APPLICATION FORM 2017: 910 11 12

PLEASE READ THE FOLLOWING INFORMATION CAREFULLY BEFORE COMPLETING THE APPLICATION FORM

  1. The closing date for all application forms is 11 March 2016. Application forms not in by that date will not be considered.
  1. Interviews will be conducted at the School during October/November 2016 – please make sure you and your child are available during this period. We are only aware of vacancies for the next year once the final examination results are available.The school will telephone you to make an appointment, so please ensure that if your telephone number changes, you advise us.
  1. Please enclose CERTIFIED COPIES and not the originals of the June and December 2015reports (and the June 2016 report, as soon as available), Birth Certificate or Identity Document of learner and parent/s, two (identical) colour ID photos and proof of residence (Rental/Lease Agreement or Municipal rates account). ALLDOCUMENTS MUST BE HANDED IN TOGETHER.
  1. PLEASE ALSO APPLY TO OTHER SCHOOLS BESIDES RHODES HIGH SCHOOL, AS WE CANNOT GUARANTEE ACCEPTANCE.
  1. If you do not arrive for your scheduled interview without making prior alternative arrangements, you will forfeit your place.

Full Name:______Gender:______

Name by which learner is called:______

Date of Birth:______ID Number:______

Place of Birth:______Home Language:______

Religious Denomination: ______

PresentSchool:______

Any specific medical ailment (e.g asthma, epilepsy)?

Address where learner will stay:______

______

Responsible person:______Tel.No.:______

PARTICULARS OF PARENT(S) OR GUARDIANS(S):

FATHER (Full name):______

Occupation:______ID No:______

Home Address:______

______Postal Code: ______

Telephone Nos (Work):______(Home):______

Cell No:______Email Address:______

Name & Address of Employer:______

______

MOTHER (Full name):______

Occupation: ______ID No:______

Home Address:______

______Postal Code:______

Telephone Nos (Work)______(Home):______

Cell No.______Email Address:______

Name & Address of Employer:______

______

EMERGENCY TELEPHONE NO:______

IF YOU HAVE A CHILD AT RHODES:

Name:______Grade:______

Number of children in family:______

We as parents and the applicant accept that the information provided to the school was given voluntarily and that the school may:

  • store the data in its files and electronic systems;
  • generate academic, attendance, behavioural and other school-related records;
  • use both the provided and generated data for purposes of providing services relevant to the enrolment and progress of the applicant at the school (including, but not limited to contacting parents, placing the applicant in a class; entering him/her in exams, competitions, leagues and the like; updating the school roll and alumni register; and researching and reporting on school demographics or performances);
  • pass it on where required to do so as part of school reports, testimonials and confidential reports, and for statistical or research purposes, or when legally required to do so.

I acknowledge that the application form has been completed truthfully and

no informationhas been withheld.

Signed:______Date:______

(Father/Mother/Guardian)

(Delete those not applicable)

I certify that I have taken down the above declaration and that the declarer

acknowledges he/she is familiar with the contents of this declaration and understands

it. This declaration was sworn before me and the signature/mark/thumbprint of the

declarer was affixed to it in my presence at:

Place:…………………………. Date:………………………..

COMMISSIONER OF OATHS (FULL NAMES AND SURNAME):

______

______