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INSTRUCTIONS
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Dear Applicant:
Attached is the application form for entry into Muffles Junior College. Please fill it out carefully and accurately following the directions given.
Write clearly.
Enclose a $25.00 application fee with the completed form.
Submit your official secondary school transcript in a sealed envelope stamped by your school.
By March 27, 2015 send all documents in an envelope to:
Dean
Muffles Junior College
P.O. Box 217
Orange Walk Town
Belize
5. A $10.00 late application fee is charged for any application received after March 27,
2015.
6. All applicants are required to sit the ATLIB Examination. The results of the examination shall be released through the school that processes your registration for the examination.
7. You will be informed in writing concerning your acceptance.

Programs of Study for Academic Year 2015 - 2016
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Associate Degree in Business Science with a concentration in Accounting
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Associate Degree in Business Science with a concentration in Economics
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Associate Degree in Business Science with a concentration in Management
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Associate Degree in Business Science with concentrations in Accounting and
Management
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Associate Degree in Business Science with concentrations in Economics and
Management
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Associate Degree in Public Sector Management
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Associate Degree in Humanities with a concentration in Law
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Associate Degree in Humanities with a concentration in Psychology
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Associate Degree in Humanities with a concentration in Sociology
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Associate Degree in Humanities with concentrations in Law and Psychology
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Associate Degree in Humanities with concentrations in Law and Sociology
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Associate Degree in Humanities with concentrations in Psychology and Sociology
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Associate Degree in Science with a concentration in Biology
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Associate Degree in Science with a concentration in Natural Resource Management
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Associate Degree in Science with concentrations in Biology and Natural Resource
Management
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Associate Degree in Science with concentrations in Computer Science and Mathematics

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(
Applicant’s Full Legal Name: _______________________________________________
As it appears on birth certificate )
Phone: ____________________________ 4. Email: ___________________________
( Home ) (C ell )
Last First Middle
Address: ________________________________________________________________
Number Street Village/Town/City (please indicate)
Date of Birth: ______________________ 6. Age as of September 1, 2015: _________
Day Month Year
Place of Birth: ______________________ 8. Gender: _____ Male _____ Female
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Marital Status: ___ Single ___ Married 10. Citizenship: ______________________
Secondary School (s) Attended Date Attended Graduation Date
12. Underline the course of studies you pursued or are pursuing in high school:
Agriculture Arts Business Science Vocational Other
If you underlined ‘Other’, please specify: ______________________________________
13. Have you sat the ATLIB Examination? Yes _____ No _____ Date: ______________
14. Indicate, from the list provided, the program of study you wish to pursue at Muffles
Junior College.
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3 st nd rd
Choice:
Choice:
Choice:
Associate Degree in ___________________________________________
Associate Degree in ___________________________________________
Associate Degree in ___________________________________________
N.B. Indicating a second and third choice is optional.

15. Father’s Name: _____________________ Occupation: _________________________
16. Mother’s Name: ____________________ Occupation: _________________________
17. Legal Guardian: _______________________________ ( if different from 15 or 16 above )
18. Condition of Health: ( underline one ) Excellent Good Fair Poor
19. Religious Affiliation: __________________________________ ( for statistical purposes )
20. Personal Statement: In your own handwriting and in your own words, submit a paragraph of approximately 100 words explaining why you wish to study at Muffles Junior College and how you expect this institution to help you grow professionally during your program of studies. Feel free to share your personal characteristics and interests.
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21. Application Fee and Signature
Enclosed is my application fee of $25.00 or check payable to Muffles Junior College for said amount. I understand that this application fee is non-refundable. My signature below certifies that all the information contained in my application is complete, factually correct, and honestly presented. It also certifies my understanding that my admission and subsequent registration may be cancelled if any information contained herein is found to be false or if some of the required information has been intentionally omitted. By signing this application, I agree to abide by the policies and regulations of the College.
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Signature
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Date