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Guyana Ministry of Education Cyril Potter College of Education Associate Degree Programme in Technical Teacher Education

This document is an application form for an Associate Degree Programme in Technical Teacher Education at the Cyril Potter College of Education in Guyana. It requests information such as the applicant's name, address, date of birth, qualifications, industrial experience, and references. The applicant must provide documentation to support their qualifications and experiences. The form also asks for additional details like hobbies, community involvement, health conditions, and willingness to be a resident student. By signing, the applicant agrees to serve the Guyanese government for a specified period after training. Referees and certifying officials must also sign the completed form.

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103 views2 pages

Guyana Ministry of Education Cyril Potter College of Education Associate Degree Programme in Technical Teacher Education

This document is an application form for an Associate Degree Programme in Technical Teacher Education at the Cyril Potter College of Education in Guyana. It requests information such as the applicant's name, address, date of birth, qualifications, industrial experience, and references. The applicant must provide documentation to support their qualifications and experiences. The form also asks for additional details like hobbies, community involvement, health conditions, and willingness to be a resident student. By signing, the applicant agrees to serve the Guyanese government for a specified period after training. Referees and certifying officials must also sign the completed form.

Uploaded by

harold balram
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GUYANA

MINISTRY OF EDUCATION
CYRIL POTTER COLLEGE OF EDUCATION
ASSOCIATE DEGREE PROGRAMME IN TECHNICAL TEACHER EDUCATION
APPLICATION 2015
SECTION A: DEMOGRAPHICS
Name (Print)
Surname First name Others

Home
Address

E-mail

Home tel No. Cell No.

Date of Birth
Date Mth Year

Region Age Gender F M

MARITAL STATUS: MARRIED [ ] COMMON LAW [ ] DIVORCED [ ] WIDOWED [ ] SINGLE [ ]

PRESENT INSTITUTION/ORGANIZATION
Name

Address

Tel: e-mail:

SECTION B: QUALIFICATIONS All listed qualifications and experiences MUST be supported with
appropriate documentations (photocopies should accompany the application form). Attach more pages if
required.

ACADEMICS
Institution/School Qualifications Grade (s) Year obtained

INDUSTRIAL EXPERIENCE (PORTFOLIOS ARE ACCEPTABLE)


Name of Organization Period Subject(s) taught Remarks

OTHER COURSE(S) ATTENDED


Name of Institution/School Period Examination Result(s) obtained Remarks
SECTION C: GENERAL INFORMATION

(a) Hobbies/Interests …………………………………………………………………………………

………………………………………………………………………………………………………

(b) Clubs/Organisations to which you belong……………………………………………………….

………………………………………………………………………………………………………

(c) Involvement in Community Activities …………………………………………………………

………………………………………………………………………………………………………

(d) Do you have a Health problem? (Specify e.g., Cardiac complaint, Diabetes, Epilepsy,
Hypertension).

………………………………………………………………………………………………………

(e) Have you ever been charged by the Police? Yes ………….. No ………………………..

If yes, give: Date …………………… Charge ……………………………………………

………………………………………………………………………………………………………

(f) Name two (2) referees who know you personally – one of whom should be the head of your
organization/ institution.

Name: ……………………………………….. Name: ……………………………………

Address: …………………………………….. Address: …………………………………

……………………………………………….. ……………………………………………

Occupation: ………………………………… Occupation: ………………………………

(g) If selected, would you like to be a resident student? ……….. If yes, Why? ………………

……………………………………………………………………………………………………

I hereby agree to serve the Government of Guyana for five (5) years (Pre-Service
Students) or three (3) years (In-Service Students), immediately after training.

Signature: ………………………………
I HEREBY CERTIFY THAT THE INFORMATION GIVEN ON THIS FORM IS TRUE.
Principals/Administrators of TVET Institutions, REdOs(Reg. #2, 3, 4, 5, 6 & 10) or the PEO
Comment: …………………………………………………………………………………………………….. Signature: …………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Date: ………………………………………
…………………………………………………………………………………………………………………
Signature …………….. Date …………….. 2

Official use:

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