to the Admissions Application Form

In partnership with
An Affiliate of Kenya Red Cross
STUDENT APPLICATION FORM
INSTRUCTIONS
Please fill this form (print/BLOCK CAPITALS), using ink and return it or forward to the address as indicated at the bottom of the second page.
PROGRAMMES (Indicate below your progamme of interest)
Food & Beverage Sales & Service
Certificate
1 year
Food and Beverage Supervision
& Operation
Diploma
2 year
Housekeeping and Laundry Operations Certificate
1 year
Housekeeping Operations and
Supervision
Diploma
2 year
Front Office Operations
2 year
Culinary Arts (Food Production)
Diploma
2 year
Diploma
Swiss Higher Diploma in International
Hotel Management
3 year
PERSONAL DATA: Mr/Mrs/Miss/Ms
Surname
First Name
Other Names
ID/Passport No
Age
□
Date of Birth (Day/Month/Year)
Male
□
Female
Mailing Address
County
Nationality
Postal Code
Town
Country
Address for correspondence ( if different from the above)
Home Phone
Mobile Phone
Alternative Mobile No
Email
Name: Father
Occupation
Mobile
Mother
Occupation
Mobile
Guardian
Occupation
Mobile
Relation
Mobile
Contact person in case of emergency
Name
EDUCATION BACKGROUND
Schools/Colleges attended
1.
2.
3.
Course/Class Completed (From-to)
Certificate/Qualification Attained
PROFESSIONAL/WORK EXPERIENCE (Current or most recent at the top)
Employer
Job Title
Main duties
From/To
1.
2.
Have you attended any professional training seminars, if so list:
Please submit details of all previous work experience on a separate page, along with copies of any reference letters received.
LEARNING SUPPORT
Do you have a learning difficulty, disability, mental health issues or medical condition YES
□
NO
□
If ‘yes’ please outline your learning difficulty, disability, medical condition and/or health difficulty (this will not prejudice your application in any
way). This information is needed to determine whether you would require any specific support during your studies.
Do you have any special dietary requirements? Yes
□ □
No
If yes, please specify
Languages: Mother Tongue:
Level:
Other:
Who will pay your school fees?
Level:
□
Self Funded
□
Family
□
Sponsorship/scholarship
Declaration and signature of the Applicant
By signing this form I give my permission to BIHC to verify any information contained on this application. I also confirm the information on this
form is true, complete and accurate and no information requested has been omitted.
Signature:
Date:
Signature of Parent/ Guardian (For students under 18 years of age)
Thank you for your application. We will invite you for an interview when you will be asked to present your original certificates.
For More Information
Call us on: Tel: 0719 050 000 or 020 3904000, Email [email protected] Website: www.bihc.ac.ke