HERITAGE BURSARY APPLICATION FORM 2017

Transcription

1 - HERITAGE BURSARY APPLICATION FORM 2017

2 Closing date for bursary application: Friday 24, February 16H30 Use block letters to complete the form. Give concise answers and, where applicable, mark with an X. Attach a recent copy of your ID, academic records and copies of qualifications Incomplete or late applications will not be considered. Please note: should you not receive a response from the Department within 30 days of the closing date, please consider your application to have been unsuccessful. Forward application to: OR Deliver by hand to: Department of Arts and Culture Private Bag X897 PRETORIA Department of Arts and Culture 5 th Floor, 481 Kingsley Centre Cnr. Stanza Bopape & Steve 0001 Biko streets FOR THE ATTENTION OF HLULANI NDLOVU ARCADIA, PRETORIA PLEASE NOTE: No applications by nor fax will be accepted. How did you learn about Department of Arts and Culture bursaries? Newspaper University staff Friend Internet Career awareness Other: (specify) A. Particulars of applicant Title Ms Mr Mrs Rev Dr Surname Full Names ID No. Gender Female Male Race Black White Indian Other:specify Nationality Province: Municipality:

3 Disability: Yes No If Yes Indicate: Home language: B.CONTACT PARTICULARS Postal address: Area Code: Residential Address: Area Code: Cell No. Address: Tel. no. (h) Tel. no (w) Fax no. C. PARTICULARS OF QUALIFICATION FOR WHICH YOU WISH TO RECEIVE THE BURSARY Student number Institution at which you study/do you intend studying? Degree/diploma/certificate Main subjects Academic Year of study 1 st year 2 nd year 3 rd year 4 th year

4 D. OTHER BURSARIES OR SPONSORS Are you at present studying with a bursary? If yes, name of the bursary: Annual value of the bursary: Father s occupation: Mother s occupation: Guardian s occupation: How much is your gross household income?: How many other dependants are still at home? : No. Of dependants still at school: Do you have or have you received a study loan? : If yes, name of the loan: For what purpose? : When did you get it? : If you are not currently enrolled at an educational institution, please indicate what you are doing at present: Yes No E. DETAILS ABOUT PARENTS/GUARDIAN/NEXT OF KIN Title: Ms Mrs Mr Dr Rev Initials: ID No. Relationship: Mother Father Aunt Uncle Other(Specify):

5 Postal address(if different from mentioned above): Postal code: Residential Address(if different form the mentioned above) Postal Code: Tel. no. (h) Tel. no. (w) Fax no. F. DOCUMENTATION Please attach certified copies of the following: * Identity document * Certificates of qualifications * Academic records * Proof of family income or an affidavit if parents are unemployed * proof of registration at university G. Declaration I certify that the information supplied in this application is correct and that, if I am awarded a bursary, I will abide by the regulations applicable. Signature of applicant:.. Date.

6 DAC BURSARIES FOR HERITAGE RELATED STUDIES: 2017 The Department of Arts and Culture invites applications for bursaries from students who wish to pursue studies in heritage related programmes. The bursary will fund undergraduate studies only. The bursary is available for a restricted number of outstanding academic performers. Eligibility South African citizenship Financially needy NB: 2017 Proof of registration at an institution of higher learning Fields of study Anthropology Archaeology (marine, etc.) Archives and records management Conservation of the built environment Conservation and preventive conservation Collections (cultural & natural) management Heritage resources management Museum management and curatorship Indigenous Knowledge Systems. Information Science VALUE OF THE BURSARY Maximum up to R NB: Funds are payable directly to the higher institution of learning Required documents: The following documents must accompany the application: Certified copy of ID document Certified copy of the salary statement or affidavit (if not working) of your parents/guardians Certified copy of grade 12 results If you were already studying at university in 2016 latest results / academic record Application forms can be obtained from the offices of the Department of Arts and Culture, 5 TH Floor, 481 Kingsley Centre, Cnr. Stanza Bopape & Steve Biko Streets, Arcadia,

7 Pretoria or online at Completed application forms together with certified copies of necessary documents should be sent to the: Department of Arts and Culture Private Bag X897 PRETORIA 0001 Or Applications can also be hand delivered to: 481 Kingsley Centre 5 th Floor Cnr. Stanza Bopape & Steve Biko Street ARCADIA PRETORIA Enquiries regarding the bursary applications should be sent to Ms Hlulani Ndlovu on Hlulanin@dac.gov.za / The closing date for submission of applications is 24, February 2017 at 16H30. Please note: should you not receive a response from the Department within 30 days of the closing date, please consider your application to have been unsuccessful. No late applications will be accepted.