PEPPS Polokwane Preparatory School and College Success through Endeavour GRADE R

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1 2014 Application for Admission into PEPPS Polokwane Preparatory School and College GRADE R The following must be handed in with this application form: 1. The child s birth certificate (a copy will be made by the office) 2. 2 identity photographs of the child 3. A copy of the child s last report card 4. A copy of proof of residential address (Water and light account) 5. Copies of both parents identity document. 6. Completed Credit Check Agreement Form 7. The child s current school must complete and submit the Information for Admission Form Grade Applying for: Year of Birth: Name of Present School: Present Grade: Child s First Names (in full): Child s name to be used on all correspondence: Surname: Date of Birth: Child s Home Language: Male / Female: Nationality: Hostel required (delete inapplicable): YES / NO Very Important - Please supply the correct and complete contact telephone numbers and addresses to enable us to contact you and send correspondence. FATHER/GUARDIAN MOTHER/GUARDIAN FULL NAMES IDENTITY NUMBER SIGNATURE MARITAL STATUS OF PARENTS (Please tick the correct option) MARRIED DIVORCED * SINGLE WIDOWED RELATIONSHIP TO CHILD IF NOT A PARENT OCCUPATION EMPLOYER EMPLOYER ADDRESS PERSAL / PERSONNEL NUMBER WORK TELEPHONE NUMBER HOME TELEPHONE NUMBER CELL NUMBER FOR CORRESPONDENCE ADDRESS FOR CORRESPONDENCE PHYSICAL HOME ADDRESS POSTAL ADDRESS

2 Reason for applying to PEPPS Polokwane: How did you hear about PEPPS Polokwane School? (Friend, family, advertisement, etc): Do you already have a child at PEPPS Polokwane School? (This can ONLY be a brother or a sister, NOT a cousin) Yes No (please tick) If yes, please state child s name, school and class/grade: Any special illness / problems suffered by the child? Yes No (please tick) If yes, please detail: REFEREE Kindly supply below the name and address of a family friend, Minister of Religion or other suitable person as a referee: DECLARATION: Please read very carefully before signing as this form is a legal and binding document. ARE YOU UNDER ADMINISTRATION OR SEQUESTRATION? Yes No If yes, please detail: FALSIFICATION OF ANY OF THE ABOVE WILL JEOPARDISE YOUR CHILD S APPLICATION AND REGISTRATION NAME - PARENT / GUARDIAN NAME WITNESS SIGNATURE PARENT / GUARDIAN SIGNATURE WITNESS DATE NB: This form is for administration purposes and DOES NOT automatically guarantee your child a place in PEPPS Polokwane Preparatory School and College To be completed by the person responsible for the child s school fees Full Name and Surname: ID Number: Signature: Relationship to Child: Cell Number:

3 2014 Applications Grade 8 Applications All application forms must be submitted by Wednesday 24 July 2013 Grade 8 Testing day is on Saturday 27 July from 08h00 10h00 Grade 2 11 Applications All application forms must be submitted by Wednesday 21 August 2013 Grade 2 11 Testing day is on Saturday 24 August from 08h00 10h00 Grade 1 Applications All application forms must be submitted by Wednesday 28 August 2013 Grade 1 School Readiness Testing day is on Saturday 31 August from 08h00 10h00 Grade 1 School Readiness Testing at PEPPS Lebowakgomo Pre-School: 27 August 2013 Grade 1 School Readiness Testing at PEPPS Mankweng Pre-School: 28 August 2013 Please note that admission into the school is firstly determined by the number of places available per grade. Re-enrolment of our present learners must first be confirmed. Interviews with applicants will be requested, but do not guarantee a place. Please take note of our Admission Policy.

4 POLOKWANE PREPARATORY SCHOOL & COLLEGE SUCCESS THROUGH ENDEAVOUR Registered as a NON Profit Organisation No NPO Admission Policy No child will be refused admission to PEPPS Polokwane Preparatory School and College on the grounds of race or religious belief. All children seeking admission to the school must pass the admission test. All applicants granted admission to the school will be expected to abide by the Code of Conduct for Learners and the Uniform Policy. All applicants will be expected to participate in all compulsory school events and extra-mural activities offered at the school. Where selection becomes necessary because the number of successful applicants exceeds the number of available spaces, selection shall be based on the following criteria: Preference will be given to applicants based on their performance in the admission test Preference will be given to siblings, except where this is not in the best interests of the applicant or the applicant has not passed the admission test Preference will be given to applicants with a record of involvement in, or who demonstrate an interest in, one or more of the cultural and sporting activities which form part of this school s extra-curricular programme Preference will be given to applicants who receive unconditional recommendation from their previous school, where applicable Preference will be given to applicants who have attended the school before or are children of past pupils of the school The capacity of the school to provide an acceptable quality of education to the applicant (this applies particularly to applicants with special needs and barriers to learning) As the school is co-educational it is school policy to admit an equal number of girls and boys. The requirements of the credit check must be met. Interviews with applicants will be requested, but do not guarantee a place. Ref: POL May 2013

5 School Fee Structure 2013 Application Fee (non refundable)... R per application... once off for new applications (Application fees must be paid at the School Office when handing in the Application Form) Capital Development Fee (non refundable): R 2, per pupil... once off for new pupil Capital Development Fee (non refundable): R 2, per pupil... once off for new pupil Infrastructure Levy (non refundable)... R per pupil... billed annually in June School fees are payable for 12 months ie January to December and are due monthly IN ADVANCE on or before the first day of each month. GRADE MONTHLY FEE BI ANNUAL FEE ANNUAL FEE (to be paid IN ADVANCE on or before first day of each month) (Jan-Jun: to be pd by 31 Jan) (Jul-Dec: to be pd by 30 June) (to be paid by 31 Jan) Grade R R 1, R 8, R 16, Grade 1 R 1, R 11, R 20, Grade 2 R 1, R 11, R 20, Grade 3 R 2, R 11, R 21, Grade 4 R 2, R 11, R 21, Grade 5 R 2, R 11, R 22, Grade 6 R 2, R 12, R 22, Grade 7 R 2, R 12, R 23, Grade 8 R 2, R 13, R 25, Grade 9 R 2, R 14, R 26, Grade 10 R 2, R 14, R 26, Grade 11 R 2, R 15, R 29, Grade 12 R 3, R 19, R 37, (Fees for Grade 12 include IEB Examination Fee) School fees must be paid by means of a Stop Order or EFT into our bank account

6 INFORMATION FOR ADMISSION TO PEPPS POLOKWANE PREPARATORY SCHOOL AND COLLEGE - CONFIDENTIAL To be returned directly to PEPPS School after completion by present SCHOOL PRINCIPAL. Please fax / the completed form as soon as possible. 1. Name of Pupil: Present Grade: Present School: Number of years at present school: 2. Academic: Please rate ability and indicate % obtained (if available) Date of Birth: 1. Not Achieved 2. Elementary achievement 3. Moderate achievement 4. Adequate achievement 5. Substantial achievement 6. Meritorious achievement 7. Outstanding achievement English Home Language 1 7 % Afrikaans 1 st Additional Language Mathematics 3. Sport: Please list involvement 4. Cultural Activities: Please list involvement 5. Notable achievements: 6. Character and Leadership potential: 7. Any known problems (eg Family, emotional, remedial, medical, behavioural, ability to adapt, etc): 8. School fees: Paid in full / Not paid / Monthly payments paid to date / Monthly fees behind by months (Please circle appropriate comment) 9. Parental involvement at present school (please specify): 10. Should we accept this pupil, is there any relevant information you would like to draw our attention to? If so, please specify: PRINCIPAL S NAME: PRINCIPAL S SIGNATURE: DATE: PLACE SCHOOL STAMP HERE

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