Page 1 of 9PERSONAL INFORMATIONNAME*FIRSTMIDDLESURNAMETELEPHONEWhatsappMobile*HomeNATIONAL ID*DATE OF BIRTH*HOME ADDRESS*EMAIL ADDRESS*COUNTRY OF BIRTH*Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweNATIONALITY*NextACADEMIC QUALIFICATIONSSCHOOLS ATTENDED*Did you complete high-school?*YesNoHighest Education Attained?*O'LevelsA'LevelsOtherNo. of Subjects/Grades Achieved *List of Subjects Taken*Please indicate any other qualifications you may wish to inform us of:*BackNextFINANCIAL INFORMATIONPlease list the source of finance for your program: *EmploymentSpouseParent SiblingsOtherOther (please specify):*BackNextEMPLOYMENT INFORMATIONAre you employed?*YesNoPlace of Employment*Occupation *No. YEARS EMPLOYED*BackNextMEDICAL INFORMATIONPlease indicate if you have any frequent illnessIn case of an emergency, please contact:Name*FirstMiddleLastMobile*Address*Whatsapp*Relationship to Contact?*BackNextEDUCATION GOALSPROGRAMME OF ENROLLMENT*Please selectEBA on Public Administration, Policy & ManagementEBA on Project Management & AdministrationEBA on Materials & Logistics AdministrationEBA on Marketing AdministrationEBA on Management & AdministrationEBA on It Systems & Database AdministrationEBA on Human Resource AdministrationEBA on Hospitality & Events AdministrationEBA on Hospital Management & AdministrationEBA on Finance & Investment AdministrationEBA on Education, School Leadership & AdministrationEBA on Construction Management & AdministrationEBA on Communication & Media AdministrationEBA on Commerce & AdministrationEBA on Business Administration EBA on Accounting AdministrationAssociate of Arts – SociologyAssociate of Arts – Financial Services StudiesAssociate of Arts – TourismAssociate of Arts – EconomicsAssociate of Science – Information & Communications TechnologyAssociate of Arts – LawAssociate of Arts – EntrepreneurshipAssociate of Arts – AccountsMastery of Management Graduate DiplomaCIC – Retail Management & Customer RelationsCIC – Events ManagementCIC – Real Estate (Property) ManagementCIC – Logistics,Materials & Supply Chain Management (Including Transport)CIC – International Business & TradeCIC – Office Management & AdministrationCIC – Insurance ManagementCIC – Human Resource & Personnel ManagementCIC – Tourism & Travel ManagementCIC – Project Leadership & ManagementCIC – Sales Management & MarketingCIC – Hotel Operations & ManagementCIC – Health & Safety in the WorkplaceCIC – Essential Everyday EnglishCIC – Education & Teaching: Classroom ManagementCIC – Credit Management & ControlCIC – Cost AccountingCIC – Computers & IT in Business & ManagementCIC – Communication in Business and ManagementCIC – Classroom Management & Psychology for TeachersCIC – Business Management & AdministrationCIC – Business English & Letter WritingCIC – Business Bookkeeping & AccountsCIC – Advertising & Public RelationsCIC – Administrative , Personal Assistant & Secretarial DutiesCIC – Accounting & Finance in Business & ManagementCIC- Commercial Practice & LawCIC – Certificate in Management & BusinessCIC- Tourism & Travel ManagementCIC-Early Childhood Care & EducationPennFoster Paralegal DiplomaPennFoster Pharmacy Technician DiplomaPennFoster HVAC Technician DiplomaPennFoster Plumber DiplomaPennFoster Residential Electrician Diploma 20 WeeksCXC Pre-Nursing PackageCXC 5th Form PackageCXC 4th Form PackageCSEC EnglishCSEC Electronic Document Preparation ManagementCSEC Human & Social BiologyCSEC Principles of BusinessCSEC Office AdministrationCSEC Principles of AccountsCSEC Mathematics CIC - Certificate in Management & BusinessIntuit - Certified Bookkeeping ProfessionalAdobe Certified Professional using PhotoshopAdobe Certified Professional using IllustratorAdobe Certified Professional using Premiere ProAdobe Certified Professional using After EffectsMOS - ExcelMOS - WordMOS - PowerPointCompTIA A+CompTIA Network+JavaPythonCloud ComputingNetworkingNetwork SecurityDevice Configuration & ManagementIntuit - Certiport Quickbooks OnlineACCA - FA1 - Recording Financial TransactionsACCA - FA2 - Maintaining Financial RecordsACCA - MA1 - Management InformationACCA - MA2 - Managing Costs and FinanceACCA - FBT - Business and TechnologyACCA - FMA- Management AccountingACCA - BT - Business and Technology ACCA - MA - Management Accounting ACCA - FA - Financial AccountingACCA - LW - ENG Corporate and Business LawACCA - GLO - ENG Corporate and Business LawOffice Manager/AdministratorAssistant Project ManagerIT Technical SupportMicrosoft Office Specialist AssociateVideo Game ProducerWorkforce ReadyStaff AccountantIndependent ContractorMicrosoft Office Specialist ExpertElectricianPlumbingEarly Childhood Care & EducationCustomer ServiceOffice ManagementSecretarial DutiesBusiness ManagementLogisticsStores, Inventory & Warehouse ManagementMarketing & Sales ManagementChoose ONLY 5 Subjects*MathematicsEnglishOffice AdministrationHuman and Social BiologyPrinciples of BusinessElectronic Document Preparation ManagementPrinciples of AccountsChoose Between HSB or EDPM:*Human and Social BiologyElectronic Document Preparation ManagementSelect your electives*Integrated MathSociologyInformation Technology (IT)Do you prefer morning or evening classes?*MorningEveningCost of EBA is XCD $4907.50 per Semester. For payment plans you can contact our office (767) 612-0205.Cost of an Associate Degree is XCD $2675.00 per year. For payment plans you can contact our office (767) 612-0205.The cost of this 4 month program is XCD $2675. For payment plans you can contact our office (767) 612-0205.Cost of Everyday Essential English is XCD $2220.00 . For payment plans you can contact our office (767) 612-0205.Cost of Pre-Nursing Package is XCD $1975.00 For payment plans you can contact our office (767) 612-0205Cost of 5th Form Package XCD $1675.00 . For payment plans you can contact our office (767) 612-0205Cost of this course is XCD $425.00BackNextMODE OF ATTENDANCEMode of Attendance (Please tick accordingly)*FACE-TO-FACEONLINEBLENDEDBackNextOTHER INFORMATIONI first learned about BTC through:*RADIO STATIONTELEVISIONFYLERBTC STUDENTWEBSITEOTHERPLEASE SPECIFY*I agree to the terms & conditionsa) Full tuition must be paid within the specified period.b) Request for refunds must be made as specified in the contract below. Schedule of refunds is as follows:-During first week of classes 90%-During second week of classes 70%-During third week of classes 50% -During fourth week of classes 25%-After fourth week of classes nonec)All refunds are subject to a minimum administrative charge of one hundred dollars ($100.00).d) The registration fee is NON-REFUNDABLE.e) All prices are subject to change without prior noticef) BTC reserves the right to discontinue my enrollment if I miss two consecutive monthly payments during my course time.g) I agree to pay all expenses incurred by BTC to recover my overdue account, should my payment go into arrears.h)In applying to BTC, I understand that a code of dress and behavior is in effect and any violation can result in expulsion without a refund.i) If i do not take classes within one year of paying/registering. I have forfeited the class. The class will no longer be made available to me on the same cash receipt and i am not entitled for a refund.BackNextSUPPORTING DOCUMENTSPlease upload a passport-sized photo*Please upload a copy of an official Report Card/Book, CXC result slip/Certificate, high school or equivalency diplomaBackSubmit FormThis field should be left blank