MINISTRY OF EDUCATION
APPLICATION TO SIXTH FORM
NAME:
SURNAME
SEX: MALE
FIRST NAME
(BLOCK LETTERS)
OTHER NAMES
DATE OF BIRTH:
FEMALE
YEAR MONTH
DATE
HOME ADDRESS:
.
TELEPHONE NUMBER: ..
STATE ALL CSEC PASSES OBTAINED.
STATE ALL CSEC SUBJECTS WRITTEN IN MAY/JUNE 2014
SUBJECTS (CSEC/GCE O LEVEL)
GRADE/YEAR
QUALIFICATIONS FROM OTHER RECOGNISED INSTITUTIONS:
NAME OF INSTITUTION
QUALIFICATION (s)
ACQUIRED
GRADE/LEVEL/YEAR
Indicate subject (s) you would like to offer at CAPE.
What career do you have in mind? Give three (3) choices in order of preference.
1.
3. ........................................................................
2.
List the Secondary Schools you have attended so far.
1. ..
2.
Name the schools to which you are seeking admission in order of preference.
1. .
2. ...
3. .
4. ...
Are you prepared to accept an alternative school if so advised?
YES
NO
You must submit along with this Application Form:
1. Your Birth Certificate (or Deed Poll if relevant).
2. A recent passport sized photograph of yourself with your name clearly written on
the reverse side.
3. A testimonial/recommendation from your present Headteacher.
NO PHOTOCOPIES WILL BE ACCEPTED WITHOUT BEING
ACCOMPANIED BY THE ORIGINAL.
Note: If admitted to study the original CAPE subjects, you will be required to do as many
subsidiary subjects as the Principal/Headteacher directs.
.
STUDENTS SIGNATURE
DATE
.
GUARDIAN/PARENTS SIGNATURE
.
RELATIONSHIP
FOR OFFICIAL USE ONLY
COMMENTS:
ACCEPTED
REJECTED
REFERRED
Subjects recommended:
1. .
2. ..
3. .
4. .
School recommended: