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F-BTGTI-AF-1.0

BARS TO GO TRAINING INSTITUTE

APPLICATION FORM

INSTRUCTIONS: Kindly complete all sections of this form

Two (2) passport size photographs should accompany this form
Attach all supporting documents (e.g. CXC/GCE passes etc)
A non refundable application fee of $1,000.00 should also accompany the
application.
Submit with application your BTGTIET (Bars To Go Training Institute Entrance Test)
Scores of 50% or higher in English (entrance test is required for all applicant)

PLEASE NOTE:
Study option may be withdrawn in the event of under-enrolment in a given
programme.
Section A [ Personal Data ]
1

Miss [ ], Mrs. [ ], Ms.[ ], Mr[ ].

_______________
__________________
(Surname Name)
(Christian Name)

___________________ ____________________
(Middle Name)
(Maiden Name (if applicable)

Marital Status:
Male [ ]
Single
[]
Female [ ]
Married [ ]
Divorced [ ]
Widowed [ ]
7 Email Address:
TRN #:
6 Nationality:
___________________
_________________________________
_____-_____-_____
____________
Do you have any physical disabilities? YES [ ] NO [ ] ; If yes, please state:
___________________________________________________________
___________________________________________________________
b Work No.(___) ______ - _______
Contact
a Home No.(___) ______ _____
.
Information:
.

Date of Birth:
____/_____/____
dd mm yyyy

3 Gender:

c Mobile No.(___)____ ______

Application Form Revised February 2010

F-BTGTI-AF-1.0

BARS TO GO TRAINING INSTITUTE

APPLICATION FORM

10

Mailing Address: Apt/Street/P.O. Box

_____________________________________________________________
___________________________________________________
___________________________________________________

11

Permanent Address: Apt/Street/P.O. Box

_____________________________________________________________
___________________________________________________
___________________________________________________

12

Employment History
Occupation/Job
Employer:
Start/End Dates:
Title:
________________ ___/___To___/___
_________________ _
___/___To___/___
__
________________ ___/___To___/___
_________________ _
__
________________
_________________ _
__
Next of Kin
Name: ______________________________________
Phone Number: _______________________________
Relationship: _________________________________
Address: _____________________________________
_____________________________________________

13

Section B [ Programme ]
1 Programme for which you are applying:
________________________________________
2

Kindly indicate the service(s) you require:

Assessment Only
[]
Training & Assessment [ ]

Have you previously attended Bars To Go Training

Institute? YES (From ______ to ______ )
Programme _______________________________

Telephone: f. Fax No:

(___) _____ - ______
(___) _____ - ______
(___) _____ - ______

Expected Start Date:

__________________________________________
3 Preferred Study Option
Full-Time
[]
Part Time
[]
Weekends Only [ ]
5 Are you currently enrolled with Bars To Go
Training Institute? YES (From _______to_______ )
Programme

Application Form Revised February 2010

F-BTGTI-AF-1.0

BARS TO GO TRAINING INSTITUTE

APPLICATION FORM

NO [ ]

_________________________________
NO [ ]

Do you have access to high speed internet at: Home Work No Access Other
_______________________________

Section C [ Source of Funding ]

1
What is your source of
funding?
Self
[]
Employer [ ]

2 (IN CASE OF SPONSORSHIP FROM EMPLOYER)

Authorising Personnel:
____________________________________
Position:
________________________________________________
Telephone:
______________________________________________
Level of Sponsorship: Complete [ ], Partial Amount
$_____________
Signature:____________________________________________
___
PLEASE AFFIX COMPANY STAMP HERE

Section D [ Educational Background ]

High/Secondary School
Institution Attended

Institution Attended
College/Other
Application Form Revised February 2010

Programme
Pursued

Year

Award /Result

Programme
Pursued

Year

Award /Result

F-BTGTI-AF-1.0

BARS TO GO TRAINING INSTITUTE

APPLICATION FORM

Section D [ Other Info ]

1
Where did you hear about Bars To Go Training Institute?
Radio
[]
Newspaper
[]
Brochure
[]
Website
[]
Word of Mouth [ ]
Other _____________________________
2

PARENT / GUARDIAN CONSENT IF APPLICANT IS UNDER 18 YEARS

Applicants Name:___________________________________________
Name of Parent / Guardian: ___________________________________
Relationship: _______________________________________________
Address: ___________________________________________________
Tel. # (work): _______________________________________________
Tel. # (home): _______________________________________________
Signature: __________________________________________________
Date: ______________________________________________________
1. My signature certifies that I have read understood and agreed to the terms and conditions of this application
including Bars To Go Training Institute Conditions of Enrolment and Refund Policy and further agree to abide by
all the policies, rules and regulations of the institution.
2. I also understand that the Institute reserves the right to suspend or dismiss any student at anytime for
disciplinary misconduct or when such action is deemed to be in the best interest of the student and student
body.
3. I understand that withholding information requested or falsification of information given will result in
cancellation of my application and/or revocation of admission.
4. Ideally, annual tuition fees should be paid in advance, but individuals who are not company-sponsored, or
those unable to make payment in full before the start of the programme (self-sponsored), may make payments
according to our payment option. This arrangement must be made with the Training Institute Administrator. For
payments made according to our payment plan, the first payment must be paid in full before starting
programme.
Methods of Payment

Application Form Revised February 2010

F-BTGTI-AF-1.0

BARS TO GO TRAINING INSTITUTE

APPLICATION FORM

Payments must be made in cash or certified cheque using the appropriate bank voucher, obtainable at
the Bars To Go Training Institute
Debit Card/ Credit Card
A copy of the bank voucher must be submitted to the Accounts Department as soon as possible after making
any payments. This will facilitate and expedite the accurate update of your student account file.

__________________________________________________________________________
__________________________________________
Applicants Signature
Date

FOR OFFICAL USE ONLY

Decision: Full acceptance [ ] Denied [ ]
Certification submitted ________________________________________________________________
Fee received: YES_____NO____
Initials: _____________________
Receipt#: ___________________
BTGTIET Score: __________________
Remarks:____________________________________________________________________________________________
__________________________________________
Training Institute Administrator
_________________________/________________________________/______________
Name
Signature
Date

Application Form Revised February 2010