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DECLARATION OF APPLICANT PLEASE READ CAREFULLY BEFORE SIGNING
DateSignature of Applicant
I certify that all information contained in this application is true and correct to the best of my knowledge. I agree to abide by the rules and regulations of MIC-IT. I understand that falsifying any part of this application may result in rejection of the application or termination of my registration with the institution.
NOTE: THIS APPLICATION IS NOT CONSIDERED COMPLETE UNTIL THIS DECLARATION HAS BEEN SIGNED AND DATED.
THIS COLUMN IS FOR OFFICIAL USE ONLY
Registration Number
HYPE - Helping You Prepare for Employment9 month PROGRAMME
APPLICATION FOR ADMISSION
Info
rmat
ion
give
n m
ust
be
accu
rate
and
cle
arly
wri
tten
in B
LOC
K le
tter
s. T
ick
whe
re n
eces
sary
.
Government Funded! FREE Tuition, Daily Stipend, Bus Pass, Meals, Personal Protective Equipment (PPE)
Upon completion, move up to MuST Construction Level II,NSDP and ICP - Subject to recommendation and Interviews.
SUBMIT THIS APPLICATION FORM AT
ANY OF THE FOLLOWING
MIC-IT/HYPE TRAINING CENTRES
PLEASE INDICATE YOUR PREFERRED CENTRE LOCATION; FOR MUSIC, TICK BLUE BOX (tick appropriate box)
POINT FORTIN Furlong Street, Mahaica1 (868) 223-1111/2
TOBAGOEmpowerment Building, Patience Hill 1 (868) 635-0196
SANGRE GRANDE #LP 58, Oropouche Rd.1 (868) 691-5284/3
O’MEARA Lot 68 O’Meara Business Park1 (868) 663-4642 ext. 3240 / 223-1178
PLEASANTVILLECircular Rd.1 (868) 657-6047
ST. BEDESt. John’s RoadMt. St. BenedictTel: 1 (868) 645-6702
PLEASE ATTACHPASSPORT SIZE
PICTURE
Surname
First Name
Other Name
Date of Birth Sex: Male
Female
Place of Birth Nationality
I.D. / Passport / D.P. No.
DAY MONTH YEAR
EDUCATION:
Primary
Junior Secondary
Secondary
Other __________________
_______________________
Age
Name of Parent, Guardian or Next of Kin
Address
Relationship Telephone No.
Address
Tel. No. (Home) (Cell)
Email:
Rev
: Jun
.201
8
MORUGA Basse Trace, Moruga Composite High School1 (868) 701-7435
MACOYA Head O�ce5A Century Drive, Trincity Business Park,Macoya. 1(868) 663-4642
Visit us @ www.mic.co.tt
ENTRY REQUIREMENTS:• Age between 16-25 years• National / resident of Trinidad & Tobago• Two (2) passport sized
photographs• A copy of your electronic Birth
Certificate and ID card• Utility Bill• Bank account
For further information contact the Training Department, MIC Institute of TechnologyPhone No.: 1 (868) 663-4642 - ext 3128, 3012 Email: [email protected]
PPE BOOT SIZE
COVERALL SIZE S, M, L, XL, XXL
How did you learn about this programme?
Radio T.V.
Press
Promotion
Event
Other _____________________________________
Ex-Trainee
Social Media
Community Outreach
CARPENTRY / MASONRYCARPENTRY / WELDINGCARPENTRY / ELECTRICAL
ELECTRICAL / WELDINGELECTRICAL / PLUMBINGELECTRICAL / MASONRY
PLUMBING / WELDINGPLUMBING / MASONRY
AIR CONDITION / ELECTRICAL
PLEASE SELECT 3 OPTIONS IN THE ORDER OF YOUR CHOICE
e.g. 1st
3rd
2nd
CARPENTRY / MASONRYELECTRICAL / PLUMBINGPLUMBING / WELDING
P R O G R A M M E
[ ] Yes [ ] No
If yes, please state: ___________________
______________________________________
Do you have prior knowledge/experience
in music?
