Application Form

Basic knowledge of Reading, Writing, Comprehension and Math/Computation Skills are essential for participation. All applicants must be at least sixteen (16) years old

Sex

Male

Female

Mother's information

Father's information

In case of emergency call:

Do you suffer from any medical/Health problems?

Yes

Do you need your course materials translated from English to Spanish?

Yes

Student's education career information

EDUCATIONAL BACKGROUND

Circle the highest level of education that you have achieved:

Primary

High School - Form 1, 2, 3, 4

High School Graduate

College Six-Form Graduate

WORK EXPERIENCE

Are you working now?

Yes

Have you had a previous job?

Yes

I understand, if I am accepted, I will be required to pay my registration fee and other fees immediately. I am aware that non-payment of tuition and any fees will result in my dismissal from classes.

What is your source of payment?

Employer

Scholarship

Yourself

Parents

Guardian

Person responsible for fees

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

If Applicant is under 18 years of age, a Parent or Guardian must co-sign.

I have received and concur with the information provided by my son/daughter in completing the application form and will attest to its accuracy and truthfulness.

Thank you! Your submission has been received!

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