Home►Admissions►Online Application Online Application Step 1 of 8 12% Application for admission to:Glenwood High SchoolGibson HouseGradeAdmission YearNB Before completing the form, please read requirements and declaration on pages 3 & 4. Please note this is a “ boys only” school. Have you previously applied to Glenwood High School? If yes, in which year. The official language of Learning and Teaching is English Particulars of the pupil:Surname:Full first name(s):Date of Birth:I.D. No.N.B. The above information must be exactly as on the unabridged birth certificateHome language:Religion:Highest Grade passed to date:Year in which that Grade was passed:Name, postal address & telephone no. of the School where that Grade was passed:Has your son repeated a Grade at any stage? If so, which Grade and yearHave you previously applied to Glenwood High School?YesNoWhich year did you apply for? Particulars of parents/guardian:FatherMotherSurname:Surname:First Names:First Names:I. D. No. (As on ID Doc)I. D. No. (As on ID Doc)Home Address:Home Address:Code:Code:Occupation:Occupation:Name of Employer and Business Address:Name of Employer and Business Address:Phone (H)Phone (H)Phone (B)Phone (B)Phone (Cell)Phone (Cell)Email Email Postal Address for AccountsPostal Address for AccountsCodeCodeWhich parent requires a statement: Father Mother Both Other If other please state;FatherSurname:First Names:I. D. No. (As on ID Doc)Home Address:Code:Occupation:Name of Employer and Business Address:Phone (H)Phone (B)Phone (Cell)Email Postal Address for AccountsCodeMotherSurname:First Names:I. D. No. (As on ID Doc)Home Address:Code:Occupation:Name of Employer and Business Address:Phone (H)Phone (B)Phone (Cell)Email Postal Address for AccountsCodeWhich parent requires a statement: Father Mother Both Other If other please state; Family affiliation with Glenwood:Has he a brother in the school now?Which grade?If yes, brother's name,Has he ever had a brother in the school?When did he leave?If yes, brother's name,Is the father an old boy of the school?If so, what year did he leave?In which school house was the brother/father? Marital status of parents:Married:Divorced: (date of final order)Widowed:Never married:IN THE EVENT OF A DIVORCE, state the name of the child's legal guardian:State the name of the person who has custody of the child: Health particulars of pupil:Previous illnesses (nature and seriousness)Has the pupil been immunised against:TuberculosisYesNoPoliomyelitisYesNoLockjaw and diphtheria?YesNoName of Family Doctor:Tel. No.Name of Medical Aid, Type of Plan & Membership No.Main member:Any Physical Disabilities: (Or any information you wish to bring to the School’s attention.)Additional Emergency contact:(Not the parent e.g Friend, Grandparent)Tel. No. Academic and sporting achievements:Details of Academic Prizes and Awards achieved at previous school:Details of sports played at school (and team):Details of involvement in School Societies and Clubs:Have you applied to another school for Boarding?If so, which school? Subject Selection Grades 8 & 9 All subjects for grade 8 & 9 are compulsory however, your son may select one of the two 1 st Additional Languages : Indicate the current marks in these three categories, as requested below. CategorySubjectCurrent marksEnglishSubjectCurrent marks1 Additional LanguageAfrikaans or IsiZulu (Circle selection)Current marksMathematicsSubjectCurrent marksAggregateSubjectCurrent marksGrades 10 / 11 & 12 Please note that certain subjects may not be available for selection due to an over-subscription. If required, the full subject option list is available, on request, from the Admissions Office. CategorySubjectCurrent marksEnglish Home LanguageSubjectCurrent marks1 Additional LanguageAfrikaans or IsiZuluCurrent marksMathematicsMathematics or Mathematics LiteracyCurrent marksSciencePhysical Science or Geography or DramaCurrent marksSubject Option 1SubjectCurrent marksSubject Option 2Subject% Requirements This form must be completed in full by the applicant's parent. Parent means: The parent or guardian of the child; The person legally entitled to custody of the child; The person who undertakes to fulfill the obligations of a person referred to in paragraphs (a) and (b) towards the child's education at school. (Definition: S.A. Schools Act, No.84 of 1996) A copy of the latest school report must be attached. A copy of the son’s Unabridged Birth Certificate or Book of Life must be attached. Should the parent and son surnames differ, an unabridged birth certificate must accompany the Book of Life. A recent photograph must be attached. Proof of Residence: i.e. latest Bank Statement (for confirmation of Residential Address only) or copy of Electricity / Telephone Account. An affidavit is not acceptable proof of residence. Copies of both Parents / Guardians Identity Documents. Failure to comply with the above may result in a delay in the processing of the application. If a learner contravenes any school rule or regulation as laid down by the responsible authorities, disciplinary action may be taken against such a learner. Prospective pupils will be contacted for an interview. Not all applicants will be granted an interview. All applicants will be notified by post of the status of their application. NOTE: The KwaZulu-Natal Department of Education and Culture Circular 30 of 1998 states: “If a parent gained admission for his/her child to a school by making a false statement regarding his/her place of residence, the School is entitled to revoke the agreement which allowed the child concerned admission to such school”. The school reserves the right to take legal action in this regard. Please note that Applications close on 30 September of the year prior to admission.Copy of the latest school report must be attachedCopy of the son’s Unabridged Birth CertificateA recent photograph of the boy must be attachedProof of ResidenceCopies of both Parents / Guardians Identity Documents.Copy of Mother's Identity DocumentCopy of Father's Identity DocumentCopies of Guardians Identity DocumentDeclaration by parentI (full names)the parent of (full names) The information submitted in this application form and supporting documentation, is the truth. I undertake: to ensure that my child/ward attends school regularly and should my child/ward be absent from school for any reason, I w ill notify the Principal, preferably in writing, stating the reason(s) for absence; to contribute to the School Fees in terms of sections 39 and 40 of the South African Schools Act, Act No.84 of 1996; to pay all costs incurred for damage done or losses caused by my child/ward to school property and departmental books and equipment. I agree that the Principal or his designates may act in loco parentis in the event of any injury or accident in which my child/ward may be involved. I realise that the completion of this Application Form does not in any way bind the School to accepting the abovenamed child. All applicants w ill be notified in writing of the outcome of the application(sent to the postal address supplied). I have read the School Prospectus and agree that my child/ward shall abide by the RULES OF THE SCHOOL. NOTE: The School reserves the right to institute legal action against parents who may well submit fraudulent information on, or with, this application.I,Parent/Guardian ofhereby state that all the particulars contained in this application are accurate. Should any information be found to be incorrect, I accept that the application is not valid and that the school’ s rights are reserved in terms of the action to be taken. Please note that no action will be taken with regards to this application until the application form is complete. It is the responsibility of the Parent/Guardian to ensure that the application is complete.Signature of parent/guardianDateFirst Witness SignatureWitnesses SignatureFull name & AddressesDateSecond Witness SignatureWitnesses SignatureFull name & AddressesDate This iframe contains the logic required to handle Ajax powered Gravity Forms.