CLARENCE FITZROY BRYANT COLLEGE Division of Adult and Continuing Education P.O.B. Box 268, Basseterre, St. Kitts, West Indies. Telephone: (809) 465 – 2856 Fax: (869) 466-7829 Student Application Form (Short Term Courses) PLEASE COMPLETE THIS FORM IN BLOCK LETTERS Personal Details: Surname: ……………………………………………….. First Name: ……………………………………………………… Other Names: ……………………………………………….. Sex:………………………Marital Status:……………………. Place of Birth Nationality: ……………………………………………………… ……………………………………………….. Tick Age Range: (18 – 20) (20 – 25) (26-30) (31-35) (36-40) (41-45) (46-50) (51-55) (Over 55) Present Address: ……………………………………………………………………………………………………………. Telephone (Work) ………………………………….. Occupation: ……………………………………….. (Cell)……………………………………… ACADEMIC YEAR 2012 Please tick your selection The schedule of the components of the Finishing Programme for Women is as follows: MONDAY MONDAY 1. 2. 3. 4. Journalism Interior Decorating Fine Dining for Home Entertaining Floral Arranging TUESDAY 5. 6. 7. Baking & Cake Making Drama and Dance Sewing for the Home Computer for Seniors 8. WEDNESDAY 9. 10. 11. 12. Social Psychology Effective Public Speaking Leadership Training (Jenkins’) Music Basics THURSDAY 13. Sign Language 14. Upholstery 15. Literacy Classes 1. 2. 3. Plumbing Cabinet Installation Painting and Patching TUESDAY 1. 2. 3. Installation of electrical sockets & testing Curtain rods design and installation Picture Frame Making WEDNESDAY 1. 2. 3. Blue Print Reading Base-board Installation Tiling THURSDAY 1. Installation of windows and doors 2. Refinishing wood floors 3. Auto CAD FOR OFFICE USE ONLY Date Paid: ………../……………/………….. (Day) (Month) (Year) Comments: ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… …………………………………………………