2019 ACADEMIC SCHOLARSHIP APPLICATION FORM

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1 RAND PARK HIGH SCHOOL Scholarship Office Closing date: 23 February 2018 (No late applications will be accepted) Submit completed application forms via to: 2019 ACADEMIC SCHOLARSHIP APPLICATION FORM Thank you for your interest in Rand Park High School. Partial or full Academic Scholarships may be awarded to Grade 7 learners who achieve exceptional results in their final Grade 6 academic report. Furthermore, applicants are required to provide details of their involvement with extramural activities offered at their primary school in Grades 5 and 6. Please review the terms and conditions on page 4 of this document. YEAR OF ADMISSION TO RPHS 2019 PART 1: LEARNER S DETAILS Please affix a head and shoulders photo of the learner here FIRST NAMES SURNAME DATE OF BIRTH HOME ADDRESS CURRENT SCHOOL CURRENT GRADE RSA ID NUMBER 1 P a g e

2 PART 2: PARENTS /GUARDIANS DETAILS PARENT/GUARDIAN 1: FULL NAME (First and Surname) RESIDENTIAL ADDRESS WORK ADDRESS ADDRESS CONTACT TELEPHONE NUMBERS: (H) (W) (C) PARENT/GUARDIAN 2: FULL NAME (First and Surname) RESIDENTIAL ADDRESS WORK ADDRESS ADDRESS CONTACT TELEPHONE NUMBERS: (H) (W) (C) 2 P a g e

3 PART 3: ACADEMIC INFORMATION GRADE 6 SCHOOL ACADEMIC REPORT OVERALL ACADEMIC AVERAGE English Subject Average Mathematics Subject Average ANY OTHER NOTABLE ACADEMIC ACHIEVEMENTS Number of Distinctions Please attach a copy of the Grade 6 final School Academic Report to this application. PART 4: INVOLVEMENT IN SCHOOL-BASED EXTRAMURAL ACTIVITIES Please provide details of the applicant s involvement in extramural activities at his/her current primary school: 4.1 Sport: 4.2 Culture: 4.3 Contact Details of Coach/Referee/Educator who can verify involvement in the abovementioned activities: Name: Tel: P a g e

4 PART 5: TERMS AND CONDITIONS UPON ACCEPTANCE OF THE ACADEMIC SCHOLARSHIP These conditions shall apply to learners who are awarded an Academic Scholarship: 1.1 An Academic Scholarship provides a disbursement on academic tuition fees only and is credited to the recipient s school fee account. The full enrolment deposit, uniforms, books, study requirements, tour fees, stationery, sports kit and equipment and other usual school-related expenses are specifically excluded from this disbursement. 1.2 An Academic Scholarship is awarded to a learner who shows an exceptional aptitude in the area of academics. The learner must also participate in the school s extramural programme see point 1.8 below. 1.3 An Academic Scholarship is awarded provided the applicant successfully submits an online admission application for Rand Park High School via the Gauteng Department of Education s (GDE) e-application portal for the 2019 academic year. Supporting documents and a full application form must also be submitted to the School, in accordance with the GDEs admission requirements and the School s Admission Policy. Timeous e-applications are essential. Failure to submit an e-application and the supporting documentation may result in the scholarship being revoked. 1.4 Short-listed scholarship applicants, accompanied by their parents/guardians, may be invited to an interview if deemed necessary by the Scholarship Committee. 1.5 Recipients of Academic Scholarships offered by Rand Park High School will be notified on or before 28 March A confirmatory letter, stating the scholarship offer, will be sent to the parents/guardians via . The successful candidate will have seven (7) working days within which to accept the scholarship in writing. Should a written acceptance not be received within this timeframe, the scholarship will be offered to the next candidate on the short-list. 1.6 An Academic Scholarship is awarded for a single academic year. Parents/guardians of the scholarship recipient may re-apply for the following academic year by completing and submitting a Re-award Motivation Form before the closing date. This form is available from the Scholarships Office at Rand Park High School in the Third School Term of 2018 and must be submitted by 28 September Late applications will not be considered. 1.7 An Academic Scholarship will be revoked if the learner is de-registered from Rand Park High School during the academic year. 1.8 An Academic Scholarship may be revoked or reduced at the sole discretion of the School, if: The learner fails to maintain excellent academic results during the course of the academic year The learner fails to participate in at least one School extramural activity during each School term The learner fails to present him/herself to the Dean of the Grade when requested to do so in order to evaluate academic progress and participation in extramural activities The Learner s conduct, attitude and behaviour does not comply with the requirements of the School s Code of Conduct. 1.9 The applicant, and at least one parent, should be South African citizens or have permanent residence. Rand Park High School reserves the right to request proof of citizenship. 4 P a g e

5 PART 6: CONFIRMATION The undersigned confirm that the information provided in this application is true and accurate. Furthermore, the undersigned confirm that they understand and accept the conditions of a Rand Park High School Academic Scholarship as specified in Part 5 of this application form: PARENT 1 NAME: PARENT 1 SIGNATURE: PARENT 2 NAME: PARENT 2 SIGNATURE: LEARNER S NAME: LEARNER S SIGNATURE: Please submit your Scholarship Application to the Scholarships Office by no later than 23 February Unfortunately, due to the volume of applications received, no late applications will be accepted and evaluated by the Scholarship Committee: Hand-deliver to: scholarships@randparkhigh.co.za Scholarships Committee Rand Park High School Asgaai Avenue, Randpark Ridge, Randburg 5 P a g e

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