COLLEGE OF AGRICULTURE, SCIENCE &

EDUCATION (CASE)
P.O. BOX 170, PORT ANTONIO, PORTLAND
JAMAICA WEST INDIES
Website: www.case.edu.jm

Application Form
(AY 2005/2006)

SURNAME: ____________________________________________________________

CHRISTIAN NAME(S): ____________________________________________________

1. CASE is the only multi-disciplinary tertiary level institution in Jamaica that offers, in one location,
education & training in Agriculture, Science, Teacher Education, Business, and Hospitality,
Entertainment and Tourism.

2. Please read the application form carefully before completing. A list of the programmes offered, their
normal duration, and entry requirements is attached at the back of this form.

3. Application forms are available at the College’s Finance Department at a cost of One Hundred ($100.00)
Dollars each or may be downloaded free of cost from our website, and must be submitted by 2005,
February 28.

4. The following must be submitted with your application:

 One (1) certified copy of your birth certificate

 Certified copies of diplomas/certificates
 Official transcripts from post-secondary institutions attended*
 Two (2) certified passport size photographs
 Three (3) sealed letters of recommendation
 A non-refundable processing fee of Two Hundred ($200.00) Dollars in the form of a Money Order,
Bank Draft, or Manager’s Cheque.

5. *All copies of academic certificates must be certified by the Principal of the school attended or by a
Notary Public or a Justice of the Peace, whose official stamp or seal should be affixed.

6. PROVIDING FALSE INFORMATION, SUBMITTING ALTERED DOCUMENTATION OR FAILING TO

COMPLETE THE APPLICATION FORM, WILL VOID YOUR ADMISSION.

7. Please note that applications will not be processed if the appropriate documentation is not produced.

8. Completed Application Forms and required documents should be submitted to:

The Office of Admissions & Records

College of Agriculture, Science and Education
P.O. Box 170, Port Antonio
Portland, Jamaica W.I.
Tel: (876) 993-5377/5558
Fax: (876) 993-5559
E-mail: registrar@case.edu.jm
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 PERSONAL INFORMATION

SURNAME-------------------------------------------------------------------------------------------------------

CHRISTIAN NAME (S): -----------------------------------------------------------------------------------------

MAIDEN NAME: -------------------------------------------------------------------------------------------------

TELEPHONE #:---------------------------------------------------------------------------------------------------

GENDER:  Male  Female

DATE OF BIRTH:---------------------------------------------------------------------------------------------------

MARITAL STATUS:  Married  Single  Widow  Widower

NATIONALITY: --------------------------------------------------------------------------------------------------------

PERMANENT ADDRESS:

CITY/PARISH:-------------------------------------------------------------------------------------------------------

COUNTRY:------------------------------------------------------------------------------------------------------------

POSTAL ADDRESS:

STREET/DISTRICT:------------------------------------------------------------------------------------------------

CITY/PARISH:--------------------------------------------------------------------------------------------------------

COUNTRY: -------------------------------------------- E-mail Address-----------------------------------------

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 Selection of Academic Programme

Please place a tick () in the box beside the programme for which you are applying

 Bachelor of Technology in Agri-Production & Food Systems Management

Full Time  Part Time 
 Bachelor of Technology in Environmental Science, with specializations in:
 Environmental Management
 Ecotourism
Full Time  Part Time 
 CASE Centre  Old Harbour Centre  Ebony Park H.E.A.R.T Academy Centre 
Montego Bay Centre
 Associate of Science Degree in General Agriculture
 Associate of Science Degree in Agricultural Education
 Associate of Science Degree in Natural Science
 Secondary Teaching Option
 Non-Teaching Option
 Associate of Science Degree in Business Studies
 Day  Evening
 Associate of Science Degree in Hospitality, Entertainment & Tourism

 Diploma in Agriculture

 Diploma in Teaching, Primary Education

 Diploma in Teaching, Secondary Education

 Maths/Computer Studies

 Diploma in Teaching by Advanced Placement:

 Science
 Agriculture
 Business
 CASE Centre  Old Harbour Centre  Brown’s Town Community College

 CASE Continuing Education Programme:

 Pre-Science  Pre-Business  Pre-Teaching

N.B.: Please prioritise your Programme Choices:

First Choice:--------------------------------------------------------------------------------------------------------

Second Choice:----------------------------------------------------------------------------------------------------

Third Choice:-------------------------------------------------------------------------------------------------------

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 Educational Background

Institutions attended

Name of Institution Street/District Parish Country Years (From/To)

Secondary Level Qualifications – CXC, GCE, SSC, Other

Examining Body Subject Grades Month & Year

Status* (CXC, GCE, SSC,
Other)

*STATUS – Please enter the following codes: PS = PASSED Subject; PD = Results of subjects
pending; ST = Sitting Subjects in May/June 2005.

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 Post-Secondary Level Qualifications

University/College Programme of Certificate/Diploma/ Years (From/To)

Status* (Name & Address) Study Degree Awarded

*STATUS – Please enter the following codes: CP = Completed Programme; PD = Results of programme
pending.

Employment History

Employer/Position Street/District Parish/City Country Duration

If you have not been working, please indicate what you have been doing over the past year.

Extra-Curricular And Other Activities

NAME OF ORGANIZATION (S): _______________________________________________

OFFICES HELD/DUTIES: ____________________________________________________

HOBBIES/GAMES PLAYED: __________________________________________________

DO YOU PLAY A MUSICAL INSTRUMENT? IF YES, STATE ________________________

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 Personal, Academic And Professional Goals Statement

Write an essay providing information about yourself and why you want to pursue your chosen field of
study. (100 words minimum)

Financial Matters

Students are required to meet their financial obligations to the College. All students in tertiary level
institutions are eligible for Students Loans. Therefore, if you need financial assistance to pay your fees,
please make the necessary application to the Student Loan Bureau. Fees for the various programmes
are available upon request from the Office of the Director of Finance (Tel: 993-5457; e-mail:
finance@case.edu.jm)

Please note also, that fees are payable IN FULL BEFORE registration at any branch of RBTT
Bank or the Bank of Nova Scotia. The Voucher provided by the College should be used for
making payments at the appropriate Bank, and the School’s and File copies presented during
registration. Students who have not paid their fees will not be registered, will be barred from
examinations, and will not be allowed access services normally provided for students who have
satisfied their financial obligations to the College.

Confidential Information

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(The following information is collected for use by the College only and will not be released to
any external party).

Mother’s Name: ________________________________ Telephone #: ________________________

Mother’s Maiden Name: _________________ Mother’s Occupation/Annual Income: ______________

Fathers Name: ________________________________ Telephone #: _________________________

Father’s Occupation/Annual Income: ___________________________________________________

What number are you in the family: ____________________________________________________

How many sisters do you have: ____________ How many brothers do have: ___________________

How old is the eldest? ___________________ how old is the youngest? ______________________

Dependents: ______________________________________________________________________

How will your fees be paid:  Personal Savings  Parents/Guardian  Spouse  Scholarship

 Other Family Member  Student Loan Bureau  Other (please specify) _____________________

Religious Affiliation: ________________________________________________________________

DOES YOUR RELIGION PREVENT PARTICIPATION IN ANY OF THE FOLLOWING ACTIVITIES?:

Physical Education ________ Music and Movement_________ Daily College Worship __________

Chapel Service ___________

Christmas Lunch ____________ Graduation _______________ Farm Practice _________________

IF YES, EXPLAIN: __________________________________________________________________

________________________________________________________________________________

ARE YOU WILLING TO COMPLY WITH: (A) DRESS CODE:  YES  NO

(B) CODE OF CONDUCT;  YES  NO

IF NO, EXPLAIN: ___________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

References

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Please list the names of three referees below, and have them submit recommendations on your behalf
in a sealed envelope to be enclosed with your application.

REFERENCE 1:

Name: ________________________________________________________________________

Address: ________________________________ Telephone #: __________________________

REFERENCE 2:

Name: ________________________________________________________________________

Address: _________________________________ Telephone #; __________________________

REFERENCE 3:

Name: ________________________________________________________________________

Address:,________________________________ Telephone#: __________________________

Declaration & Agreement:

I hereby certify that the information contained in this document is accurate and complete, to the best of
my knowledge, and no attempt has been made to mislead the institution, and I understand and accept
that providing false information or submitting altered documents will void my admission to the College.

I further declare that, if admitted to the College of Agriculture, Science and Education, I pledge and
undertake to abide by all rules and regulations that govern the institution, and I understand and accept
that breaches of these rules and regulations will result in sanctions against me.

In addition, I agree to satisfy my financial obligations to the College by paying all applicable fees on or
before the established payment deadlines, and I understand and accept that failure to do so on my part
will result in my being barred from registration and examinations, and neither will I be allowed to access
services normally provided for students who have satisfied their financial obligations to the College.

I also understand and accept that Agricultural Production Technology (Farm Practicals) will
include attendance on weekends. (This stipulation is for students pursuing certain programmes
in Agriculture).

NAME: ________________________________________________________________________

SIGNATURE: _____________________________ DATE: _______________________________

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Please do not write below this line: _________________________________________________

FOR OFFICIAL USE ONLY

MATRICULATION STATUS:

 Fully Matriculated  Not Matriculated  Other__________________

Admission Recommendation by the Dean/Director: ______________________________________

________________________________________________________________________________

________________________________________________________________________________

Registrar’s Comment:_______________________________________________________________

________________________________________________________________________________

Signatures of College officials:

Dean/Director:_____________________________ Date___________________________________

Faculty/Division: ___________________________________________________________________

Registrar: __________________________________ Date: ________________________________

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 ON-CAMPUS HOUSING/BOARDING

On campus housing is limited. A separate application for on-Campus housing accompanied by a non-
refundable processing fee must be made to the Residence Hall Manager, Directorate of Student Affairs,
using the prescribed Application Form. This Application Form is available for purchasing at the College,
or it maybe downloaded from our website at www.case.edu.jm.

If you are desirous of obtaining on-campus housing, you should complete and submit the Housing
Application Form to the Residence Hall Manager AFTER you have received you letter of acceptance to
pursue a programme of study at the College (a copy of this letter should be attached to your application
form for on-campus housing). Acceptance for admission to the College is NOT a guarantee that on-
campus housing will be available or provided.

If your application for on-Campus Housing is not successful, you are required to make arrangements
for your own off-campus accommodation, at your expense, and commute to classes. A list of available
places is available from the Residence Hall Manager.

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 List of Tertiary Academic Programmes Offered @ CASE

Programmes Normal Duration Entry Requirements

Bachelor of Technology in Agri-Production &
Food Systems Management
Bachelor of Technology in Environmental
Science:
- Environmental Management
- Ecotourism
Bachelor in Education (Primary)
Associate of Science Degree in General
Agriculture
 4 Years Post-Secondary
 2 Years (Persons with
A.Sc Degree or
equivalent qualifications)
 4 Years Post-Secondary
 2 Years (Persons with
A.Sc Degree or
equivalent qualifications)
 2 Years
 2 Years
 3 Years*
5 CXC/GCE/SSC Subjects: including
English Language, Mathematics, and 2
science subject OR A.Sc. in
Agriculture, Natural Science
5 CXC/GCE/SSC Subjects: including
English Language, Mathematics, and 2
science subject OR A.Sc. in
Agriculture, Natural Science,
Environmental Science.
Diploma in Primary Education
5 CXC/GCE/SSC subjects including
English Language, Mathematics, and 2
science subjects and another.

Associate of Science Degree in Agricultural Grade I Certificate from Elim or

Education*
Associate of Science Degree in Natural
Science:
 Secondary Teaching Option*
 Non-Teaching Option
Associate of Science Degree in: (a) Business
Studies (Day & Evening)
(b) Hospitality, Entertainment & Tourism
Management
Diploma in Teaching, Primary
Diploma in Teaching, Secondary (Maths and
Computer)
Knockalva Agricultural Schools
 2 Years 5 CXC/GCE/SSC subjects including
 3 Years* English Language, Mathematics, and 2
science subjects and another.
 2 Years 5 CXC/GCE/SSC subjects including
English Language & a numerate or
business subject and another.
 3 Years 5 CXC/GCE/SSC subjects including
English Language and Mathematics, a
Social Science or a Natural Science
subject
 3 Years 5 CXC/GCE/SSC subjects including
English Language. Two subjects must
be in the area of specialization.

Diploma in Teaching by Advanced Placement  3 Semesters First Degree or an Associate of Science

(Agriculture, Science & Business)
Diploma in Agriculture
Degree in Agriculture, Science or
Business
 2 Years 4 subjects including English Language,
Mathematics, Agriculture & one
science subject OR Grade II
Elim/Knockalva Certificate OR Grade
III Elim/Knockalva Certificate plus
Mathematics and English in
CXC/GCE/SSC

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MATURE ENTRY: Applicants falling in this category must be over the age of twenty five (25), with a minimum of five (5)
years experience in a specialised area of the industry. Applicants will be accepted based on his/her employment portfolio, as
well as an interview. Each case will be assessed on its own merit.

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