APPLICATION FOR ADMISSION THIS FORM MUST BE COMPLETED IN BLOCK CAPITALS

RECEIPT #

BARBADOS COMMUNITY COLLEGE

PLEASE READ THIS SECTION CAREFULLY

APPLICATION PERIOD
EARLY APPLICATION
Date: December 1, 2010 February 25, 2011 Fees: Bds$10.00

LATE APPLICATION
Date: March 1, 2011 March 25, 2011 Fees: Bds$60.00

Application Fees are non-refundable.

ENTRY REQUIREMENTS
The minimum qualifications for entry to the College are:
A. four (4) passes at CXC General Proficiency Level with Grades 1, 2 and 3 as of June 1998. B. four (4) passes at GCE Ordinary Level with Grade A, B, or C. C. any qualifications considered by the College to be equivalent.

N.B. English Language Must be included in the four passes.

Persons 25 years or older who do not possess the minimum qualifications may be admitted as Mature Students, but may be required to attend an interview to determine their eligibility.

PLEASE BRING THESE DOCUMENTS WITH YOU WHEN YOU SUBMIT YOUR APPLICATION
ONLY ORIGINAL DOCUMENTS OR CERTIFIED COPIES WILL BE ACCEPTED.
1. Barbados Identification Card AND Birth Certificate (OR a Valid Passport)

2. 3.

Academic Qualifications. (CXC, GCE or other examination results)

Transcripts from Colleges & Universities should be sent directly to the College from the institution in signed, sealed envelopes.

4.

Where applicable, documented evidence of a change in name must be submitted (E.g. Marriage Certificate, Deed Poll, Affidavit)

5.

Persons not born in Barbados should provide evidence of their status (if any) in Barbados (E.g. Permanent Resident,
Immigrant).

Applications, which are not accompanied by these documents, WILL NOT be processed.

A
HAVE YOU PREVIOUSLY APPLIED TO THE COLLEGE? YES ARE YOU A PAST STUDENT OF THE COLLEGE? SEX: Female Male YES NO NO IF YES, STATE YEAR .... Single Married

MARITAL STATUS:

BARBADOS I.D. NUMBER . (if applicable) LEGAL NAME: Mr/Mrs/Miss ///.

FIRST NAME MIDDLE NAMES

ADDRESS: ... E-MAIL ADDRESS: TELEPHONE NO: (Home) ... (Work) .... Ext ....(Cell) ... MAILING ADDRESS.....
(if different from above)

(if applicable)

SURNAME

MAIDEN NAME

DATE OF BIRTH:___/___/_____
MM DD YYYY

COUNTRY OF BIRTH: . NATIONALITY: ..

EMERGENCY CONTACT: ..
(Please insert full-name of person)

TELEPHONE: ...
HOME

..
WORK

ADDRESS: ..

C
PERSONAL HISTORY
PLEASE INDICATE ANY PHYSICAL/MENTAL DISABILITIES WHICH MAY AFFECT YOUR STUDIES AND LIST ANY SPECIAL REQUIREMENTS: DISABILITY: . DISABILITY: . DISABILITY: . DETAILS: DETAILS: DETAILS:

D
MATRICULATION STATUS
REGULAR MATURE Applicants satisfying the minimum academic qualifications requirement. Applicants over 25 years of age who do not possess the minimum academic qualifications.

TRANSFER Applicants transferring from another tertiary level educational institution. FOR OFFICIAL USE ONLY LOCAL APPLICANT STATUS: CITIZEN/PERM.RES/IMMI/ ............................. DATE RECEIVED: ... OVERSEAS APPLICANT BIRTH CERTIFICATE PASSPORT

CHECKED BY ..

EDUCATIONAL HISTORY
PERIOD ENROLLED

SECONDARY SCHOOL/ COLLEGES/UNIVERSITIES ATTENDED

FROM

TO

F
ACADEMIC QUALIFICATIONS
(Also indicate those subjects which you will be taking OR have taken, and are awaiting results, by entering a Grade of AR)

CXC, GCE OR EQUIVALENT

YEAR EXAM BODY LEVEL SUBJECT GRADE YEAR EXAM BODY LEVEL SUBJECT GRADE

HIGHER LEVEL/PROFESSIONAL QUALIFICATIONS

(Also indicate those subjects which you will be taking OR have taken, and are awaiting results, by entering a Grade of AR)
YEAR EXAM BODY LEVEL SUBJECT GRADE YEAR EXAM BODY LEVEL SUBJECT GRADE

G
EMPLOYER

WORK EXPERIENCE (if applicable)

PERIOD EMPLOYED

POSITION

FROM

TO

H
APPLICATION INFORMATION
A. B.

Applicants are allowed TWO CHOICES ONLY. Applicants should indicate clearly their FIRST and SECOND choices by placing 1st or 2nd in the boxes provided. MAJORS
N.B. Applicants will be required to pursue either two or three of these majors.
CHOICE

PROGRAMMES

FULL TIME

PART TIME

CHOICE

I hereby certify that the above particulars are true and correct. If I am accepted, I agree to abide by the rules and regulations of the College.
. SIGNATURE OF APPLICANT DATE

Completed Forms must be submitted to:

THE OFFICE OF STUDENT AFFAIRS BARBADOS COMMUNITY COLLEGE EYRIE HOWELLS CROSS ROAD, ST. MICHAEL BARBADOS. W.I.

(*applicable to persons in Barbados only)

*PLEASE DO NOT POST

BETWEEN 9:00 AM. AND 3:00 P.M. ONLY For further information Telephone: (246) 426-2858, Fax: (246) 429-5935, E-mail: eyrie@bcc.edu.bb