1ST FORM APPLICATION FORM

Students are still required to email or whats-app photo to the school

SECTION 1: PERSONAL DATA

NAME:




BIRTH DATE:




BIRTH PLACE:

SOCIAL SECURITY NUMBER:

OPENEMIS NUMBER:

RELIGION:(Select only one option)

CatholicNazarenePentecostalMormomOther

PRIMARY SCHOOL CURRENTLY ATTENDING:

P.S.E. Score:

CITIZENSHIP:(Select only one option)

Belizean NatioanlNon-Belizean

SECTION II: PARENTAL DATA:

Address:

Mother's Name:

Address:

STATEMENT

Kindly attach a copy of your birth certificate and Social Security Card.

CONTRACT SIGNING

I understand that fees are non-refundable. My signature below indicates:

A) That all the information contained in my application is complete, factually correct, and honest.

B) My admission and registration may be cancelled if this information is found to be false or intentionally omitted.

C) By signing, I agree to abide by the policies and regulations contained in the school’s handbook.

D) My application will be rejected if I do not send a copy of my birth certificate and Social Security Card, along with the application form.

Parent’s Signature:

Applicant's Signature:

FOR OFFICIAL USE OF MOPAN TECHNICAL HIGH SCHOOL. Do not write here.