Sants Application Form – Fill Out and Use This PDF

APPLICATION FOR

ADMISSION TO STUDY

Notice: Completed application forms must be forwarded to our

Administration Office:

Postal Address:	Physical Address:
SANTS	SANTS
PO Box 72328	Lynnridge Mews Building
Lynnwood Ridge, 0040	4th Floor
	22 Hibiscus Street
Enquiries: 087 353 2504	Lynnwood Ridge, 0040

FOR OFFICE USE ONLY

SURNAME AND INITIALS: _______________________________

STUDENT ID NO:

DIPLOMA/DEGREE: _____________________________________

PROVINCE: _____________________________________

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Please read these notes before completing the attached application form.

1. The proof of payment of the R250 non-refundable application fee MUST accompany this application form. Application fees can be paid by bank deposit or electronic transfer. The banking details are as follows:

Name: SANTS	Bank: Standard Bank
Acc no: 012-662-259	Branch: Menlyn
Branch code: 002 345	Reference: Applicant’s Identity Number

2.The application form MUST be completed in full and as accurately as possible to avoid delay in processing.

3.Use the surname and names as it appears on the identity document when completing this form.

4.Certified copies of ID document (driver’s license not accepted) and qualifications must be submitted with this application.

5.Only students applying for 1st year of study must complete the application form.

6.Use the checklist on page 7 to ensure your application is completed correctly and all required documents are attached.

7.Applications close on 31 August 2012.

ENTRANCE REQUIREMENTS

Legal entrance requirements:

The NSC for degree admission or Senior Certificate with matriculation exemption (or equivalent) is required for admission to degree studies in South Africa.

In addition to the legal entrance requirements applicants should meet the minimum points for specific programmes. All applicants should meet the subject requirements and levels of performance for admission to certain programmes. Also note that the number of applications received by far outnumbers the spaces available at the institution. Therefore, meeting the minimum requirements for application does not guarantee admission to the institution.

FOR OFFICE USE ONLY:

Id of Applicant:

App Fee Pd: R _________ Date: ______

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3. ADDRESS AND CONTACT DETAILS
Postal Address: ________________________________		Guardian/Parent/Spouse (if under 18) or next of kin:
_____________________________________________		Name: ______________________________________
_____________________________________________		Address: ____________________________________
Town/City: ____________________________________		____________________________________________
Country: ______________ Postal Code: ____________		_____________________ Postal Code: ____________
Physical Address: ______________________________		Telephone Numbers:
_____________________________________________		Work: Dial Code: ________ No: __________________
_____________________________________________		Home: Dial Code: ______				No: __________________
Town/City: _____________ Postal Code: ____________
		Cell Phone: __________________________________
Telephone Numbers: ____________________________		Email: ______________________________________
Cell Phone: ___________________________________
Work: Dial Code: _________ No: __________________		Relationship:
Home: Dial Code: ________ No: __________________
Email Address: ________________________________		Father			Mother			Spouse
Work/Home Fax: ______________________________		Brother			G/Parent			Sister
		Child			Guardian			Other

4. SECONDARY SCHOOL DETAILS

Year of last school leaving certificate (equivalent to Grade 12):

Examination No: _____________________________________________________________________________

Type of Matriculation Exemption already held: (Please tick one)

01	Full Exemption		07	Other Senior Certificate
03	Ordinary Conditional		08	NTC3/N3/NSC
04	Mature Age Exemption		10	Other

NOTE: The code structure has been set up in terms of government reporting requirements.

SECONDARY SCHOOL NAME

YEAR

Examination Authority

Grades/Forms Passed

From

To

1.

2.

Highest school grade Mathematics passed (NOT Mathematical Literacy) Grade

Final grade 11/’0’

Trial/Mocks Grade 12

Matric or ‘A’ levels

Secondary School subjects

levels

HG/SG/O

Symbol

SG/HG/O

Symbol

SG/HG/O

Symbol

1.

2.

3.

4.

5.

6.

7.

8.

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5. PREVIOUS STUDIES

	INSTITUTION NAME	DEGREE/DIPLOMA/CERTIFICATE			DEGREE	YEARS ATTENDED
					AWARD DATE
		Name	Yes	No		From	To
	1.
	2.
	3.

 Student number(s) at previous institution: ___________________________________________________



Have you ever been refused entry to, expelled of excluded from another institution? YES

NO

If “Yes”, provide the details: ______________________________________________________________



Do you owe fees to another institution? YES

NO

If “Yes”, provide the details: ______________________________________________________________



Are you currently enrolled at any other institution for studies:

YES

NO

If “Yes”, give the Name of the Institution: ____________________________________________________

 If “Yes”, give the Name of the Qualification: __________________________________________________

6. POST-SCHOOL INFORMATION

Present position (Please tick)
*University Student	01			Labour Force (Employed)	07
Technikon Student	03			Grade 12 learner	08
College of Nursing Student	04			Unemployed	09
Technical College Student	05			OTHER (________________________)	10

*If you are a university student, please make sure the name of the last institution in section 5 above is stated. Submit an academic record and a certificate of good conduct.

If you are employed please complete the following:

Name of company/Institution:
Employment full time/part time:			Full Time:			Part Time:
Address of Company/Institution:
Post Code		Telephone No. (Work):					Area dialing Code:

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7. MEDICAL INFORMATION

The institution is sensitive to the needs of students with disability, and will attempt to provide support where possible.

Do you have any disability, physical or otherwise, that might require support? Yes		No

If “Yes”, please describe.

___________________________________________________________________________________________

___________________________________________________________________________________________

8. DECLARATION AND UNDERSTANDING

To be completed with the assistance of Parent/Guardian/Spouse where applicant is not financially independent or/and under the age of 18 (a minor).

APPLICATION CONDITION

I am aware that the number of applications received, by far outnumber the spaces available at the institution. Therefore I understand that the minimum requirements for application do not guarantee admission to the institution.

If my application is successful and I accept the place to study at SANTS,

1.I undertake:

1.1To comply with the procedures, rules and regulations of SANTS.

1.2To inform the Administration Department immediately, in writing, if I change my address, telephone number or surname.

1.3To acquaint myself with all the rules and general regulations that relate to the diploma/degree for which I am applying.

2.I/We hereby accept liability for the payment of all the tuition fees or other fees which may be charged by SANTS as a result of my/his/her studies at SANTS as described in the prospectus.

3.I am aware that my enrolment is valid only if it complies with the regulations of the diploma/degree concerned, notwithstanding the acceptance of this application by SANTS.

4.I/We accept the responsibility of submitting all documents required by SANTS before the stipulated due dates.

5.I declare:

5.1That I make this application and give the declarations and understandings with the knowledge and consent of my parent/guardian and employer (if applicable).

5.2I warrant that the information contained herein is true and correct and SANTS shall be entitled to declare the contract void and cancel my registration if I have made any misrepresentation or omission on this application.

Signature of Student	Signature of Parent/Guardian

Date

Date

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TRAINING PROGRAMMES

Further Education and Training Certificate: ECD

Higher Certificate: ECD

Continuous Professional Teacher Development: HIP

B Ed

Tel: +27 87 353 2504

Fax: +27 12 348 7037

Fax-to-email: +27 86 576 7320/ 1

Email: info@sants.co.za

Web: www.sants.co.za

4th Floor, Lynnridge Mews

22 Hibiscus Street

Lynnwood Ridge

0040

P.O. Box 72328

Lynnwood Ridge

0040

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