transfer through any financial institution
(wire information required; Name of bank national Commercial, Bank Name on account Northern Caribbean University, A\C # 504255158, routing number JNCB JMK X 077 050, branch 6 Perth Rd. Mandeville, Manchester, Jamaica.
If you are applying online, this fee can be paid using your credit card in the application portal.
●CSEC/CAPE/BGSCS/GCE results.
●SAT or ACT results
●Other Examination Certificates (include score report).
5)Students under the age of eighteen (18) years are required to live on campus. Such students will enter a fixed term license agreement. International students under twenty- one (21) years old and within first year are also required to live on campus.
6)References used in Section C can be a Notary Public (Justices of the Peace, Minister of Religion, Guidance Counsellor, School Principal, Member of Parliament).
admissions@ncu.edu.jm | (876) 963-7157 or (876) 963-7250 | www.ncu.edu.jm
APPLICATION FORM
Bachelor’s Degree, Associate Degree, Diploma and Certificate Programmes
SECTION A
TRN/SSN/NIB
Have you previously been accepted as a student at NCU? ☐ Yes |
☐ No |
If yes, indicate ID# _________________________ and year of acceptance ______________ |
Personal Information
Last Name: |
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First Name: |
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Middle Name: |
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Maiden Name: |
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Date of Birth: DD/MM/YY |
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Age: |
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Gender: ⬜ M |
☐ F |
Title: ☐ Mr. ☐ Mrs. ☐ Miss |
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Religion: ☐ Christianity |
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Denomination: |
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Other ☐ Please Specify |
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Country of Birth: |
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Country of Residence: |
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Do you have any disability? |
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If yes, please indicate: ⬜ Visual |
☐ Physical |
⬜ Aural |
⬜ Yes ☐ No |
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☐ Other ___________________________________________________________________ |
Does your disability require |
accommodation? ⬜ Yes ☐ No |
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Contact Details |
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Telephone: |
Home: |
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Mobile: |
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Email: |
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Home Address |
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Personal Address |
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District/Town/City: |
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District/Town/City: |
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Parish/State/Province: |
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Parish/State/Province: |
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Emergency Contact Information |
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Last Name: |
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First Name: |
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Middle Name: |
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Relation: |
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Telephone: |
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Email: |
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Home Address |
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District/Town/City: |
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Parish/State/Province: |
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Country: |
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admissions@ncu.edu.jm | (876) 963-7157 or (876) 963-7250 | www.ncu.edu.jm
References
First Name:
Last Name:
Title:
Job Title:
Address:
Telephone:
Email:
Housing Information
Do you require on campus housing? ☐ Yes ☐ No
If no, please indicate your address while attending NCU
District/Town/City:
Parish/State/Province:
Country:
SECTION B
Programme of Interest
(Not all programmes are offered on all campuses please contact the office of Recruitment and Admissions for details).
Level: ☐ BA ☐ BSc ☐ BSW ☐ AA ☐ ASc ☐ Diploma ☐ Certificate
Programme of Study (Option 1): __________________________________________________
Programme of Study (Option 2): __________________________________________________
Entry Term: ☐ Fall |
☐ Spring |
Year: ______________________________ |
Campus and Modality |
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☐ Main Campus (Mandeville) |
☐ Western Regional Campus (Runaway Bay/Montego Bay) |
☐ Eastern Regional Campus (Kingston) |
☐ Online Campus |
☐ Day School |
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☐ Evening School |
recruitment@ncu.edu.jm | (876) 963-7157 or (876) 963-7254 | www.ncu.edu.jm
SECTION C
Educational Background/Qualifications
List all CSEC/CAPE/GCSE/BGSCE/WAEC passes or SAT scores. Indicate if results are pending.
List the educational Institutions you have attended beginning with the most recent.
admissions@ncu.edu.jm | (876) 963-7157 or (876) 963-7250 | www.ncu.edu.jm
Is English your first language? ☐ Yes ☐ No
If no, please state your native language ____________________________________________
Have you taken any English Proficiency Examination? ☐ Yes ☐ No
If yes, please state the name of examination ________________________________________
Date of Examination: ________________________ Examination Score: _________________
How did you first obtain information about Northern Caribbean University?
☐ NCU Alumni |
☐ Direct Mail |
☐ Employer |
☐ Internet |
☐ Radio Ad |
☐ Television Ad |
☐ Newspaper Ad |
☐ School/College Fair |
☐ School Visit |
☐ Church |
☐ Guidance Counsellor |
☐ Social Media |
☐ University Open Day |
☐ Current NCU Student |
☐ Current NCU Staff/faculty |
☐Other, please state __________________________________________________________
admissions@ncu.edu.jm | (876) 963-7157 or (876) 963-7250 | www.ncu.edu.jm
SECTION D
Enrolment Agreement and Declaration
Dear Applicant,
We congratulate you on choosing Northern Caribbean University (NCU) to further your educational pursuits. Northern Caribbean University (NCU) is a private, liberal-arts institution, located in Jamaica, which is owned and operated by the Jamaica Union Conference and the Atlantic Caribbean Union Mission of Seventh-day Adventists. Since our establishment in 1907, the university emphasizes the development of a sound Christian character and applies Christian standards to deportment, moral conduct and attire on all its campuses. The following is a short list of some of the regulations with which you will be expected to comply. The complete student guide is available on our website at http://www.ncu.edu.jm.
●Your attendance at classes, assemblies and chapel services is required, as these opportunities are important for interaction, holistic development and dissemination of information. You will be held accountable for your attendance at these sessions and may be sanctioned for inconsistent attendance.
●In keeping with the Seventh-day Adventist philosophy, the wearing of jewellery is prohibited on all campuses. Exceptions are made for wedding tokens/bands and wrist watches.
●Modesty in dress is a requirement, hence students are expected to wear loose fitting pants/skirts without undue exposure from splits/rips and other inappropriate openings in the fabric. Shirts and blouses should cover the midriff and underarm areas. Pants are to be worn at waist and appropriately secured.
●While NCU supports expression and individuality, cosmetics and hair dyes must be tasteful. As such colourful cosmetics, outlandish hair dyes and hairstyles are prohibited. In addition, both males and females must ensure that their hair is properly groomed and modestly kept at all times.
NB. The university reserves all right to amend rules and regulations as well as take appropriate actions for infractions of citizenship guidelines, unsatisfactory spirit, misconduct and scholarship.
I pledge to co-operate with and uphold the standards and regulations of Northern Caribbean University.
I hereby declare that I have read and understood the instructions and all statements made are, to the best of my knowledge, true and complete.
Name of student_____________________________ Signature________________ Date _______
Parent/Guardian/Witness______________________ Signature________________ Date _______
admissions@ncu.edu.jm | (876) 963-7157 or (876) 963-7250 | www.ncu.edu.jm
NOT required for Western Regional and Eastern Regional Campus or Online applicants
NORTHERN CARIBBEAN UNIVERSITY
MEDICAL REPORT
Every Item on this sheet should be completed by a Medical Practitioner
Please note: Medicals are valid for two years from the date they were completed by the Medical Practitioner
Student’s Name: |
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Sex: □ Female |
Birth date: __/__/19__ |
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Last |
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□ Male |
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Height: |
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Weight: |
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Vision and Pupils-R |
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L |
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with glasses-R |
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L |
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Hearing and Eardrums: R |
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Temperature: |
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P |
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Blood Pressure: |
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Head, face, neck, thyroid, scalp: |
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Nose: |
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Sinuses: |
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Mouth and Teeth: |
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Tonsils: |
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Lungs and chest (including breast): |
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Heart (thrust, size, rhythm, sounds): |
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Lymphatic: |
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Abdomen: |
Vascular System: |
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G.U. System |
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Strength |
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Upper and Lower extremities-R.O.M.: |
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Spin, other muscular skeletal: |
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Feet: |
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Skin: Fungi |
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Ringworm |
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Neurology: reflexes, co-ordination: |
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Body marks, scars or tattoos: |
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Psychiatric (Personality deviation): |
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General Systemic: |
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Pelvic if indicated: |
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Do you consider this student physically and emotionally stable to |
Name Medical Practitioner: |
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undertake the programme of study to be pursued? |
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□ Yes □No |
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Last |
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First |
Are you the applicant’s regular physician: |
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□ Yes □No |
Signature of Medical Practitioner: |
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Is a normal class load advised? |
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□ Yes □No |
Address of Medical Practitioner: |
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Are there any special health problems or precautions? |
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□ Yes □No |
Tel# (WORK): |
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(Mobile) |
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Should medical care be continued as a student? |
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□ Yes □No |
Fax#: |
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Date of examination: ____/____/20__ |
If yes please explain |
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DD/ MM/ YY |
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STAMP:
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LABORATORY FINDING (CURRENT) |
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A copy of the Laboratory Findings (done in a lab) is to be attached to this form when returning. |
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This can be done at the NCU Medical Technology Department |
1. |
Haemoglobin |
3. |
Urinalysis |
2. |
Serology |
4. |
Sickle Cells |
Freshmen are required to do all tests whilst returning students are only required to do the Haemoglobin and the Urinalysis.
admissions@ncu.edu.jm | (876) 963-7157 or (876) 963-7250 | www.ncu.edu.jm
NOT required for Western Regional and Eastern Regional Campus or Online applicants
NORTHERN CARIBBEAN UNIVERSITY
PHYSICAL EXAMINATION RECORD
THIS FORM SHOULD BE FILLED OUT BY ALL PROSPECTIVE STUDENTS
Students and/or parents may fill out this sheet. All medical, laboratory and dental work must be done before registering at Northern Caribbean University. A copy of your immunization card or statement showing immunizations certified by your doctor/nurse/clinic is required.
Name: |
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Sex: □ Female |
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Birth date: ____/_____/_____ |
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LAST |
FIRST |
MIDDLE |
□ Male |
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DD/ MM/ YY |
Home Address |
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Street and Number |
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City |
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Parish/Province/State |
Country |
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ZIP/P.O. |
Telephone: (HOME) |
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(MOBILE) |
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E-mail: |
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Marital Status: □ Single □ Married □ Divorced □ Separated □ Widowed |
Nationality: |
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Age: |
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Person(s) to notify in an Emergency Situation:
Name: |
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E-mail: |
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_________ |
Telephone: (HOME) |
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(MOBILE) |
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(WORK) |
Address |
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Street and Number |
City |
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Parish/Province/State |
Country |
Please indicate if you have had any of the following illnesses:
□ Allergies |
□ Anemia |
□ Anxiety |
□ Tension |
□ Illnesses requiring medication |
□ Dysmenorrhoea |
□ Back Trouble |
□ Thyroidism |
□ Ulcer (stomach) |
□ Major Difficulty |
□ Brain Concussion |
□ Poliomyelitis |
□ Cancer |
□ Chicken Pox |
□ Cold (frequent) |
□ Diabetes |
□ Bone or Joint Disorders |
□ Mumps |
□ Sinusitis |
□ Ear Trouble |
□ Epilepsy or Fits |
□ Fainting Attacks |
□ Whooping Cough |
□ Speech Difficulty |
□ Fatigue |
□ Hay Fever |
□ Headache |
□ Heart Disease |
□ Typhoid |
□ Mental Disorder |
□ Hepatitis |
□ Hernia |
□ Meningitis |
□ Minor Pressure |
□ Tonsillitis |
□ Kidney Trouble |
□ Jaundice |
□ Asthma |
□ High Blood |
□ Measles |
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□ Sleeplessness |
□ Blood in Urine |
□ Lung Disorder |
Pressure |
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Please answer yes or no to the following questions. If the answer is yes, please explain (in the space provided)
□Yes □ No Other illness. If yes, please state condition
□Yes □ No Have you had any accidents? If yes, please state type of accident and subsequent effects
□Yes □ No Do you have any physical disabilities? If yes, please state condition □Yes □ No Have you had any fractures? If yes, please state body area □Yes □ No Have you had any surgery? If yes, please state
□Yes □ No Do you take any medicine regularly? If yes, please state the medication
□Yes □ No Have you ever had any allergic reaction to serum or drugs? If so, please explain
□Yes □ No Are you presently on medication? □Yes □ No Do you use illegal drugs?
Name & Address of Family Physician or Public Health Nurse/Nurse Practitioner
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I, the applicant, certify that the information provided on this Physical Examination Record is true and complete:
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admissions@ncu.edu.jm | (876) 963-7157 or (876) 963-7250 | www.ncu.edu.jm
NORTHERN CARIBBEAN UNIVERSITY
FINANCIAL MEMORANDUM OF UNDERSTANDING
(THIS FORM SHOULD BE FILLED OUT BY ALL PROSPECTIVE STUDENTS)
SECURITY DEPOSIT (Main Campus Students Only)
Each student registered on the MAIN CAMPUS is required to make a security deposit as follows:
Jamaica |
--- J$5,000.00 |
The Americas --- US$ |
750.00 |
Africa --- |
US$3,000.00 |
Cayman, Bahamas or |
Turks & Caicos Islands & CARICOM --- US$550.00 |
This deposit is to be made after receiving an Acceptance Letter and Identification Number. This deposit will be held as a security until the student graduates or withdraws from the University, at which time the deposit is refunded in full, providing no outstanding bill remains unpaid.
I plan to finance my education by:
□ Self |
□ International Government |
□ Work Study |
□ Sponsorship |
□ Parents |
□ Student Loan |
□ Scholarship |
□ JAMVAT/PATH |
I, ______________________________________________________________________________, the undersigned
(student/parent/guardian/sponsor) am aware of the tuition and other related charges and hereby agree to make these payments on or before the registration date of the applicable semester. It is also my understanding that failure to make these payments does not obligate Northern Caribbean University and, accordingly, I accept fully, the consequences my failure to make these payments may cause.
Full Name: |
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Full Name: |
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(Student) |
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(Parent/guardian/sponsor) |
Signature: |
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Signature: |
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(Student) |
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(Parent /guardian/sponsor) |
Tel#: |
(Home) |
(Mobile) |
Tel#: |
(Home) |
(Mobile) |
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(Student) |
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(Parent/guardian/sponsor) |
This form must be signed and returned to the Office of Recruitment & Admissions before the student is given a Registration Package.
admissions@ncu.edu.jm | (876) 963-7157 or (876) 963-7250 | www.ncu.edu.jm