Ncu Online Application PDF Details

Ncu Online Application Form is a platform that enables students to apply for admission into the university. The process is simple and straightforward, and applicants can receive instant feedback on their application status. In addition, the online form allows students to track the progress of their application and to check the admission decision letter. This valuable tool makes applying to NCU convenient and easy for all students.

You'll discover information regarding the type of form you want to complete in the table. It will tell you the span of time you will need to finish ncu online application, exactly what fields you need to fill in and a few other specific facts.

QuestionAnswer
Form NameNcu Online Application
Form Length14 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min 30 sec
Other namesncu application form 2021, ncu application form 2019, ncu application, ncu app

Form Preview Example

FOR YOUR OWN RECORDS

INTRODUCTION TO

NORTHERN CARIBBEAN UNIVERSITY

With excitement, we welcome you as a prospective student of Northern Caribbean University (NCU) and believe that the cultural diversity you will bring, will enrich all of us resulting in a mutually beneficial relationship. Since Northern Caribbean University is a Christian institution, we want to take this opportunity to introduce our campus-life programmes and hope that you will treasure the special educational environment we have created. Our Christian values system is intended to help integrate learning with living and to have our students enjoy deep, satisfying relationships among themselves and freedom to worship God.

Northern Caribbean University is owned and operated by the Seventh-day Adventist Church, which operates 87 colleges and universities throughout the world. It is part of the Protestant group of churches. Though the majority of our students belong to our church, more than 30% belong to other denominations. Students entering our university do not need to belong to our faith or any faith, but we ask that our on-campus value system be respected.

Christian Emphasis

Because of the University's Christian emphasis, we meet on different occasions during the week to give our Campus population an opportunity to associate in a non-academic environment. This produces a warm, cordial atmosphere that we enjoy and it allows students the opportunity to gain exposure to and take advantage of the many cultural, social and spiritual programmes available at the University. Undergraduate students are required to attend a campus-wide assembly twice per week at 2:00 pm. In addition, students living on campus are required to attend devotional services when they are held in the dormitories.

The University’s New Student Orientation Handbook outlines the standards expected from students of Northern Caribbean University. Students are encouraged to deeply respect the rights and feelings of others. Tolerance and respect for all religions and ethnic groups is cherished and nurtured on our Campus. Personal appearance should reflect good taste. Northern Caribbean University promotes a balance in lifestyle that maximizes good physical as well as spiritual health and academic development. In light of this, students are expected to refrain from the use of alcohol, tobacco or illegal drugs while at the University.

Seventh-day Adventists acknowledge Saturday in their belief of God’s personal act of creation of this world and for His personal involvement in the life of the persons He created. Saturday is called Sabbath and is observed from sunset on Friday to sunset on Saturday. The University requires all residence hall students who remain on campus for the weekend to attend all the worship services held during the Sabbath.

Conclusion

At Northern Caribbean University we want you to feel at home on our campus and enjoy a productive experience of: academic growth; lasting friendships; spiritual awareness; and a whole lot of fun. As we work together, we can enrich the University’s community. We encourage you to give us suggestions on how we can make the campus a more positive part of your educational experience.

With the foregoing, if you do not foresee any problem as you anticipate enrolment at Northern Caribbean University, please sign the enrolment agreement and return it to Admissions & Enrolment Management. If you need further clarification, please write to us at the following address:

Office of Admissions & Enrolment Management

Northern Caribbean University

Mandeville, Manchester

Jamaica W.I.

1

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

FOR YOUR OWN RECORDS

NORTHERN CARIBBEAN UNIVERSITY

ENGLISH LANGUAGE PROFICIENCY EXAMINATION

Dear Applicant:

Northern Caribbean University is delighted that you have decided to pursue your degree here. We are committed to ensuring that you will receive Quality Christ-centered Education throughout your sojourn here.

Upon acceptance into the University, you are required to sit an English Language Proficiency Examination (ELPE-NCU) at the New Students Meeting. The results of this examination will be utilized in determining exemptions and advancement in the area of English Language during your enrolment into the University. This examination attracts a fee of seven hundred dollars ($700.00) which may be paid at any paymaster outlet to account number 141-22-001.

The structure of the examination will be in the form of an essay, reading/comprehension and grammar/mechanics. The duration will be two and a half (2 ½) hours, including allowance for collecting and distributing papers and for restroom.

The results of the examination will be posted on the University’s Website or may be accessed through the Department of English and Modern Languages by calling (876) 963-7463.

Thank you for choosing Northern Caribbean University. Best Wishes.

Sincerely,

Donna Thomas, (Ms.)

Director

2

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

NORTHERN CARIBBEAN UNIVERSITY

UNDERGRADUATE APPLICATION CHECK SHEET

INSTRUCTIONS: Please use this as a check sheet to verify that all the necessary documents have been sent to Northern Caribbean University within the deadline dates. Complete the application

form and return along with your non-refundable application fee.

Application fee rates are as follows:

 

 

Late Application Fee

Jamaican Citizens --- J$1000

J$2000

CARICOM --- US$30

US$60

International Students --- US$55

US$100

**Please ensure financial arrangements are made prior to registration. We do not accept local money orders.** ** Late fees become effective immediately after the application deadline of May 31 & October 31 of each year.**

Pay application fee: (Local) Pay application fee only at Paymaster Acct. #111 5166 171

(International)

(International)

Wachovia Bank New York

National Commercial Bank

Swift Code: PNBPUS3NNYC

Swift Code: JNCB JMKX 077 050

ABA Code: 026005092

Acct. # 504255158

Enclose your Enrolment Agreement Form and Financial Memorandum of Understanding with your application form,

Enclose four (4) passport size photographs of yourself. (Continuing Education applicants are required to submit two passport size pictures),

Enclose your physical, medical, dental and lab reports, immunization record as well as certified copies of academic certificates, examination results, diplomas, etc. (Originals may be requested by the Office of Admissions & Enrolment Management for verification),

Use the Transcript Request Form below to request an official transcript of all work done at schools you have attended, to be sent directly to the Office of Admissions or hand delivered in a sealed envelope (with signature on the inside and back). APPLICABLE TO HIGH SCHOOL SENIORS OR

PERSONS WHO HAVE COMPLETED TERTIARY STUDIES ONLY,

Have two (2) recommendations on the enclosed forms forwarded to the Office of Admissions or hand delivered. One should be sent from someone who can comment on your educational background and abilities; the other from your Minister of Religion/Church Leader/Justice of the Peace,

Request a transcript from the Overseas Examination Commission outlining your CXC/GCE results. Transcripts should be sent directly to the Admissions Office. (Preliminary slips or certificates will not be accepted),

Enclose a copy of your Tax Registration Number (TRN), and

Please submit completed application form to the campus within closest proximity to you and allow 4-6 weeks for processing.

ALL DOCUMENTS SUBMITTED BECOME THE PROPERTY OF NORTHERN CARIBBEAN UNIVERSITY

AND ARE NOT RETURNED OR FORWARDED IN ANY FORM OR FASHION

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 962-6840/0075 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

NORTHERN CARIBBEAN UNIVERSITY

A SEVENTH-DAY ADVENTIST INSTITUTION

ENROLMENT AGREEMENT

(THIS FORM SHOULD BE FILLED OUT BY ALL PROSPECTIVE STUDENTS)

Dear Applicant,

We congratulate you on choosing Northern Caribbean University (NCU) to further your educational pursuits. NCU is owned and operated by the West Indies Union Conference of Seventh-day Adventists, and was established in Mandeville in 1919 to prepare youth for a life of Christian service. The University applies Christian standards to deportment, moral conduct and attire on its campuses.

The following is a short list of some of the regulations with which you will be expected to comply. You will be provided with all student responsibilities outlined in the Student Guide given to you on acceptance to the University.

Attendance at classes, assemblies and Chapel

Shoes are preferred at all times. Slippers are

services

considered inappropriate for classes

Jewelry is not allowed (Wedding Token/Bands only)

Colorful cosmetics, outlandish hair dyes and

Tight pants/tight skirts with long splits are not allowed

hairstyles are prohibited

Shirts and blouses should be long enough to cover

Hair should be groomed and modestly kept

the midriff and underarm

 

NB: The University reserves the right to impose rules and regulations and to enforce the same by appropriate actions for infractions, where necessary, inclusive of suspension or expulsion. The University may suspend or expel a student at any time because of unsatisfactory spirit, conduct or scholarship.

I pledge to co-operate and uphold the standards and regulations of Northern Caribbean University.

Name of Student: _______________________________

Signature:______________________________

Print/Type

 

Parent or Witness: ______________________________

Signature: ______________________________

Print/Type

 

 

Date: ____/____/20___

 

DD / MM / YY

Main Campus Applicants Only

I / We, the undersigned, parent(s) of the above-named student do hereby authorize any officer or member of the faculty and staff of Northern Caribbean University, as my/our agent(s) in the case of sudden illness and/or stroke or injury, to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or any hospital service which is deemed necessary by, and is to be rendered under the general or special supervision of a licensed physician, M.D., whether such diagnosis is rendered by family physician, public health nurse/nurse practitioner, at the University Health Services or at a hospital.

Consent is hereby granted by the undersigned to the Northern Caribbean University Health Services to release all pertinent medical histories and physical findings to the aforementioned physician.

Name of Student: _______________________________

Witness: _______________________________

Parent/Guardian:________________________________

Witness: _______________________________

 

Date: ____/____/20___

 

DD / MM / YY

 

4

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256

E-mail: admissions@ncu.edu.jm Website: 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

Work Study

Parents

International/Jamaica Government

Sponsorship

Student Loan

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:

 

 

 

Full Name:

 

 

 

 

 

(Student)

 

 

 

(Parent/guardian/sponsor)

Signature:

 

 

 

Signature:

 

 

 

 

 

(Student)

 

 

 

(Parent /guardian/sponsor)

Tel#: (Home)

 

(Mobile)

Tel#: (Home)

 

(Mobile)______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Student)

 

 

 

 

 

(Parent/guardian/sponsor)

This form must be signed and returned to the Office of Admissions & Enrolment Management before the student is given a Registration Package.

5

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

Photograph

NORTHERN CARIBBEAN UNIVERSITY

UNDERGRADUATE ADMISSIONS APPLICATION

Date: ____/____/20___

DD / MM / YY

I plan to enrol at NCU in:

August

January

Summer Year of 20___ Applying as:

Freshman

Transfer Student

Campus Choice:

Mandeville

Mandeville Evening (Continuing Education Only

Montego Bay Kingston

Legal Name:

Returning Student

Salem-St. Ann)

LastFirstMiddleMaiden

Permanent Address:

 

 

 

 

Number

Street

 

 

 

 

 

 

 

 

 

 

 

 

 

City

Parish/State/Province

Zip/P.O.

 

Country

Telephone: (HOME)

 

 

(MOBILE)

 

 

(WORK/Other)

 

E-mail:

 

 

 

 

E-mail 2:

 

 

 

Current Mailing Address:

 

 

 

 

 

 

 

 

Same as Permanent Address

Number

Street

 

 

 

 

 

 

 

City

Parish/State/Province

Zip/P.O

 

Country

Address: Parent(s)/Guardian(s)

 

 

 

 

 

 

 

Same as: Permanent Address

Current Mailing Address

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

Parish/State/Province

 

 

 

 

 

 

 

Zip/P.O

 

 

 

 

 

 

 

Country

Emergency Contact (Name) _____

 

___________ Relationship ____________________ E-mail:

Telephone#

 

 

 

 

 

 

 

 

 

 

Mobile:

 

 

 

 

 

 

 

 

 

 

Fax#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Admission is granted without regard to race, gender, or national origin.

 

 

GENDER:

 

Female

 

Male

 

 

MARITAL STATUS:

 

 

 

Single

 

Married

 

 

Divorced

 

Separated

 

Widowed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth_____/____/_____

Religious Affiliation:

 

 

 

Seventh-day Adventist: (conference) __________________________________

 

 

 

 

 

 

 

 

 

 

DD

 

MM YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of church ___________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

None

 

 

Other (specify) ____________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITIZENSHIP:

 

Jamaican

 

 

CARICOM (specify)_______________________

 

 

 

 

 

 

International

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place of Birth (Parish/State):_______________________

 

 

 

 

 

 

 

 

Native Language: ________________________

 

 

(International students only) Country of Residence:__________________________

Visa Type: ______________________________

 

 

 

 

 

 

 

 

**Applicants for Kingston, Montego Bay, and Salem-St. Ann MUST have a Teaching Diploma for Education & Counselling programmes**

Indicate your intended programme of study ____________________________________________

Emphasis:___________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(See Programme Sheet for Options)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Indicate Level:

B.Sc.

B.A.

A.Sc.

A.A.

Certificate

Teacher Certification

Diploma

6

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

List in chronological order, all schools attended beginning with your latest.

 

 

Institution

Dates of Attendance

Credits Earned

Degree Earned

If you are enrolled in another college/university, please check here

(If needed please use additional paper)

Please indicate your place of employment ____________________________________________

 

IMPORTANT: Have your CXC/GCE/SAT sent directly to the office of Admissions & Enrolment Management at Northern Caribbean University.

List exams passed/pending with their levels. Send certified photocopies of passes/certificates to the Office of Admissions & Enrolment Management.

CXC/CAPE

LEVEL

GCE / A’LEVEL

LEVEL

OTHER (including SAT II)

LEVEL

SAT I Score ______________ (if applicable)

ACT Score_______________________

Please indicate where you plan to live while attending N.C.U.: Residence Hall

NCU Approved Housing

Community

If you selected community, give the following information about the person(s) with whom you will reside.

Name________________________________

Relationship: Family Friend Other _____________________________

Address___________________________________________________________________________________________

Number

Street

_________________________________________________________________________________________________

City

Parish/State/Province

Zip/P.O

 

Country

Telephone: (HOME)________________________ (MOBILE)________________________(WORK/Other)_____________________

E-mail:

 

 

 

E-mail 2:

 

Have you ever been dismissed from any institution for any reason?

YES

NO

If yes, briefly state reason(s) for dismissal.

 

 

 

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

How did you hear about NCU? _____________________________________________________________________________________________

7

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

NOT required for Salem, Kingston, and Montego Bay 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

Stude t’s Na e:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Se : □ Female Birth date: __/__/19__

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

First

 

Middle

□ Male

Height:

 

 

 

 

 

 

 

 

 

 

 

Weight:

 

 

 

 

 

 

 

 

Vision and Pupils-R

 

 

 

 

 

L

 

 

 

 

 

with glasses-R

 

 

 

 

 

L

 

 

Hearing and Eardrums: R

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Temperature:

 

P

 

 

R

 

 

 

 

 

Blood Pressure:

 

Head, face, neck, thyroid, scalp:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nose:

 

Sinuses:

 

 

 

 

 

Mouth and Teeth:

 

 

 

Tonsils:

 

Lungs and chest (including breast):

Heart (thrust, size, rhythm, sounds):

Lymphatic:

Abdomen:

 

Vascular System:

 

G.U. System

 

 

 

 

 

Strength

 

Upper and Lower extremities-R.O.M.:

Spin, other muscular skeletal:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Feet:

 

 

 

Skin: Fungi

 

 

Ringworm

 

 

 

 

 

 

 

 

 

 

Neurology: reflexes, co-ordination:

 

 

 

 

 

 

 

 

 

 

 

 

 

Body marks, scars or tattoos:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Psychiatric (Personality deviation):

 

 

 

 

 

 

 

 

 

 

 

 

 

General Systemic:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pelvic if indicated:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you consider this student physically and emotionally stable to

Name Medical Practitioner:

 

 

 

 

 

 

 

undertake the programme of study to be pursued?

□ Yes □No

 

 

 

Last

 

 

First

Are

ou the applica

t’s regular ph sicia :

□ Yes □No

Signature of Medical Practitioner:

 

 

 

 

Is a normal class load advised?

 

 

 

 

□ Yes □No

Address of Medical Practitioner:

 

 

 

 

 

Are there a special health pro

le s or precautio

s?□ Yes □No

Tel# (WORK):

 

 

 

 

(Mobile)

 

□ Yes □No

 

 

 

 

 

 

 

Should medical care be continued as a student?

Fax#:

 

Date of examination: ____/____/20__

If yes please explain

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DD/ MM/ YY

 

 

 

 

 

 

 

 

 

 

 

 

 

STAMP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LABORATORY FINDING (CURRENT)

 

 

 

 

 

 

 

 

 

 

A copy of the Laboratory Findings (done in a lab) is to be attached to this form when returning.

 

 

 

 

 

 

 

 

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.

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (867) 962-6840 E-mail: admissions@ncu.edu.jm website: www.ncu.edu.jm

NOT required for Salem, Kingston and Montego Bay

NORTHERN CARIBBEAN UNIVERSITY

DENTAL REPORT

Every Item on this sheet should be completed by a Dentist

Please note: Dental examinations can be done at the NCU Dental Lab for a reduced fee

Student’s Name: ____________________________________________________________________________

 

 

 

 

LAST

FIRST

MI

Sex:

 

Female

 

Male

 

Birth date: _____/____/19___

 

 

 

 

 

 

 

 

 

 

dd / mm / yy

(Place an [X] through an unreplaced missing tooth and a circle [ ] around a carious tooth)

1

2

3

4

5

 

6

 

7

8

9

10

11

12

13

14

15

16

R---------------------------------------------------------------------------------------------------------------------

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

32

31

30

29

28

27

26

25

24

23

22

21

20

19

18

17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is there evidence of Periodontal Disease?

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If dental work is to be done, do you feel it is

 

Routine

 

Emergency

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Information:

__________________________________________________________________________________________________

__________________________________________________________________________________________________

_______________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

_______________________________________________________________________________________________

 

 

 

 

Name of Dentist:______________________________

Address of Dentist:____________________________

Last

First

 

 

 

 

Signature of Dentist:________________________

Tel# (WORK)_____________(MOBILE)_______________

Fax#:_________________

E-mail:_______________________________

Date of examination: _____/____/20___

 

 

 

dd / mm / yy

 

 

 

 

10

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

NORTHERN CARIBBEAN UNIVERSITY

APPLICATION REFERENCE FORM

(TO BE FILLED OUT BY YOUR PASTOR/MINISTER/JUSTICE OF THE PEACE)

TO THE RESPONDENT: Your evaluation of the named applicant to Northern Caribbean University will be appreciated. We need your candid appraisal of this individual, therefore this evaluation will be held in strict confidence. Please return it to us by following instructions at the bottom of the page.

ABOUT THE INSTITUTION: Northern Caribbean University, a liberal arts Seventh-day Adventist institution, established in Mandeville in 1919, has as its mission, quality Christ-centred education achieved through academic excellence, social interaction, physical and spiritual development and a strong work ethic, thereby fitting each person for committed professional service to country and to God.

Applicant’s Name __________________________________________

 

Date: _____/_____/20_____

 

Surname

First

 

Middle

 

dd / mm /

yy

Intended programme of study ____________________________________________

 

 

 

Home Address

 

 

 

 

 

 

 

_______________________________________________________________________________________

 

 

Street and Number

City

Parish/Province/State

Country

ZIP/P.O.

Please rate the applicant in the following areas: (Note-check box NOFO)

 

 

 

1-Outstanding

2-Good

3-Average

4-Below Average 5-NOFO (if you have had no opportunity for observation)

INFLUENCE

 

1—2—3—4—5

 

INTEGRITY

1—2—3—4—5

 

CO-OPERATION

1—2—3—4—5

 

RELIABILITY

1—2—3—4—5

 

EMOTIONAL MATURITY

1—2—3—4—5

 

MATURITY

1—2—3—4—5

 

HONESTY

 

1—2—3—4—5

 

PERSONALITY

1—2—3—4—5

 

SPIRITUALITY

1—2—3—4—5

 

SCHOLASTIC ABILITY

1—2—3—4—5

 

Is the applicant a member of your church and in good and regular standing? (Please Comment)

____________________________________________________________________________________________

____________________________________________________________________________________________

Recommendation (check one):

I recommend without reservations I cannot recommend at this time I recommend with reservations I do not recommend

I would prefer talking to you personally

Name of Church _______________________________________

 

 

Name________________________________

Signature__________________________________ Position ____________________________

Surname

First

 

 

 

 

Address._____________________________________________________________________________________________________________

 

Street and Number

City

Parish/Province/State

Country

ZIP/P.O.

Telephone: (HOME)______________________

(MOBILE)______________________ (WORK/Other)_____________________

E-mail 1: _______________________________ E-mail 2: ________________________________

 

Please return directly to:

Admissions & Enrolment Management

Northern Caribbean University

Mandeville, Manchester

Jamaica, W.I. 11

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

NORTHERN CARIBBEAN UNIVERSITY

APPLICATION REFERENCE FORM

(TO BE FILLED OUT BY YOUR TEACHER/PRINCIPAL/GUIDANCE COUNSELLOR/WORK SUPERVISOR)

TO THE RESPONDENT: Your evaluation of the named applicant to Northern Caribbean University will be appreciated. We need your candid appraisal of this individual, therefore this evaluation will be held in strict confidence. Please return it to us by following instructions at the bottom of the page.

ABOUT THE INSTITUTION: Northern Caribbean University, a liberal arts Seventh-day Adventist institution, established in Mandeville in 1919, has as its mission, quality Christ-centred education achieved through academic excellence, social interaction, physical and spiritual development and a strong work ethic, thereby fitting each person for committed professional service to country and to God.

Applicant’s Name __________________________________________

 

Date: _____/_____/20_____

 

Surname

First

 

Middle

 

dd /

mm /

yy

Intended programme of study ____________________________________________

 

 

 

 

Home Address

 

 

 

 

 

 

 

 

_____________________________________________________________________________________

 

 

 

Street and Number

City

Parish/Province/State

Country

 

ZIP/P.O.

Please rate the applicant in the following areas:

 

 

 

 

 

 

1-Outstanding

2-Good

3-Average

4-Below Average 5-NOFO (if you have had no opportunity for observation)

INFLUENCE

 

1—2—3—4—5

 

INTEGRITY

1—2—3—4—5

 

 

CO-OPERATION

1—2—3—4—5

 

RELIABILITY

1—2—3—4—5

 

 

EMOTIONAL MATURITY

1—2—3—4—5

 

MATURITY

1—2—3—4—5

 

 

HONESTY

 

1—2—3—4—5

 

PERSONALITY

1—2—3—4—5

 

 

SPIRITUALITY

 

1—2—3—4—5

 

SCHOLASTIC ABILITY

1—2—3—4—5

 

 

Please comment below if the applicant has required school discipline, used illegal drugs or been under arrest.

____________________________________________________________________________________________

____________________________________________________________________________________________

Recommendation (check one):

I recommend without reservations I cannot recommend at this time I recommend with reservations I do not recommend

I would prefer talking to you personally

Name of Institution _______________________________________

 

 

 

Name________________________________

Signature__________________________________ Position ____________________________

Surname

First

 

 

 

 

Address._____________________________________________________________________________________________________________

 

Street and Number

City

Parish/Province/State

Country

ZIP/P.O.

Telephone: (HOME) ______________________ (MOBILE)________________________ (WORK/Other)____________________

E-mail 1: _______________________________E-mail 2: ________________________________

Please return directly to:

Admissions & Enrolment Management

Northern Caribbean University

Mandeville, Manchester

12

Jamaica, W.I.

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

NORTHERN CARIBBEAN UNIVERSITY

TRANSCRIPT REQUEST FORM

Tel: (876) 523-2489/523-2211

(APPLICABLE TO HIGH SCHOOL SENIORS OR PERSONS WHO HAVE COMPLETED TERTIARY STUDIES ONLY)

TO THE STUDENT: Please forward this form to each of the schools you have previously attended. If necessary, you may copy this form.

TO THE REGISTRAR: This person is applying for admission to Northern Caribbean University. Please enclose this form along with one copy of the applicant’s transcript in an official envelope, addressed to Northern Caribbean University. Please seal the envelope; date, sign, stamp and place your seal on the back flap and return it to the applicant. Otherwise send the document directly to the Office of Admissions

and Enrolment Management at the address below and notify the applicant that you have done so.

Please Note:

Be sure to include instructions on how to interpret the transcript and an explanation of your grading system.

If the transcript is not in English, please include an English translation.

If for any reason you cannot comply with this request, kindly indicate the reason to Northern Caribbean University and to the applicant.

PLEASE MAIL TO:

Northern Caribbean University

 

 

 

 

 

 

Admissions & Enrolment Management

 

 

 

 

 

 

Mandeville, Manchester

 

 

 

 

 

 

Jamaica, W.I

 

 

 

 

 

PLEASE PRINT LEGIBLY

 

 

 

 

 

 

___________________________________________________________________

Date of Enrolment: _________/_________/20___

LAST

 

FIRST

MIDDLE

MAIDEN

dd

mm

yy

_______________________________________________

_________________________________________

 

Address

 

 

 

Programmes Studied:

 

 

________________________________________________

_________________________________________

 

City

Parish/Province/State

ZIP/P.O. Country

Registered Name at Your Institution

 

 

 

 

 

 

 

Date of Birth: _________/_________/19___

 

 

 

 

 

dd

mm

yy

TO THE REGISTRAR:

I authorize the release of a transcript of my academic record to be sent to Northern Caribbean University, Mandeville, Manchester, Jamaica, W.I.

Signature: ___________________________________ Date: __/____/20__

dd / mm / yy

13

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

FOR YOUR OWN RECORDS

NORTHERN CARIBBEAN UNIVERSITY

NURSING COUNCIL OF JAMAICA (Nurses and Midwives Act 1964)

Dear Applicant:

The followi g outli es the Nursi g Cou cil of Ja aica’s i i u educational requirements for entry into

Nursing/Midwifery Programme.

Examinations and Grades

Five CXC General Proficiency Grades 1, 11 or 111 or GCE O Level Grades A, B or C or a combination of CAPE (Grades 1-4) and CXC/GCE subjects as outlined below.

Three compulsory subjects are required:

1.English Language or Cape Communication Studies

2.Science - Biology or Human and Social Biology or Cape Biology

3.Mathematics or Cape Pure or Applied Mathematics

Choose two (2) other subjects from the list below

Please note a subject passed at different levels or from different examination boards will be counted as ONE subject for matriculation purposes. For example, French passed at CSCE and or GCE and or CAPE, would be regarded as one subject.

CXC/CAPE

GCE

Agricultural Science (double/single)

Accounts

Caribbean History

Business Studies

Chemistry

Chemistry

Economics

English Literature

English Literature or Literatures in English (CAPE)

Food & Nutrition

Food & Nutrition

French

French or Modern Languages

Geography

Geography

History

Home Economics Management

Information Technology

Information Technology (general/technical) or CAPE Computer

Physics

Science or Computer Studies

Psychology

Physics Religious Education/Bible Knowledge

 

Principles of Accounts Spanish

 

Principles of Business or CAPE Management of Business

 

Religious Education

 

Social Studies or CAPE Caribbean Studies or Sociology

 

Spanish or Modern Languages

 

Please note that the following subjects are not accepted for the Nursing Programme:

Visual Arts

Physical Education

Technical Drawing

Electronic Document Preparation and Management

Music

Short Hand/Typing

Office Procedures/Administration

Clothing and Textile

Electrical Installation

No applicant will be accepted for indexing with more than two (2) subjects at CXC general grade 111 (after June 1998) or GCE O Level grade C or a combination of both.

14

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 962-6840/0075 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

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: ______________________________________________________________________ Sex:

LAST

FIRST

MIDDLE

 

Female

Birth date:_____/____/19___

 

 

 

 

Male

DD/ MM/

YY

 

Home Address

_____________________________________________________________________________________

Street and Number CityParish/Province/State CountryZIP/P.O.

Telephone: (HOME) ______________________ (MOBILE)______________________ E-mail:

________________________

Marital Status:

Single Married Divorced Separated Widowed Nationality: ___________________ Age: _____________

Person(s) to notify in an Emergency Situation:

Name: ____________________________________E-mail: ________________________________

Telephone: (HOME) ______________________ (MOBILE)______________________ (WORK) ________________________

Address _____________________________________________________________________________________

Street and Number

City

Parish/Province/State

Country

 

 

 

 

Please indicate if you have had any of the following illnesses:

□ Allergies

□ Anemia

Back Trouble □ Thyroidism

Cancer □ Chicken Pox

□ Sinusitis

□ Ear Trouble

□ Fatigue

□ Hay Fever

□ Hepatitis

□ Hernia

□ Jaundice

□ Asthma

Anxiety

Ulcer (stomach)

Cold (frequent)

Epilepsy or Fits

Headache

High Blood Pressure

Tension

Major Difficulty

Diabetes

Fainting Attacks

Heart Disease

Minor Pressure

Illnesses requiring medication

Brain Concussion

Bone or Joint Disorders

Whooping Cough

Typhoid

Tonsillitis

Dysmenorrhoea

Poliomyelitis

Mumps

Speech Difficulty

Mental Disorder

Kidney Trouble

Measles

Meningitis

Sleeplessness

Blood in Urine

Lung Disorder

 

 

 

 

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 Yes Yes Yes Yes

Yes Yes

No

Do you have any physical disabilities?

If yes, please state condition ___________________________________

No

Have you had any fractures?

If yes, please state body area __________________________________

No

Have you had any surgery?

If yes, please state _________________________________________

No

Do you take any medicine regularly?

If yes, please state the medication_______________________________

No

Have you ever had any allergic reaction to serum or drugs? If so, please explain _____________________________

 

______________________________________________________________________________________________

No Are you presently on medication?

No Do you use illegal drugs?

Name & Address of Family Physician or Public Health Nurse/Nurse Practitioner

Name: ________________________ Telephone: (OFFICE) __________________ E-mail: ___________________

Address _____________________________________________________________________________________

Street and Number

City

Parish/Province/State

Country

I, the applicant, certify that the information provided on this Physical Examination Record is true and complete:

Signature: ______________________________ Date:____/____/20__

dd / mm / yy

9

Northern Caribbean University Tel: (876) 963-7250-5 Fax: (876) 963-7256 E-mail: admissions@ncu.edu.jm Website: www.ncu.edu.jm

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