Sam Sharpe Teachers College Application Form – Fill Out and Use This PDF

Sam Sharpe Teachers' College

APPLICATION FORM

Instructions: This form should be completed using BLOCK LETTERS where applicable. This application form duly completed must be returned along with the following documents:

1.Certified copy of educational documents -diploma

2.Certified copy of birth certificate

3.Copy of marriage certificate (where applicable)

4.Two passport size photographs (taken within the last 6 months)

5.The originals of two (2) recent testimonials from:

OA Minister of religion or Justice of the Peace, and

OThe Principal of the last school attended or

OYour last employer

6.The non-refundable Processing fee of JA$750.00

7.For B.Ed completion applicants, transcript must be forwarded to MR. ROBERT EDWARDS at the College from the institution/s previously attended before the application process can be started.

N.B.Incomplete application forms will not be processed. All documents submitted become the property of Sam Sharpe Teachers' College.

TRN: ___________________________________ ID#:				For office use
Surname: _______________________________			First name: ______________________________________
Middle Name: ___________________________			Maiden Name: ___________________________________
Gender:	Male	Female	Marital Status: ___________________________________
Date of Birth: ____________________________			Nationality:	_____________________________________
Religion: ________________________________			Denomination:____________________________________

1.0 HOME ADDRESS

Street/District: _____________________________ City/Parish: _______________________________

Country: _____________________ Email Address: __________________________________________

Contact No.: Mobile:________________ Home: _________________ Work: ____________________

1.1POSTAL ADDRESS (if different from above)

Street/District: _____________________________ City/Parish: _______________________________

Country: _____________________ Email Address: __________________________________________

	1.2 NAME OF PARENT/GAURDIAN/NEXT OF KIN
	Name: _____________________________________ Relation to you: ____________________________
	Street/District: _____________________________		City/Parish: _______________________________
	Country: _____________________ Email Address: __________________________________________
Do you wish to live on Campus? Yes 		No 	(Accommodation on campus is NOT guaranteed)
	Contact Nos: Mobile__________________ Home: _________________ Work: ___________________

1.3 EDUCATION AND QUALIFICATIONS

List all educational institutions attended and any other programmes or courses you have completed, which you wish to used to satisfy the Matriculation Requirements

* Class of award refers to Pass, Credit, Honours

1.4 EMPLOYMENT HISTORY
Have you ever been employed? Yes			No (if no please complete section 1.4.1)
	Employer		Position	Location/Address		Date
					From		To

1.4.1What have you been doing since if not teaching? _________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

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FOR ALL APPLICANTS

1.5 ACTIVITIES

Clubs: ____________________________________________________________________________________

Offices held: ______________________________Responsibilities/duties: ____________________________

Hobbies: __________________________________________________________________________________

Do you play a musical instrument?		Yes	No b If yes, please state: ___________________________
1.6 REFERENCES
1. Name:	_______________________________		2. Name:_____________________________________________
Address:	________________________________		Address:_____________________________________________
Phone No: ________________________________			Phone No:____________________________________________

1.7 PERSONAL STATEMENT

Write a statement indicating the reason for your first choice of programme and your choice of this institution.

1.7.1Does your religion prevent participation in any of the following

If YES, please explain: ______________________________________________________________________________

_________________________________________________________________________________________________

I hereby certify that I have read and understood the instructions and the information necessary for completing this application. I acknowledge that the information given in this application is complete and accurate, and I understand that making false or fraudulent statements on this application form may result in denial or cancellation of admission by Sam Sharpe Teachers' College. I also promise to comply with the rules and regulations of the institution.

Signature ______________						Date ______________
				For official use only
Documents Received:
			Educational documents
			Birth certificate
			Marriage certificate
			Deed Poll
			Two photographs		Documents received by:___________________________
			Two testimonials
			Processing fee Receipt no:______________
			Date:_________________________________________

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