THE EDUCATION TRUST OF THE SOUTH AFRICAN SOCIETY OF PHYSIOTHERAPY 4 Parade on Kloof Office Park, Oriel Box 752378, Garden View, 2047 011 615 3170 trust@saphysio.co.za www.saphysio.co.za/about-us/education-trust BURSARY APPLICATION TO THE EDUCATION TRUST OF THE SOUTH AFRICAN SOCIETY OF PHYSIOTHERAPY NATIONAL BURSARIES 1. EDUCATION TRUST OF THE SOUTH AFRICAN SOCIETY OF PHYSIOTHERAPY 2. SOUTH AFRICAN SOCIETY OF PHYSIOTHERAPY, MARJORIE CATT PROVINCIAL BURSARIES 1. SOUTH AFRICAN SOCIETY OF PHYSIOTHERAPY, SOUTH GAUTENG, MARJORIE CATT
BURSARY - TERMS AND CONDITIONS 1. Please read the Conditions for consideration of Application for Bursary carefully 2. Please complete the Application Form in full and return pages 4,5 & 6 to the Education Trust of the South African Society of Physiotherapy by 30 September 2016 by email to trust@saphysio.co.za. The form must be co-signed by a lecturer from your University Department 3. Accompanying your Application Form MUST be - a) A copy of your latest University Financial Account b) Copies of your 2 most recent full Academic Results i.e. mid-year and end of year c) An explanation why you need financial support. d) Please ensure that you understand the Conditions of the Bursary and agree to these conditions by signing in the appropriate section at the end of the Application Form
CONDITIONS FOR CONSIDERATION WHEN APPLYING FOR A BURSARY 1. The decision whether to grant or refuse financial assistance is solely within the discretion of the Education Trust of the South African Society of Physiotherapy. 2. The applicant hereby agrees that - 2.1 All funds paid by the Trust in respect of the applicant s tuition shall be paid directly to the University 2.2 The Trust reserves the right to terminate any financial assistance to the applicant in the event that the applicant fails to reasonably achieve the required degree of progress and/or commitment. Should the applicant be expelled from and/or refused permission to reregister, for any reason, for the course by the University, the Trust shall be entitled to demand and claim refund of all funds disbursed. 2.3 The applicant shall be a member of the SASP and render two (2) years of service following completion of their physiotherapy degree by being a member of a national, provincial or special interest group committee. 2.4 The applicant s name, photograph and progress may be used to promote the Trust 3. The applicant notes that - 3.1 Bursaries are awarded on a year to year basis and the applicant needs to apply annually for continued financial assistance. The Trust is not obligated to renew bursaries 3.2 Bursaries awarded shall be granted from the third year of study usually. The Trust will require a motivation from the University Department concerned before awarding a bursary to an applicant in second year. Bursaries will not be awarded to first year students. 3.3 All financial information provided will remain confidential to the Trust Administration.
BURSARY APPLICATION TO THE EDUCATION TRUST OF THE SOUTH AFRICAN SOCIETY OF PHYSIOTHERAPY Personal Details: Surname: Full First Name: Gender: Race: Identity Number: SASP Membership Number: University: I am currently in: 1 st / 2 nd / 3 rd year University Bank Branch Fees Account number Student Registration Number: Addresses: Residential: Code: Postal: Code: Academic email: Personal email: Telephone Numbers: Cell: Home ( )
Please attach a copy of your most recent University account statement How is your University account funded? Loans: Bursaries: Mother: Father: Spouse: Self: Other: (explain) Total Amount Please attach copies of proof of income listed above e.g. salary advice, pay slips etc Do you have other siblings currently in tertiary education? If so, how many? Your Physiotherapy studies thus far: What year did you start your physiotherapy course? Please Attach A) Your latest mid-year university results B) Your previous end of year university results. C) A Short Motivational letter Motivation from lecturer (you may include a detailed letter): Name: Signature: Date: Contact details: email: telephone number:
CONDITIONS OF GRANT OF ASSISTANCE Please complete I, the applicant, hereby acknowledge that: - The contents of this declaration are true and correct - I am fully aware of the contents hereof - I understand and agree to the conditions attached hereto DATED AT THIS DAY OF WITNESS APPLICANT 1. 2. 3. If under 21 Applicants guardian Name Signature