Step 1 of 9 11% Please note this is a “boys only” school. The official language of Learning and Teaching is English. Before completing the form, please read the requirements below. Requirements This form must be completed in full by the applicant's parent. Parent means: (a) The parent or guardian of the child; (b) The person legally entitled to custody of the child; (c) 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.Application for admission to* Glenwood High School Gibson House Grade*Grade 8Grade 9Grade 10Grade 11Grade 12Admission Year*Particulars of the PupilSurname*Full First Name(s)*Date of Birth* Date Format: DD slash MM slash YYYY N.B. The above information must be exactly as on the unabridged birth certificate.ID Number*Home Language*Religion*Highest grade passed to date*Year in which that grade was passed*Name, postal address & telephone number of the school where that grade was passed*Has your son repeated a grade at any stage? If so, which grade and year* Particulars of the Parents/GuardianFatherSurname*First Names*ID Number (as on ID document)*Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Occupation*Name of Employer*Business Address* Street Address Address Line 2 City State / Province / Region Email* Telephone (H)Telephone (B)Telephone (C)*Postal Address for Accounts* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code MotherSurname*First Names*ID Number (as on ID document)*Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Occupation*Name of Employer*Business Address* Street Address Address Line 2 City State / Province / Region Email* Telephone (H)Telephone (B)Telephone (C)*Postal Address for Accounts* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Which parent requires a statement?* Father Mother Both Other Family Affiliation With GlenwoodHas he a brother in the school now?*YesNoWhich grade?Grade 8Grade 9Grade 10Grade 11Grade 12Has he ever had a brother in the school?*YesNoWhen did he leave?In which school house was he?Is the father an old boy of the school?*YesNoWhat year did he leave?In which school house was he? Marital Status of ParentsMarital Status*MarriedDivorcedWidowedNever MarriedDate of Final Order Date Format: MM slash DD slash YYYY In the event of a divorce, state the name of the child's legal guardianState the name of the person who has custody of the child Health Particulars of the PupilPrevious Illnesses (nature and seriousness)*Has the pupil been immunised against* Tuberculosis Poliomyelitis Lockjaw and diptheria Name of Family Doctor*Telephone*Name of Medical Aid, Type of Plan & Membership Number*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)Telephone* Academic and Sporting AchievementsDetails of academic prizes and awards achieved at previous schoolDetails of sports played at previous school (and team)Details of involvement in school societies and clubsHave you applied to another school for boarding?*YesNoWhich School? Subject SelectionGrades 8 & 9All subjects for grade 8 & 9 are compulsory however, your son may select one of the two 1st Additional Languages. Indicate the current marks in these three categories, as requested below.English (Current Marks %)1st Additional LanguageAfrikaansisiZulu1st Additional Language (Current Marks %)Mathematics (Current Marks %)Aggregate (Current Marks %)Grades 10 / 11 & 12Please 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.English Home Language (Current Marks %)Life Orientation (Current Marks %)*MathematicsMathematicsMathematics LiteracyMathematics (Current Marks %)1st Additional LanguageAfrikaansisiZulu1st Additional Language (Current Marks %)SciencePhysical ScienceToursimScience (Current Marks %)Subject Option 1Subject Option 1 (Current Marks %)Subject Option 2Subject Option 2 (Current Marks %) Required DocumentsA non-refundable Administration Fee of R100 must accompany the application. Please deposit the fee into the below mentioned account using the pupil's name as reference. First National Bank Glenwood High School Account Number: 50710175338 Davenport Branch Code: 220-226Proof of Payment*Copy of Unabridged Birth Certificate or Book of Life*Should the parent and son surnames differ, an unabridged birth certificate must accompany the Book of Life.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*Copy of the latest school report*A recent photograph* Declaration By ParentI (full names)*The parent of (full names)*Hereby declare that: The information submitted in this application form and supporting documentation, is the truth. I undertake: (a) to ensure that my child/ward attends school regularly and should my child/ward be absent from school for any reason, I will notify the Principal, preferably in writing, stating the reason(s) for absence; (b) to contribute to the School Fees in terms of sections 39 and 40 of the South African Schools Act, Act No.84 of 1996; (c) 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 w hich my child/w ard 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 will 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 hereby 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.Date* Date Format: MM slash DD slash YYYY CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.