Galilee College
“Today’s Education is Tomorrow’s Gratification”
Joe Farrington Road P.O. Box EE
16-507 Nassau, Bahamas Tel. (242)364-8202 Email gcollege@mail.com
Application
Form
$50 Non-refundable Application
Fee Must Accompany This Form
PERSONAL INFORMATION
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Last
Name |
First
Name |
Middle
Name |
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Maiden
Name |
Title |
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Mr__Mrs__Ms__Dr.___ |
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Residence
Phone |
Business
Phone |
Street
Address |
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P.O.
Box |
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Island/City |
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Birth
Place |
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Birth
Date |
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Sex |
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Mt___Da___Yr___ |
Male____
Female___ |
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If
married, wife or husband's name |
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Bahamian? |
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If
no, please list country & status |
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Yes___
No___ |
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Applicant's
Employer |
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Address |
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Business
Phone |
Length
of time |
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Employed? |
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Full
Name of Parent, Legal Guardian or Next of Kin |
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Relationship |
Telephone |
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Bus__________/
HM__________ |
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Legal
Address for Above Person |
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P.O.
Box |
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Island/City |
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Reference
(Name) |
P.O.
Box |
Island/City |
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Country/State |
Do
you want to be listed in our |
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Job
referral file? |
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PREVIOUS
EDUCATION
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Name
of High School |
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Island/City |
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Country/State |
Yr.
Graduated / Yeaar Left |
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/ |
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Highest
Certificates Earned |
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Date
and place of issue |
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Did
you request a transcript? |
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Yes___
No____ |
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UNIVERSITY/COLLEGE/OTHER
(Official Transcripts will be required from each) |
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Name |
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Island/City |
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Country/State |
From |
To |
Finished? |
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Name |
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Island/City |
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From |
To |
Finished? |
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Name |
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Island/City |
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From |
To |
Finished? |
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ENROLLMENT DATA
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Educational
Program |
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How
did you learn about GC? |
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Day/Night |
I
plan to attend: 200__ Fall___ |
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Winter__
Spring__ Summer__ |
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Are
you interested in |
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Do
you plan to pursue further |
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Transfer
Assistance |
Estimated
Graduation |
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College
Activities? |
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Studies
beyond GC? |
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Needed? |
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Date: |
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OTHER
COMMENTS
If Accepted, I agree to abide by the policies of GC. I understand that I may be denied acceptance
if any
information
provided is false, or will be discharge if discovered.
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Signature of Applicant |
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Date |
Signature of Legal Guardian if Applicant
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Date |
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is
under the age of 18_______________________________ |
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Admissons Representative |
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Date |
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Approved |
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Date |
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Deferred and reason |
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It is the policy of Galilee College that there shall be no discrimination on the basis of handicap, race, creed, colour, sex, national or
ethnic origin of its students, prospective students, employees or prospective employees.