ST. ZOE SECONDARY AND VOCATIONAL SCHOOL

"Education for life" — Application Form

stzoeschool@yahoo.com | P.O BOX 63, MUBENDE | 0703015558 / 0780141741

Student Information

Full Name of Student *

Date of Birth *

Gender

Admission Class (Senior) *

Parent / Guardian Information

Father / Guardian Name

Father's Address

Mother / Guardian Name

Mother's Address

Parents' Place of Residence

Parent's Occupation & Place of Work

Do your parents stay together?

Yes No

If not, who do you stay with?

Medical Information

Health Problems (asthma, sickle cells, epilepsy, painful monthly period, ulcers, mental problem, allergies)

Additional Medical Notes / Medication

Co-curricular & Academic Information

Co-curricular Activities (sports, clubs, music)

Name of Primary School / Former School Attended

📘 P.L.E Results (if applicable)

English

Mathematics

Science

S.S.T

P.L.E Aggregate

Overall Grade

Application recorded! You may print or save as PDF.

Scholastic reminder: Required materials: exercise books, graph books, scientific calculator, mathematical set, dictionary, vocational tools. New entrants: 1 slasher, 1 hoe, scrubbing brush, mosquito net, bedsheets.