Instructions to Applicants Please complete the applicant form and attach the following documents: Copy of Passport Copy of Student Pass Copy of Latest Report Slip Document Copy of Insurance Details Copy of MOE Letter of Offer of Merit Award Checklist
Name PERSONAL PARTICULARS Name in Chinese Character (If Applicable) of Birth Race Religion Nationality Permanent Home Address NRIC (For Singapore Citizens Only) Photo Mobile Phone No. Passport No. Student Pass No. of Expiry Place of Issue of Expiry Gender Male Female Food In Singapore Since Age Blood Type No restriction Halal Indian Vegetarian Insurance YES NO (If yes, please attach a photocopy of the policy.) School Attending in Singapore EDUCATION Level Are you a holder of any scholarship(s)? YES NO If yes, please state scholarship(s) and attach letter of offer: Do you have any drug/ food allergy? If yes, please provide details MEDICAL HISTORY YES NO Are you suffering from any illness? If yes, please provide details YES NO PARENTS PARTICULARS Name Relationship Contact No. 1 Current Address Name Relationship Contact No. 2 Current Address If Applicant s parents are not residing in Singapore, they must have a guardian before any application is accepted. The guardian must be a Singapore Citizen or Permanent Resident residing in Singapore. Page 2 of 8
GUARDIAN S PARTICULARS Name Relationship Contact No. Current Address PARENT UNDERTAKING 1. We understand that AJC Hostel places a very strong emphasis on the character development and conduct of their students. We are aware that the hostel will take into consideration our child s conduct in the selection and renewal of hostel accommodation applications. The rules and regulations of AJC Hostel are spelt out in the hostel handbook. 2. In the event of a medical emergency, we hereby authorise AJC Hostel to act on our behalf in getting emergency medical treatment as may be required for the health and welfare of our child. AJC Hostel will provide timely updates to parents or guardians on any situation. 3. We understand that we must pay all fees in advance and must pay within 7 days prior to the commencement of each semester. 4. We appoint and authorise the guardian named above to give consent for leave application, indemnity form, permission for outings etc. on our behalf in our absence. I certify that the information provided in this form is true and complete to the best of my knowledge. I have read and understood the terms and conditions on the reverse page and would like to apply for a place in the hostel. Name and Signature of Parent GUARDIAN UNDERTAKING I consent to act as guardian for (Name of Student), (FIN No.). Name and Signature of Guardian Expected Check-In REASON(S) FOR APPLICATION Expected Duration of Stay Please pass the attached Reference Forms to your child s Form Teacher and CCA Teacher for their completion. The completed forms must be returned directly to AJC Hostel by the teachers. Applications will only be processed when the hostel receives the Reference Forms. FOR OFFICIAL USE ONLY APPROVED Unit Allocated Check-in NOT APPROVED Remarks Name and Signature Page 3 of 8
Anderson Junior College (AJC) Hostel, located at 191 Ang Mo Kio Ave 8 Singapore 567736, is an integral part of AJC and shares AJC s vision to foster a vibrant learning community where caring leaders are groomed to be best for the world. AJC Hostel provides a safe and conducive learning environment where students are developed holistically through pastoral and community programmes. AJC Hostel consists of two 11-storeyed blocks to accommodate 600 students in twin-sharing rooms. Each hostelite will be provided with a single bed (drawers underneath), a 2-door wardrobe and a writing desk with drawers and bookshelves. Hostelites will get to enjoy common facilities within the hostel compound including cafeteria, computer room, gymnasium, laundry room, multi-purpose hall, music room, pantries, study rooms and TV lounge. The fees for AJC Hostel are based on $25.75 per day for AJC students and $28.60 per day for non-ajc students. 2018 Semester 1 For AJC students (8 January to 25 May 2018) S$3,553.50 For non-ajc students Secondary School (2 January to 25 May 2018) For non-ajc students Junior College (8 January to 25 May 2018) S$4,118.40 S$3,946.80 Semester 2 For AJC students (25 June to 23 November 2018) S$3,914.00 For non-ajc students Secondary School (25 June to 16 November 2018) For non-ajc students Junior College (25 June to 23 November 2018) S$4,147.00 S$4,347.20 1. Hostel fees cover for accommodation, meals, laundry and utilities. 2. Fees are payable per semester (21 week semester inclusive of the one-week vacations). There is no refund of fees if a hostelite does not stay during weekends or the one week school vacations in March and September. The fees for mid-year and end-of-year school vacations are charged separately. 3. Fees paid are not refundable if a hostelite decides to withdraw from the hostel early. Page 4 of 8
REFERENCE FROM APPLICANT S SCHOOL APPLICANT INFORMATION Name Gender Male Female Age School Level Class TO BE COMPLETED BY FORM TEACHER The Applicant is a candidate for admission to Anderson Junior College Hostel. Please be frank in your responses and share any thoughts that may be beneficial and relevant to the applicant s hostel accommodation application. Thank you for your time and consideration. How long have you known the Applicant? 1 year or less 1-2 years 2-3 years 3 or more years EVALUATION Punctuality AREAS RATING COMMENT Always punctual Occasionally late (2 times per term) Often late (3-4 times per term) Habitually late (5 or more times per term) Absenteeism (including MCs and parents letter) Industry (e.g. homework) Sociability Communication Skills (Oral and Written) Ease of Contacting Parents Never absent Occasionally absent (2-5 days per year) Often absent (6-10 days per year) Habitually absent (>10 days per year) Always commits to tasks assigned Often commits to tasks assigned Seldom commits to tasks assigned Needs constant reminders Will take initiative to get to know others Will talk to others when approached Prefers to be solitary Avoids talking to others Excellent Good Average Poor Always contactable Usually contactable Difficult to contact Never contactable Page 5 of 8
Does the Applicant have a history of: Use of tobacco YES NO DON T KNOW Use of alcoholic beverages YES NO DON T KNOW Use of drugs YES NO DON T KNOW Discipline issues YES NO DON T KNOW Counselling support YES NO DON T KNOW Financial assistance YES NO DON T KNOW OTHER COMMENTS OR ISSUES TO SURFACE (e.g. discipline issues, counselling support and financial assistance) SUMMARY EVALUATION Do you recommend that the Applicant stay in AJC Hostel? YES NO Name PARTICULARS OF TEACHER Contact No. School Name and Address Signature of Teacher Page 6 of 8
REFERENCE FROM APPLICANT S SCHOOL APPLICANT INFORMATION Name Gender Male Female Age School Level Class TO BE COMPLETED BY CCA TEACHER The Applicant is a candidate for admission to Anderson Junior College Hostel. Please be frank in your responses and share any thoughts that may be beneficial and relevant to the applicant s hostel accommodation application. Thank you for your time and consideration. CCA: How long have you known the Applicant? 1 year or less 1-2 years 2-3 years 3 or more years EVALUATION Punctuality AREAS RATING COMMENT Always punctual Occasionally late (2 times per term) Often late (3-4 times per term) Habitually late (5 or more times per term) Absenteeism (including MCs and parents letter) Industry (e.g. homework) Sociability Communication Skills (Oral and Written) Ease of Contacting Parents Never absent Occasionally absent (2-5 days per year) Often absent (6-10 days per year) Habitually absent (>10 days per year) Always commits to tasks assigned Often commits to tasks assigned Seldom commits to tasks assigned Needs constant reminders Will take initiative to get to know others Will talk to others when approached Prefers to be solitary Avoids talking to others Excellent Good Average Poor Always contactable Usually contactable Difficult to contact Never contactable Page 7 of 8
Does the Applicant have a history of: Use of tobacco YES NO DON T KNOW Use of alcoholic beverages YES NO DON T KNOW Use of drugs YES NO DON T KNOW Discipline issues YES NO DON T KNOW Counselling support YES NO DON T KNOW Financial assistance YES NO DON T KNOW OTHER COMMENTS OR ISSUES TO SURFACE (e.g. discipline issues, counselling support and financial assistance) SUMMARY EVALUATION Do you recommend that the Applicant stay in AJC Hostel? YES NO Name PARTICULARS OF TEACHER Contact No. School Name and Address Signature of Teacher Page 8 of 8