Corozal Junior College
Application Form
Please be sure to read and
follow instructions:
1. Email completed
application form to
ncarballo@cjc.edu.bz no
later than 3:00 pm,
Wednesday 11 September,
2019.
2. To qualify for this
program, you must hold a
full teaching license.
3. Upon receipt of this
application form, you will
be emailed payment
information and course
related dates and deadlines.
4. Along with this application
form, submit an electronic
scan of your teaching
license.
5. Along with this application
form, submit an electronic
scan of your Social
Security card.
6. Provide a valid email as
this will be the major mode
of communication.
************************
For further information,
contact Noel Carballo at
E-mail:
ncarballo@cjc.edu.bz
or call:
422-3062 or 610-5015
***********************
Application deadline:
Wednesday, 11 Sept. 2019
*********************
Complete, sign and send
scanned copy (pdf format)
to ncarballo@cjc.edu.bz.
“In Pursuit of Excellence”
Certificate in Education Leadership – September 2019
GIVEN NAME: __________________________________________________________________
First Middle Surname
HOME ADDRESS: ______________________________________________________________
Street City / Town / Village District
DATE OF BIRTH: _____/______/_____ CONTACT #: ________________________________
Date / Month / Year Mandatory Field
E-MAIL: _______________________________________________ GENDER: __________
Mandatory Field – Please print clearly
CITIZENSHIP: Belizean National  Permanent Resident  Other: ________________
Contact #: ________________ Social Security #: _____________________________
Teaching License #: _______________________________________________________________
School: ____________________________________________ Level: _________________
School Address: __________________________________________________________________
Street City / Town / Village District
Where will you be attending sessions? Corozal  Orange Walk 
Program Information
Program Description Course Information
This certificate is a self-directed, Course I: School Leadership in Belize
community supported one-year
program. Course II: Leadership for Change
Course III: Leadership for School
The program is supported online
through the CJC Virtual Campus. Each Improvement Planning
of five courses lasts for eight weeks and
includes two one-day face-to-face Course IV: Leading Teachers
sessions along with two onsite visits
from an experienced and trained coach. Course V: Stewardship of Schools
The complete cost of the program is Capstone Project: Learning Design Project
$2,900.00 ($400 registration and $500
per course).
Dear Prospective CJC Student,
Greetings and congratulations on your application to the Corozal Junior College. As you
consider your choice for continuing your education, the Corozal Junior College would like to
be that institution you choose. In our pursuit of excellence, we aim at developing the
person’s intellectual, social, moral, emotional, spiritual, and physical well-being. We
believe, that in this way, we will make our young men and women disciplined, responsible,
and productive in society. This will allow our students to experience fulfillment with God,
the Creator, and a sense of love, respect and responsibility towards themselves, their
families, their community, their environment, Belize and the world.