Complete carefully 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.


Returning Resident Student

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
e-mail
Contact Information
Mailing
Address  
Next of Kin
Name  
Relationship
Address
Tel. No(s) Home Contact

Mobile Contact


Office Contact Other
Course  of  Studies
State the faculty, school and programme to which you applied at UTech
Faculty School  
Programme
Programme Mode



Summer

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)




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

Triple Occupancy
(Male)

 
Should my preference be unavailble, I will accept other room type:
Yes
Motor Vehicle
Do you own a motor vehicle?

Vehicle Type
Registration Number
 
Vehicle Make
Model Vehicle

Section B: To be completed by all applicants except Summer Students
Father's Occupation
Mother's Occupation
Guardian's Occupation
What is your 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
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 Summer and Returning Resident Students
Please list extra-curricular activites you've been involved in at high school, community college, university and your community over the past two years.
Please list your special skills,experiences and abilities.
Write a short paragraph outlining your reasons for needing boarding on campus apart from location and cost.
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.
Section E: To be completed by Summer Students ONLY
Please indicate the date you intend to start living on dorm.
Please indicate your departure date