application form – Apex Olive College

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APPLICATION FORM

FOR THE ENTRANCE EXAMINATION INTO JSS1 - SSS2

SECTION A: PERSONAL INFORMATION

Complete this section in capital letters/upper case only. Please note that all section with a red asterisk (*) are compulsory

Upload your passport photo

Choose file

Surname

Other names

Date of Birth

Phone number

Home Address

Postal address

Nationality(Attach photocopy of Int'l Passport if not a Nigerian)

State of origin

Local Government

Religion

Email addressenter a valid email address

Write a brief resume about yourself

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NEXT OF KIN*

Name

Relationship with Next of Kin

Address

Phone number(s)

Email address

FATHER*

Name

Occupation

Address

Phone number

MOTHER*

Name

Occupation

Address

Phone number

EMERGENCY CONTACT PHONE NUMBER*

Name & Phone number

Family Doctor's name & Phone number (if any)

SECTION B: ACADEMIC HISTORY

Previous School(s) attendedPlease Kindly list them out in an orderly manner

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What were your past school grades/common entrance scoresPlease Kindly list them out in an orderly manner

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Class seeking admission into

What are your educational goals?Please Kindly list them out in an orderly manner

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SECTION C: VOLUNTARY DISCLOSURE

Blood Group

Genotype

Weight

Height

Do you have any allergies, diets, medical concerns, requests?Please Kindly list them out in an orderly manner

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Do you require additional support services due to a disability?

Do you have any physical challenge? If yes, please state clearly

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Co-curricular activitiesPlease Kindly list them out in an orderly manner

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A child must compulsorily do a sport and a musical instrument to enhance their skill. Sports such as: scrabble, Tennis, Basket ball, football, Chess, Squash etc.Please indicate your preference (select a maximum of 2)

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Do you have preference for any musical instruments like violin, saxophone, flute, guitar, keyboard, talking drum, jazz band, accordion, piano? If yes, please indicate your preferred interestkindly select a maximum of 2 preferences

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Are there more necessary information you may want to give to the management?

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Please read the following before signing:

The purchase of the form does not guarantee automatic admission into Apex Olive College.
Each student will be subjected to screening exercise after which the successful candidates will be contacted for resumption (or next step of the process.
If the information provided is incorrect, it may affect the chances of the candidate to receive prompt information about his/her admission.
The management will not be held accountable for mis-information in any way.
Our applicants and their guardians are encouraged to carefully go through the form, fill them appropriately, and submit the filled form to the designated venue or to the administrative room of Apex Olive College.

1. I, the applicant, declare that all information contained on this application for admission is true and complete and no information has been withheld to the best of my knowledge.
2. I agree to abide by the rules, regulations and policies of Apex Olive College.
3. I understand the application fee is non-refundable, is required from all applicants to a program and the application will not be processed until this form is submitted before the closing date.
4. I understand and agree that the completion of this application form in no way guarantees admission to the program or course and that this application is subject to necessary screening. I understand and agree that the College reserves the right to modify the process of the admission.

Name of applicant

Signature of the applicantkindly use your fingers or a stylus pen to write your signature

(Sign Here)

Clear Signature

Date

Name of sponsor/guardian

Signature of the sponsorkindly use your fingers or a stylus pen to write your signature

(Sign Here)

Clear Signature

Date