SACRED HEART COLLEGE
EDUCATION WITH HEART THAT KNOWS NO BOUNDS
PRIMARY SCHOOL Intermediate Phase APPLICATION FOR ADMISSION What is your name? ______________________________________________ ______________________________________________ What is your surname? ______________________________________________ ______________________________________________ What are your mother and father’s/guardian’s names and surnames? ______________________________________________ ______________________________________________ What grade are you applying for? ______________________________________________ What year are you applying for? ______________________________________________
y t i c i l Simp e c n e Pres t i r i p S y l i Fam k r o W f o e v Lo y a W e h t n I y r a of M
ALL ABOUT YOU Paste a picture of yourself here:
When is your birthday? _________________________________________________________________ How old are you now? ________________ How old will you be when you join us? _________________ Draw a circle around the boy or the girl to show which one you are.
Tell us more about yourself. ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Where do you live? ______________________________________________________________ ______________________________________________________________ ______________________________________________________________
ALL ABOUT YOU TELL US ABOUT HOW YOU ARE DOING AT SCHOOL What level did you get for the following subjects? Reading: __________________ Writing: ___________________ Mathematics: __________________ What school are / were you at? ________________________________________________________ Have you received any awards or compliments from your teachers? Please tell us about them. __________________________________________________________________________________ __________________________________________________________________________________ Tell us about one of your friends at school. __________________________________________________________________________________ __________________________________________________________________________________ Do you have any brothers and/or sisters at Sacred Heart College? _____________________________ What are their names? ______________________________________________________________ What grades are they in? ____________________________________________________________ Do you have any brothers and/or sisters at other schools? __________________________________ What schools are they at? ___________________________________________________________
ALUMNI* Do you know anybody who used to come to Sacred Heart College?
THIS IS FOR YOUR PARENTS TO FILL IN
Parent
Grandparent
Uncle / Aunt
Sibling
Friend
Family Member
Other
What is his/her name? _______________________________________________________________ When was he/she at Sacred Heart College? _____________________________________________ What is he/she doing now? ___________________________________________________________ What is his/her cellphone number or email address? ______________________________________
Parent
Grandparent
Uncle / Aunt
Sibling
Friend
Family Member
Other
What is his/her name? _______________________________________________________________ When was he/she at Sacred Heart College? _____________________________________________ What is he/she doing now? ___________________________________________________________ What is his/her cellphone number or email address? ______________________________________
*Latin for Past Pupil
MY FAMILY AND FRIENDS
This section is for your parents to fill in PARENT / GUARDIAN 1 Relationship to applicant / learner
IMPORTANT: THIS IS FOR YOUR PARENTS TO FILL IN
Title Home Language ID Number Occupation WorkTel Work Email Work Address Home Address Expertise/Knowledge that I
Name Male / Female
Marital Status
Ethnic Group *
Religious Affiliation Employer
Home Tel
Cell No
(parent/guardian) am able
_________________________________________________________________
to offer to the school
_________________________________________________________________
PARENT / GUARDIAN 2
Relationship to applicant / learner Title Home Language ID Number Occupation WorkTel Work Email Work Address Home Address Expertise/Knowledge that I
Name
Male / Female
Marital Status
Ethnic Group *
Religious Affiliation Employer
Home Tel
Cell No
(parent/guardian) am able
_________________________________________________________________
to offer to the school
_________________________________________________________________
* This information is used purely for record purposes
ADDITIONAL CONTACT Name ________________________________ Relationship to applicant/learner _________________ Title ________ Male/Female _________ Marital Status ___________ Ethnic Group ________________ ID Number __________________________________ Occupation _____________________________ Employer ____________________ Work Tel ____________________ Home Tel ____________________ Work Email _____________________________________________ Fax ________________________ Home Address _______________________________________________________________________
IMPORTANT
This section is for your parents to fill in MEDICAL INFORMATION Your Doctor’s name _________________________________________________________ Your Doctor’s number __________________________________________________________ Allergies __________________________________________________________ Medical Aid __________________________________________________________ Medical Aid number __________________________________________________________ Beneficiary number __________________________________________________________
IF YOU ARE NOT A SOUTH AFRICAN CITIZEN Country of origin ____________________________________________________________ Passport number ____________________________________________________________ Date of entry into South Africa _____________________________________________________________ Does your child have a study permit? _____________________________________________________________
HOW DID YOU FIND OUT ABOUT SACRED HEART COLLEGE? _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________