New Student Application Form - Delille Academy - Dangriga, Belize

New Student Application

Delille Academy New Student Registration Form 2025 - 2026

Your application package needs to have the following:

✓ Application Form.

✓ Copy of Birth Certificate.

✓ Copy of Social Security Card.

✓ Copies of grade reports Standard 4, 5 and two terms in Standard 6

✓ Copy of the primary school completion certificate

✓ Two Recommendations. One from the Principal of your Primary School and one from a Teacher.

✓ Photograph. Include one (1) recent color passport-size picture with first and last name printed on the

back for easy identification.

Student Name

First Name

Middle Name

Home Address

City / Town

District

Student SSN

SSN Expiration

Student D.O.B.

Student's Age

BEMIS No:

Citizenship Status

Belizean Permanent Resident Foreign National

Religion

If Catholic indicate sacraments taken

Baptism First Holy Communion Confirmation

Telephone # (mobile):

Telephone # (Home):

Email

Feeder School:

Gender

Male Femail

Ethnicity

Garifuna Creole Maya Mestizo Other

If other, please specify

Medical Problems/Condition (State) AND attach Medical Certificate from Certified Health Provider:

UPLOAD Medical Certificate

T-Shirt Size

XXL XL L M S XS

Short Pants Size

XXL XL L M S XS

MOTHER'S NAME:

Mother's Middle Name:

Mother's Last Name:

Marital Status: If Married Stated name

Address

City / Town

District

Home Phone

Mobile Phone

Additional Information