CHALO TRUST PRE-UNIVERSITY COLLEGE
DEDICATION & COMMITMENT TO WORLD CLASS PRE-UNIVERSITY COLLEGE
APPLICATION FOR ADMISSION
PROSPECTING STUDENT’S DETAILS
Proposed Entrance Date:
AS/A-LEVEL:
Student’s Surname:
Student’s First Name(s):
Student prefer to be called:
Student’s date of birth: (day/month/year):
Gender: Male Female
Student’s Physical Address:
Student’s Citizenship: Country of birth:
Home language: Religious Denomination:
Race/Ethnicity (optional): Position in family: (eldest, youngest etc)
Student’s Official Parent/Guardian: (Tick where appropriate)
Father Mother Stepfather Stepmother Other
Pupil lives with: (Tick where appropriate)
Father Mother Stepfather Stepmother Other
DETAILS OF CURRENT/PREVIOUS SECONDARY, AS/A-LEVEL
Name of previous/current school:
Name of Head Teacher:
Address & contact details of the current school:
Tel: Fax:
REFERENCES
Name, address & telephone numbers of two persons to whom references can be obtained:
(1)
(2)
Any special request or information?
Does the child have any disabilities / physical / learning handicaps? (Please enclose copies of
relevant reports)
FAMILY DETAILS
Is there a brother / sister in any section of Chalo Trust School? Yes No
Sibling’s Name:
Current Grade of sibling:
Father’s Surname: First Name Title:
Occupation:
Postal Address: Postal Code:
Physical Address:
Tel Home: Cell: Business:
Fax: Email:
Mother’s Surname: First Name: Title:
Occupation:
Postal Address: Postal Code:
Physical Address:
Tel Home: Cell: Business:
Fax: Email:
Chalo Trust Pre-University College offers boarding facility for boys & girls
Do you wish your son or daughter to be placed in boarding?
Yes No
The Director stands in for all Boarding students. This is of great importance in the case of
sudden illness. By signing this application of admission, parents empower the Director to act on
their behalf in all emergencies.
We undertake to pay all fees in advance upon receipt of an invoice. In the event of withdrawing
my child from Chalo Trust Pre-University college, for any reason whatsoever, no refunds shall
be claimed. We undertake to give one full term’s notice or alternatively to pay one term’s fees in
lieu of notice.
The college expects parents to abide by all the college policies and rules and co-operate with
lecturers and administrators.
How did you hear about Chalo Trust Pre-University College?
Signature of both parents/ Guardians:
1. Date:
2. Date:
NB: Attached to your application, please enclose the following:
1. A copy of the student’s latest report.
2. A copy of the student’s birth certificate.
3. A confidential academic and conduct report from the Student’s Head Teacher
from present/previous school.
4. A non-refundable registration fee of K50.00.
