YTEPP LIMITED

HEAD OFFICE: #1 Mulchan Seuchan Road, Chaguanas

Tel: (868) 672-5411, 672-YTEP; FAX: (868) 672-5411 Ext. 2266, Email: info@ytepp.gov.tt Website: www.ytep.gov.tt

MARKETING
24.

Discover Your Potential

HOW DID YOU HEAR ABOUT THE START OF THIS YTEPP TRAINING CYCLE?

Newspaper Ads
Television Ads
Presentations
Trainee Referral
Someone saw Television Ads
Someone saw Newspaper Ads
Facebook
Flyer

Radio Ads
PA System
Career Fair
Someone heard Radio Ads
Someone heard PA System
YTEPP Website
YouTube
Other

APPLICATION FOR ADMISSION

INSTRUCTIONS Please write clearly using BLOCK LETTERS

RECEIPT NO:____________________

PERSONAL INFORMATION
1.

SURNAME

2.

FIRST NAME

3.

HOME ADDRESS

4.

TOWN/VILLAGE

5.

TELEPHONE NO.

6.

BIRTH CERTIFICATE PIN

________________________________

PASSPORT NO.
___________________________________

7.

NATIONAL IDENTIFICATION NO.

________________________________

DRIVERS LICENCE NO.

___________________________________

8.

E-MAIL ADDRESS:

Centre:________________________________________ Course:_____________________________________________

9.

SEX:

Name: _________________________________ Signature: ____________________________ Date: ________________

(Please PRINT)
(dd/mm/yy)

10.

DATE OF BIRTH: __________________________

day
month
year

AGE: _________

11.

COUNTRY OF BIRTH:

NATIONALITY:

12.

ARE YOU DIFFERENTLY ABLED?

13.

MARITAL STATUS:

DECLARATION
I declare the above information is true and correct.

Signature of Applicant:

Date:

FOR OFFICIAL USE ONLY

THIS BOX IS FOR OFFICIAL USE ONLY: Previous Participation IDNO:

Applicant enrolled in:

Research and Curriculum Development

st

Skill Choice

nd

Skill Choice

Micro Entrepreneurship

Male

CELL NO.

Female

________________________

Yes

______________________

No

Single Married Common-Law Union Divorced Other

Please list Examination, Course( s) and/or Subject (s) passed, Grade (s) and Level/Proficiency.
14.

B.I.R. NO.:

___________________________________

N.I.S. NO.:

_____________________________

NAME OF YOUR BANK:

____________________________________________________________________

BANK ACCOUNT NO.:

____________________________________________________________________

LEVEL: (Ordinary or Advanced)

PROFICIENCY: (Basic or General)

EXAMINATION BODY

LEVEL/PROFICIENCY

COURSE/SUBJECT

GRADE

CONTACT
15.

NAME OF PERSON WHO WILL MOST LIKELY BE ABLE TO REACH YOU EASILY/QUICKLY.
(Please name a person who does not live in the same house as you)
____________________________________________________
(NAME)

______________________________________________
(ADDRESS)

____________________________________________________
(TELEPHONE /CELL NO.)

_______________________________________________
(RELATIONSHIP)

FAMILY BACKGROUND

DO YOU HAVE CHILDREN?

17.

NUMBER OF PERSONS IN YOUR FAMILY/HOUSEHOLD:

less than 4
18.

4-6

YES

16.

NO

IF YES, HOW MANY?

PREVIOUS PARTICIPATION

more than 6

21.

$1500.00 - $2500.00

$2500.00 - $4000.00

more than $4000.00

22.

(a)

(b)

WHY HAVE YOU CHOSEN THIS SKILL?

Hobby
Start own business

School Leaving
GCE
Pitman

get certified

WORK EXPERIENCE
23.

a)

WHAT ARE YOU DOING AT PRESENT? (tick where applicable)

Working Home Duties

Seeking Employment

EXAMINATIONS DONE (Please put the year in brackets provided)

Common Entrance
CXC
NEC

No

WHAT SKILLS WOULD YOU LIKE TO PURSUE? Please list in order of preference.

Job Training/Employment
Job Promotion

SCHOOLS ATTENDED

Primary
Post Primary
Junior Secondary
Secondary/Senior Comprehensive/Composite
Trade/Vocational
Technical Institute
Adult Classes/School of Continuing Studies
Correspondence School
University
20.

(1)________________________________________________ (2)______________________________________

EDUCATION
19.

Yes

GENERAL INFORMATION

WHAT IS THE MONTHLY INCOME OF YOUR HOUSEHOLD?

less than $1500.00

HAVE YOU PARTICIPATED IN YTEPP LTD. BEFORE?

b)
(

Other: ________________________________________________________________________________________

HAVE YOU EVER WORKED/HAD A JOB?

If Yes, when did you last work for pay?

Yes.

Part-time/Evening classes
No Go to Question 21

Presently Working 1-6 mths ago

7mths-1yr ago
2 yrs ago
more than 2 yrs ago

What was your last job?____________________________________________________________________

c)

IF PRESENTLY EMPLOYED STATE NAME OF COMPANY

_______________________________________________________________________________________
TELEPHONE:

(d)
Research and Curriculum Development

_________________________

How many jobs have you had since leaving school and before entering YTEPP? [