Returning/Transient – Sacred Heart Junior College

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Sacred Heart Junior College Admissions Form

Welcome to Sacred Heart Junior College. Please take your time and carefully complete your Application form. If you have any questions, please do not hesitate to contact us at admissions@shc.edu.bz.

Returning Student - Students who previously studied at SHJC and have been out for more that two semesters.
Transient Student - Student can take any specific course (transfer to another institution)

Please indicate if you are:

Returning Student
Transient Student

be Contact C

Section A - Personal Information

General Instruction: Please provide the information requested.

Name

First

Middle

Last

Date of Birth

Gender:

Male
Female

Social Security Number

Format: 000654321

Phone Number:

Address

Address Line 1

City

State / Province / Region

Country

Religion

Personal Email

Nationality

If Foreign National

Address Line 1

City

State / Province / Region

Country

Employment Status

Are you employed?

Section B - Health Concerns & Emergency Contact

Please specify any chronic ailment that you suffer from or special needs that SHJC may need to be aware of.

Complete Name of Contact Person

First

Middle

Last

Relationship with Applicant

Address

Address Line 1

City

State / Province / Region

Country

Phone

Section D - Insurance Beneficiary Information

Every student who is registered at Sacred Heart Junior College is covered by SHJC’s accident insurance plan with the Insurance Corporation of Belize ICB. The insurance covers students twenty-four hours a day and seven days a week as long as they are registered at SHJC. Students are covered whether they are on campus or at home, traveling to and from school and especially on class trips.

Name of the beneficiary

First

Middle

Last

Relationship to the applicant

Contact Number - 1

Social Security Number

Beneficiary's Social Security Number

Contact Number - 2

Address

Address Line 1

City

State / Province / Region

Country

Sacred Heart Junior College Admissions Form

Banking Information

Section A - Personal Information

Employment Status

Section B - Health Concerns & Emergency Contact

Section C - Information Release Agreement - Policy on Disclosure

Section D - Insurance Beneficiary Information