Application Form 2015 - Bishop Martin High School

BISHOP MARTIN HIGH SCHOOL
¾ Mile San Lorenzo Road  P. O. Box 177  Orange Walk Town  Tel. 322-3469
Application for Admission 2015 – 2016
Name of your Primary School ___________________________________
Dear Applicant:
1.) Please fill this form completely and correctly.
2.) Have your parent or guardian complete and SIGN the Agreement below.
3.) Attach a copy of your STANDARD V report and most recently completed STANDARD VI term report.
Note: attach copies, not originals, as they will not be returned to you.
4.) Obtain a copy of documentation that proves you are a Belizean or a Permanent Resident: birth certificate
or passport, or permanent residence card.
5.) Have your primary school Principal and your Standard VI teacher complete the attached recommendation
forms and return them to BMHS in sealed envelopes. (Note: Schools may send several recommendations
together.)
6.) Include an Application Fee of $15.00. An additional $10 Late Fee is charged for late applications.
7.) MAKE SURE ALL OF THESE REACH THE BMHS OFFICE BY FRIDAY, 27 MARCH, 2015.
(Office hours are 8:00a.m. - 4:30p.m.)
PLEASE PRINT
PLEASE PRINT
Middle Name
First Name
PLEASE PRINT
Last (Family) Name
Gender
Male Female
Home Address (Street, Town/City, Country)
Soc. Sec. No.
Tel. No.(s)
Date of Birth
Email Address
__________________________________
Day
Religion
Month
Year
Mother’s Name
Work Place
Father’s Name
Work Tel:
Work Place
Work Tel:
Whom do you live with?
 Both parents (Skip next ques.)
 Mother only
 Father only (Skip next ques.)  Guardian (Answer next ques)
(Skip next ques.)
If you live with a guardian, answer this question:
Guardian’s Name
Address
Guardian’s relation to you:
 Aunt
Uncle
 Grandparent
Other_______________________
Tel:
Please indicate any medical problem(s) that the school should know about (Use a separate sheet if a detailed explanation is
necessary):
Please indicate any physical/ learning disability the school should know about:
THIS PART FOR OFFICE USE ONLY
P. S. E.
ENG
 STD. V Report
MATH
 STD VI Report
SCI
SOC
 Recommendation
TOTAL
 Belizean b.c./p.p.
AVE
 P. Residence
 Application Fee
Dear Parents or Guardians:
Thank you for your interest in Bishop Martin High School. These are ESTIMATED costs for First Form
2015-16. They are subject to change.
Activity Fees:
Summer school:
Orientation Package:
$600/ year
$100
$75
Payable at beginning of school year
Mandatory for all new entrants
Includes PE T-Shirt, shorts and Handbook
Financial Aid
The school offers some financial aid towards fees and books. Application forms can be obtained from the BMHS
Office. Deadline for completed financial aid applications is Friday, 28 August, 2015.
A g r e e m e n t
o f
P a r e n t ( s ) /
G u a r d i a n ( s )
I have read the information on this form. If my child is accepted at Bishop Martin High School, I shall:
1.
Pay or arrange for payment of all fees as determined by Bishop Martin High School.
2.
Become familiar with the rules and policies of the school and cooperate with the school in
enforcing them.
3.
Participate in the school's activities by attending school functions and supporting school
activities.
4.
Ensure that my child spends at least two hours daily on home study/assignments/homework.
Name of Parent/ Guardian (PRINT):
Signature of Parent/ Guardian:
Date: