2018 COLLEGE APPLICATION - St. Dunstan's College · 2018-01-23 · Swimming Marimba Band Tennis...

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Transcript of 2018 COLLEGE APPLICATION - St. Dunstan's College · 2018-01-23 · Swimming Marimba Band Tennis...

APPLICATION

Dear Prospective Parent At St Dunstan’s College, we recognize the empowering impact that good grades can have on the life of a young adult. As such, we emphasize the importance of the development of curiosity and tenacity, while also stressing the value of hard work. We are mindful, too, that a truly great education is about much more than just academic pursuits. A truly great education is one that is rigorous and empowering, blending factors that are both immeasurable and values-based. School should be a transformative experience, developing fully each pupil’s individual strengths. We provide opportunities that stimulate their intellectual, artistic, sporting, musical, spiritual, and social talents whilst also ensuring that each grows to understand the importance of care and service to others. These holistic factors contribute to them achieving the highest rewards in life. We do not believe that it is enough for a child just to concentrate on their own strengths and building their own career. In keeping with the school motto “I Serve”, we believe that every child should be fully engaged in our community, in service to others. Seeking active partnerships with our neighbours, we forge mutually beneficial relationships with state schools and the local community. The St Dunstan’s College partnership with Unity Secondary school is an example of this outreach. Proudly, this nationally acclaimed partnership has grown to success with care given to promote meaningful engagements between pupils, staff, and governance levels, and our Educational Support Centre. We have pleasure in enclosing an application form for future enrolment into the College. The fee structure and school calendar is attached as a guideline. An application fee of R200 should accompany the form that is to be handed in to the College front office. Should you wish, you are welcomed to our school to experience with us the important journey we share with our students each day. Prospective parent may contact Joy Cousins who will gladly assist you with scheduling. She can be contacted on 011 746 6502 or [email protected]. Kindly note, there is a high demand for the limited space in our classes, early applications are recommended. We look forward to meeting you and your children and to a happy association together. Yours Faithfully, Mr Michael McConnachie Rector

A DISTINCT ADVANTAGE WELCOME

APPLICATIONS WILL NOT BE PROCESSED UNLESS THE DOCUMENTS REQUESTED BELOW ARE ATTACHED

A certified copy of the pupil’s Birth Certificate/ID Document

A copy of the pupil’s latest School Report (Preparatory/College)

Copy of pupil’s residence or study permit (if a foreign pupil)

Copy of both parents’/guardians’ ID Documents

Copy of previous school’s Fee Statement (latest payment)

Family connections to St Dunstan’s College (state relationship, if applicable)

Name Year House

FOR OFFICE USE ONLY

Application Fee

Reference number for entry fee

Tuition Agreement returned

Entrance fee paid

SURNAME OF PUPIL: _________________________________________ FIRST NAMES: _________________________________________ APPLICATION FOR ADMISSION OF PUPIL TO GRADE ______________ YEAR _________

HOUSE

A DISTINCT ADVANTAGE APPLICATION

PARENT/GUARDIAN INFORMATION

PARENT/GUARDIAN (person responsible for fees)

Surname _____________________________________ Relationship _________________ First Names _____________________________________ Initials _____________________ ID Number _____________________________________ Title _____________________ Occupation _____________________________________ Business Name _____________________________________ Position _____________________ Cellphone number _____________________________________ Marital Status (married, divorced, widowed, single,

remarried)

Home Tel ____________________________ Home e-mail __________________________________ Work Tel ____________________________ Work e-mail __________________________________ Home Address Postal Address Business Address _______________________________ ______________________________ _______________________________ _______________________________ ______________________________ _______________________________ _______________________________ ______________________________ _______________________________ _______________________________ ______________________________ _______________________________

SIGNATURE ____________________________ DATE _________________________

PARENT/GUARDIAN

Surname _____________________________________ Relationship _________________ First Names _____________________________________ Initials _____________________ ID Number _____________________________________ Title _____________________ Occupation _____________________________________ Business Name _____________________________________ Position _____________________ Cellphone number _____________________________________ Marital Status (married, divorced, widowed, single,

remarried)

Home Tel ____________________________ Home e-mail __________________________________ Work Tel ____________________________ Work e-mail __________________________________ Home Address Postal Address Business Address _______________________________ ______________________________ _______________________________ _______________________________ ______________________________ _______________________________ _______________________________ ______________________________ _______________________________ _______________________________ ______________________________ _______________________________

SIGNATURE ____________________________ DATE _________________________

PUPIL INFORMATION

Surname _____________________________________ Gender ☐ Male ☐ Female First Names _____________________________________ Initials _____________________ Preferred name _____________________________________ ID Number _____________________________________ Date of Birth _____________________________________ Cell number _____________________________________ Home Language_____________________________________ Religion _____________________________________ Position of child in the family ☐1 ☐2 ☐3 ☐4 ☐5 Number of children in family ☐1 ☐2 ☐3 ☐4 ☐5 ☐other Names of siblings at St Dunstan’s ___________________________________________________________________ Family connection to St Dunstan’s ___________________________________________________________________ (state name, relationship and house) Allergies ___________________________________________________________________ Country of origin _________________________ Citizenship _________________________ Foreign National ☐YES ☐NO Arrival date in South Africa (if applicable) _________________________ Population Group _________________________ Contact details (relative/friend) in case of an emergency ________________________________________________________________________________________________________

MEDICAL INFORMATION

Family Doctor _____________________________________ Tel number _____________________________________ Medical Aid _________________________________ Medical Aid Type _____________________________________ Medical aid number _________________________ Main Member _____________________________________ Blood group ______________________________ Has your child received all the necessary immunisations? ☐YES ☐NO (if NO, please give details) ________________________________________________________________________________________________________ Has he/she suffered or does he/she suffer from any illness or disability? ☐YES ☐NO (if YES, please give details) ________________________________________________________________________________________________________

Is your child receiving medical treatment for any condition at present? ☐YES ☐NO (if YES, please give details) ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Does your child suffer from Asthma or allergies? ☐YES ☐NO (if YES, please give details of the prescribed treatment) ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Is your child allergic to any medications – e.g. Penicillin? ☐YES ☐NO (if YES, please give details) ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Is your child on any regular medication? ☐YES ☐NO (if YES, please give details) ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Has your child suffered from or been treated for any psychological or emotional concerns? ☐YES ☐NO (if YES, please give details) ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Please supply any other medical that you may feel to be relevant. ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ I understand that school trips and excursions form an integral part of the curriculum and that attendance is compulsory.

CONSENT

NB… IN A CRITICAL SITUATION, PLEASE BEAR IN MIND THAT THERE MAY NOT BE TIME TO REFER TO YOUR CHILD’S RECORDS. THE COLLEGE THEREFORE RESERVES THE RIGHT TO UTILISE THE QUICKEST MEDICAL SERVICE AVAILABLE.

I, ___________________________________________, being the parent/legal guardian of

_____________________________________________ hereby agree that a Linmed Hospital

practitioner may carry out emergency treatment as may be necessary.

SIGNATURE OF PARENT/LEGAL GUARDIAN _________________________________________________

PREVIOUS SCHOOL INFORMATION

Name of School _____________________________________ Head of School _____________________________________ Telephone Number _____________________________________ GETC PHASE (Grade 8 and 9) Pupils will take the following subjects:

English Mathematics Biology Science History Geography Accounting Life Orientation Art and Music Religious Instruction Business Studies

Pupils are to choose between Afrikaans and Zulu (from Grade 8) _____________________________ GRADE 10 - 12 Pupils to list subject choices from the following:

English Physical Science Business Studies Afrikaans Life Sciences Consumer Studies Zulu (if taken from Grade 8) Mathematics Visual Art Life Orientation Mathematical Literacy Geography Accounting AP Mathematics History AP English Music

EXTRA-CURRICULAR/MURAL ACTIVITIES

Please indicate interest in specified activities by marking in the appropriate box

SPORT CULTURAL ACTIVITIES

Athletics Art Enrichment Badminton Art Club Basketball Computers

Cricket Debating Equestrian Drama

Football Eisteddfod Golf Public Speaking

Hockey (boys and girls) Creative Writer’s Guild Netball Quiz Rowing Photography Rugby Film club Squash Choir

Swimming Marimba Band Tennis Orchestra

Water polo Jazz Band Chess Pop Singing

List any academic, sporting and cultural awards received/positions of authority held ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Indicate any musical instruments played and proficiency ________________________________________________________________________________________________________ ________________________________________________________________________________________________________

CHILD’S NAME: _______________________________________________________ UTHE CODE OF CONDUCT Upon acceptance of a place at St Dunstan’s College, parents and pupils agree to abide by the rules of the school as outlined in the Code of Conduct and to changes which may, from time to time, be made to the Code of Conduct. The signing of this agreement indicates both the knowledge and acceptance of the Code.

Parents and pupils also agree to abide by the terms and conditions as outlined in the tablet policy. The signing of this agreement indicates both the knowledge and acceptance of the Policy.

The Rector, whose interpretation of the Code of Conduct and the tablet policy will be final, and will control all disciplinary matters.

The parents and pupils acknowledge the Anglican tradition of St Dunstan’s College and agree that the pupil will attend chapel and religious instruction directed by the Chaplain.

UFEES Parents agree to the following with respect to fees. These points should be read in conjunction with the letter of acceptance:

1) College fees for the current year of 2018 are as per the attached table for scholars Grade 000 to 12 and which fees are determined on a yearly basis by the College;

2) Upon acceptance at St Dunstan’s College, an entrance fee of R12 570 will secure the place of each pupil, unless a deposit has already been paid at the Pre-School or the Preparatory School. This amount is non-refundable and is to be paid as soon as possible.

3) Fees are payable either:- • annually, on or before the first day of the 1P

stP term or

• termly, on or before the first day of term or • 12 monthly equal instalments. A debit order for this should be arranged with the Finance

Office at St Dunstan’s College.

4) The banking details of the College are as follows:

FIRST NATIONAL BANK ACCOUNT NUMBER: 620306 94 394 BRANCH CODE: 250655 – Northmead Square The parent(s)/guardian are recommended and advised to complete the necessary debit order authorisation by his/her/their current Bank to ensure that tuition fees are paid by the 1P

stP of each subsequent

month.

5) In the event of any failure by the parents/guardian to pay the required tuition fees as stipulated above, the parent(s)/guardian of the child irrevocably consents to a full credit check being conducted on them if any legal action is necessary pursuant to the collection of outstanding tuition fees.

6.1) St Dunstan’s College reserves its right to list any defaulting parent/guardian at the credit bureaus as a bad payer.

6.2) All arrear payments will attract interest at a rate of 10,25% per annum calculated monthly in advance on the arrear balance from time to time.

A DISTINCT ADVANTAGE TUITION AGREEMENT

6.3) In the event of any action being instituted to recover any amount due from a parent(s)/guardian, such parent(s) or guardian accepts that he/she/they will be liable to pay legal fees incurred by St Dunstan’s College as between attorney-and-own-client.

6.4) The parent(s)/guardian consents to the Jurisdiction of the Magistrate’s Court in terms of the provisions of Section 45 of Act 32 of 1944 and confirms that St Dunstan’s College is entitled to institute an action for recovery in terms of this tuition agreement in a Magistrate’s Court having Jurisdiction in the normal course of the law.

7.1) The parties select as their respective domicilia citandi et executandi for the purpose of legal proceedings and for the purposes of giving or sending any notice provided for or necessary in terms of this agreement, the following addresses –

St Dunstan’s College Physical address: 35 MILLBURN STREET, RYNFIELD, BENONI. Email: [email protected]

Parent(s)/Guardian: Physical address: __________________________________________ __________________________________________ __________________________________________ Postal address: __________________________________________ __________________________________________ Email: __________________________________________ Fax: __________________________________________ or such other address, email or telefax number as may be substituted by notice given as required. Each of the parties will be entitled from time to time to vary its domicilium by written notice to the other to any other address within the Republic of South Africa is not a post office box or poste restante.

UNOTICE OF REMOVAL FROM THE SCHOOL One term’s written notice is required before removing a pupil, failing which one term’s fees must be paid in lieu of notice.

We enclose a copy of the EFT for R____________ to secure the entry of my child into St Dunstan’s College.

v Hold ourselves jointly and severally liable for payment of St Dunstan’s College Fees on or before the first day of each term.

v Understand that if St Dunstan’s College accepts my child this place will only be assured on receipt of the Non-Refundable Entrance Fee.

v We further undertake to give St Dunstan’s College one term’s notice in the event that we remove our child/children from the school failing which we undertake to pay a term’s notice in lieu thereof

v Accept the Code of Conduct of St Dunstan’s College as well as the terms and conditions as outlined in the tablet policy which codes of conduct also includes a dress code policy.

PARENT 1 - SIGNATURE ________________________________ DATE _________________ PARENT 2 - SIGNATURE ________________________________ DATE _________________ GUARDIAN’S SIGNATURE ________________________________ DATE _________________ AS WITNESSES: 1. _____________________________ 2. ____________________________