Utech Application
INSTRUCTIONS
1. Read the accompanying Summary of Programmes before completing this form. DO NOT WRITE IN SHADED AREAS.
2. Ensure that the application is FULLY completed using CAPITAL letters ensuring legibility. Forms not properly completed will not be processed.
3. Online applications are preferred. There is no processing fee for applications submitted online. The electronic application can be found at http://www.utechjamaica.edu.jm
4. A non-refundable application fee of J$1000.00/US$40.00 (applications not submitted online) must be paid at Accounts Receivable prior to submission.
5. Return completed Application Form to the Office of Admissions and Enrolment Management, University of Technology, Jamaica, 237 Old Hope Road, Kingston 6, Jamaica.
APPLYING AS A: □ REGULAR STUDENT □ MATURE STUDENT □OCCASIONAL STUDENT
SECTION 1: PROGRAMME
1. COLLEGE □ HEALTH SCIENCES □ BUSINESS AND MANAGEMENT FACULTY □BUILT ENVIRONMENT □ EDUCATION & LIBERAL STUDIES □ ENGINEERING AND COMPUTING □ LAW □ SCIENCE AND SPORT JOINT COLLEGES □ ORAL HEALTH □ MEDICINE □ VETERINARY SCIENCES
FRANCHISE OR OUTREACH LOCATION (indicate if any) ____________________________________________________________
2. PROGRAMME CODE PROGRAMME 3. PROGRAMME CODE OF 2ND CHOICE PROGRAMME
SECTION 2: PERSONAL DETAILS
4. HAVE YOU BEEN AN ENQUIRER, APPLICANT OR STUDENT BEFORE? □ YES □ NO IF YES, PROVIDE ID # IF KNOWN __________________
5. SURNAME 6. FIRST NAME
7. FORMER SURNAME (If any) 8. MIDDLE NAME (S)
9. GENDER: □ M □ F 10. TITLE: □ MISS □ MRS. □ MR. □ OTHER, SPECIFY _________ 11. AGE 1 2. DATE OF BIRTH
1. Read the accompanying Summary of Programmes before completing this form. DO NOT WRITE IN SHADED AREAS.
2. Ensure that the application is FULLY completed using CAPITAL letters ensuring legibility. Forms not properly completed will not be processed.
3. Online applications are preferred. There is no processing fee for applications submitted online. The electronic application can be found at http://www.utechjamaica.edu.jm
4. A non-refundable application fee of J$1000.00/US$40.00 (applications not submitted online) must be paid at Accounts Receivable prior to submission.
5. Return completed Application Form to the Office of Admissions and Enrolment Management, University of Technology, Jamaica, 237 Old Hope Road, Kingston 6, Jamaica.
APPLYING AS A: □ REGULAR STUDENT □ MATURE STUDENT □OCCASIONAL STUDENT
SECTION 1: PROGRAMME
1. COLLEGE □ HEALTH SCIENCES □ BUSINESS AND MANAGEMENT FACULTY □BUILT ENVIRONMENT □ EDUCATION & LIBERAL STUDIES □ ENGINEERING AND COMPUTING □ LAW □ SCIENCE AND SPORT JOINT COLLEGES □ ORAL HEALTH □ MEDICINE □ VETERINARY SCIENCES
FRANCHISE OR OUTREACH LOCATION (indicate if any) ____________________________________________________________
2. PROGRAMME CODE PROGRAMME 3. PROGRAMME CODE OF 2ND CHOICE PROGRAMME
SECTION 2: PERSONAL DETAILS
4. HAVE YOU BEEN AN ENQUIRER, APPLICANT OR STUDENT BEFORE? □ YES □ NO IF YES, PROVIDE ID # IF KNOWN __________________
5. SURNAME 6. FIRST NAME
7. FORMER SURNAME (If any) 8. MIDDLE NAME (S)
9. GENDER: □ M □ F 10. TITLE: □ MISS □ MRS. □ MR. □ OTHER, SPECIFY _________ 11. AGE 1 2. DATE OF BIRTH