• Middle and High School Application form

  • SECTION B: Information on Parents/Guardian

    Please provide us with more information on the child's caregiver

    Please provide us with details about your child's health. For immunizations, tick the ones your child has received and the dates of each.

  • Any family history of:
  • Have you ever been told you have:
  • Give the name and address of the doctor from whom you last received medical advice or treatment. Please state when and why.
  • I declare that the answers to the above questions are true and complete and that I have not withheld any information and I agree that the answers given to the separate questions in this form shall form the basis for my admission into Mount Carmel Christian School, Jos. I consent to the Coordinator/Principal seeking information from my physician or other person in regard to my health and I hereby authorize the giving of such information.