Corozal ITVET

R"E,QUIRED DOCUMENTS
When submitting your fiIled application form
kindly submit COPIES of the following:

Social security card

Transcrip or the most recent rcport card

Primary school, high school or sixth form

diploma

Ensure that you submit your filled character and

educational reference forms along with 2
passport size pictures.
NO APPLICATION FORM WILI- Bf, ACCEPTED
\ITHOUT COPIES OF THE DOCUMENTS LISTED
ABOVE.
 Corozal Institute for Technical & Vocational Education & Training
Santa Rita Heights
Corozal Town
Phone: 402-0149

Enrolment Application

Personal Data

Program: Level: Year:

l. Name:
Sumame First Middle

2. 3. Home Phone #:
Address

4. DateofBirth: d/m/y: JJ_ Age: _ Sex:_ Nationality:

Social Security #:

5. Marital Status: Single/Nlarried/Divorced/Separated/Widowed/Common-Law

6. Have you ever taken a course at ITVET before? YESA{O (b) If yes state which one:

7.
Mother's Name Address Tel. #

Father's Name Address Tel. #

In case of EMERGENCYwe should call:

Name: Relationship:

Phone #: Address:

Educational Backsround

9. Check the highest level of education that you have achieved:

Primary: u High School Graduate:D Sixth Form Graduate: D
Date of Completion: Date of Completion: Date of Completion:

High School Dropout: Date of Dropout:

State Forrn
 t,

Corozal Institute for Technical & Vocational Education & Training

Santa Rita Ileights
Corozal Town
402{149

Medical Backeround

10. Do you suffer from any medical problem? YESAIO

If yes, please state;

I understand that I am responsible for paying tuition fees as arranged with the institution. Failure to pay
fees may result ir, -y report card and certificates being withheld.

1 l. What is your source of payment?

Scholarship: _ Yourselfl Parents: Guardian:

12. Person responsible for fees:

Name:

Address:

Phone #:

I declare that the information given in this application form is truthfi.il to the best of my knowledge, and
that any falsehood on my part could result in my dismissal. I realize that his application DOES NOT
ensure me a space at ITVET, and is only valid for twelve (12) months.

Applicant Signature: Date:

If the applicant is under l8 years of age, a Parent or Guardian must co-sign

ParenVGuardian Signature : Date:

Educational Reference Form
CorozalITVET
TO BE FILLED OUT BYTHEAPPLICANT

This form should be filled by your homeroom teacher. The teacher is asked to fill this form and seal the
filled form in an envelope. All information in this form will be held in the strictest confidence and will not
be shared with students, parents or guardians.

Applicant's Name
Surname First Name Middle lnitials

Program Applying for Age Gender: M/ f

Applicant's Current/Previous School

Add ress of Current/Previous School

Telephone #

Applicant Signature Date

TO BE FILI*ED OUT BYTHE RECOMMENDER

The information will be kept confidential. Please be as thorough as possible,

Name

Post

Email Phone #

What is the greatest strength of this student?

What is this student's greatest challenge?

Corozal ITVET Character Reference Forrr

Educational Reference Form
CorczalITVET
What factors in the student's home life would help or hinder hiVher educational success?

What is this student's attitude towards authority and rules?

Do you have any concerns in particular about this child? Yes / No lf yes, please explain.

Have there been any disciplinary emotional, or other concerns regarding this student?
Yes / No lf yes, please explain.

Has the student ever been suspended or dismissed from school for disciplinary reasons?
Yes / No lf yes,pleaseexplain.

ln your opinion, has the student ever required leaming support? Yes / No
lf yes, please explain.

Please note any special interest andlor involvement in extra-curricular activities.

Parents' involvement and support:

Are the parents supportive of the programs and policies of the school? Yes / No

Are the parents supportive of the child's educational process? Yes / No

Do the parents communicate and cooperate with the classroom teacher? Yes / No

Do the parents acknowledge the student's strengths and challenges? Yes / No

Corozal IT\/ET Chracter Reference Fom

Educational Reference Form
CorczalITVET
Below, please evaluate the student.

Never Occasionally Always

The student demonstrates self-discipline
The student follows directions
The student responds positively to the challenge of
academic work.
The student is able to follow classroom discussions
and participates willinqly.
The student is able to express himself/herself clearly.
The student is respectful and courteous toward peers
and adults
The student displays a well-balanced temperament.
The student is able to work independently for an age-
appropriate period of time.
The student cooperates with others during group
activities.
The student makes good friends

The student completes tasks/homework.

The student seeks help when necessary.

Poor Average Excellent

Punctuality
Attendance
Readinq skills
Writing skills
Academic Potential
Creativity
Leadership ability
Personal inteoritv
lntellectual curiosity
Sense of humor
Emotional maturity
Conduct
Concern for others

Recommende/s Signature Date

Corozal ITVET Chatacter Reference Form

Chara du Reference Forrn
CorczalITVET
TO BE FILtf D OUT BY THE APPLICANT

This form should be filled by a teacher. The teacher is asked to fill this form and seal the filled form in an
envelope. All information in this form will be held in the strictest confidence and will not be shared with
students, parents or guardians.

Applicant's Name
Surname First Name Middle lnitials

Program Applying for Age Gender: M I f

Applicant's Current/Previous School

Address of Current/Previous School

Telephone #

Applicant Signature Date

TO BE FILLED OUT BYTHE RECOMMENDER

The information will be kept confidential. Please be as thorough as possible.

Name

Post .
School

Email Phone #

What is the greatest strength of this student?

What is this student's greatest weakness?

What factors in the applicanf s home life would help or hinder his/her educational success?

Corozal ITVET Character Reference Form

 {r

CJtrr;e&u Reference Form

CorczalITVET
What is this student's attitude towards authority and rules?

Do you have any concerns in particular about this child? Yes / No

lf yes, please explain.

Below, please ryaluate the applicant in the following categories.

Poor Average Excellent

Academic achievement

Academic potential

Creativity

Leadership ability

Personal integrity

Study habit

lnitiative
lntellectual curiosity

Writing ability

Oralexpression

Sense of humor
Emotional maturity

Conduct

Concern for others

Relationship with peers

Relationship with adults

Recommender's Signature Date

Coroz.al ITVET Character Reference Form