ENROLL NOW

STUDENT ENROLLMENT FORM

Intructions
General Instruction:- These instructions pertain to online application for admission to Caxton Care Academy for the academic year 2025. In the remainder of
these instructions,

To fill online admission form, Basic Details like as ( Class, First Name, Last Name, Gender, Date of Birth, Mobile Number, Email) etc.
Filling in admission application form and uploading documents and then click on the Submit button.
After submitting form, this will redirect you in Online Admission Review Details page where you can check your details what you have filled previously.

Surname

Middle name

Last name

Sex

Male Female

Marital Status

Religion

Telephone

Address

Nationality

State

LGA

Highest Educational Qualification

Year of completion

Upload Educational Certificate (max 5mb)

How did you hear about us?

Have you had experience in caregiving/assisting with other's physical and/or psychosocial needs, i.e.Elderly, children, disabled, people with illnesses?

Yes No

Have you had experience in caregiving/assisting with other's physical and/or psychosocial needs, i.e.Elderly, children, disabled, people with illnesses?

Yes No

Have you taken any health care related courses / care giver training in any institution? if yes list the institution, courses and year:

Signed Date

Signature (Max 5mb)

Passport Photo (Max 5mb)