University of Technology, Jamaica Online Boarding Application Form

Complete carefully using BLOCK letters ALL sections applicable to you. Incomplete applications will NOT be processed. ALL new applicants are required to submit one passport size photograph.

ALL RETURNING Resident AND NON-Resident STUDENTS ARE REQUIRED TO SUBMIT A COPY OF THEIR PROGRESS REPORT TO THE ACCOMMODATION OFFICE FOR FINAL ACCEPTANCE.


Section A: To be completed by ALL APPLICANTS.



Personal Details
Title:
 First Name*
Middle Initial(s)
 Surname(s) *
ID number
 Date of Birth * (mm/dd/yyyy)
Nationality 
Religion: Denomination:
Telephone
Home Contact
 Office Contact
 Mobile Contact
 Gender:
Male
Female
e-mail

Contact Information
Present Address
P.O. Box:
Street:
Town:
Parish:
Country:
Mailing Address (If different from above)
P.O. Box:
Street:
Town:
Parish:
Country:
Person to contact in Case of Emergency (Next of Kin):
Name  
  
Relationship
Address
Tel. No(s) Home Contact

Mobile Contact


Office Contact Other

Medical  Information
Name of Family Doctor
Contact Number
Known Medical Condition
Special needs

Academic  Information:
State the faculty, school and programme to which you applied at UTech
Faculty School  
Programme
Programme Mode



Summer
Year of Study:

License Period:
Please indicate the period for which you are requesting boarding
(Please note that preference will be given to students requesting boarding for Semester 1 & 2)



Please note that preference will be given to students requesting boarding for Semester 1 & 2)


Hall A (Female)
(Female)
(Female)
(Male)

Triple Occupancy
(Male)

Triple Occupancy

Should my preference be unavailble, I will accept other room type:
Yes
TO BE COMPLETED BY OWNERS OF MOTOR VEHICLES:
Vehicle Type
Registration Number
 
Vehicle Make
Model Vehicle

Section B: To be completed by all applicants
Financial Information:
Father's Occupation
Mother's Occupation
Guardian's Occupation
What is your birth position in the family ?
of 		Number of dependents under parent/guardians care ?
Who will finance you for the upcoming academic year ?
Father
Mother
Self
Other (specify)
Have you applied for Student Loan?
Have you requested:

If yes, please state organization and amount: 
JMD$
JMD$
Section C: To be completed by all applicants except Returning Resident Students
Please list extra-curricular activites you've been involved in at high school, community college, university and your community over the last two years.
1.2.
3.4.
5.6.
7.8.
9.10.
Please list your special skills,experiences and abilities.
1.
2.
3.
4.
5.
6.
In the space below, write a short paragraph outlining your reasons for needing boarding on campus apart from location and cost.

Max. # of words allowed: 
Section D: To be completed by Returning Resident Students ONLY
Hall/Block
 Years on Dorm
Room Number
List Hall Committee(s) on which you have served
List University Events or Activities you have participated in
Write a short paragraph outlining why you should be readmitted to the Hall.

Max. # of words allowed: