KLOOF HIGH SCHOOL Est. 1960

APPLICATION FOR ADMISSION (2018) CLOSING DATE FOR ADMISSIONS: 31 March 2017

This application form, and all relevant documentation, should be completed and hand-delivered to the school by the parent no later than 31 March 2017. An Acknowledgement of Receipt will be given providing all documentation accompanies the application.

PLEASE NOTE:

The school receives considerably more applications than the number of learners which it can ultimately accommodate.

Completion and submission of the application form does not represent the reserving of a place for your child.

You will receive written notification as to the status of your application. Should your child be accepted, admission is granted in writing once all the procedures are completed.

If your child has a sibling currently at Kloof High School please be aware that he/she does not automatically gain entrance to attend the school.

Applications will not be considered unless all the required documents are attached.

If Kloof High School is not the nearest public school to your residence, you must make application to your nearest public school in addition to this application to ensure you secure a place for your child in 2018.

Learners cannot move into the area to live with other people in order to seek admission to this school.

Admission applications will not be considered unless the ‘Conditions of Acceptance’ form is signed by both parents/Legal Guardians of the child.

Kindly direct all queries to Mrs A Nicholls - admissions@kloofhigh.co.za.

CRITERIA FOR ADMISSION

The Kloof High School Governing Body has determined the following criteria for the admission of learners to the school. The acceptance of any child at Kloof High School as a learner shall be subject to these Admission Criteria.

Residence: 1. Preference is given to residents who own or rent dwellings that are in close proximity to Kloof High School

provided acceptable Proof of Residence is provided. However, applications from other areas will be considered.

2. The setting up of boarding accommodation to provide a local address to gain entry to the school is not

permitted.

Proof of Employment Payslips for both parents are required as proof of employment. In the event of being self-employed, please supply last three months’ bank statements.

Age Limits: The child should not be more than two years above the average age for the particular Grade.

Placement Tests: Aptitude tests as well as academic performance in will be used to determine how the learner shall be placed academically.

Religion: The school is predominantly Christian, but all faiths are valued and appreciated.

Rules: Parents, Learners and Educators are expected to abide by a negotiated Code of Conduct and School Rules signed by representatives of all parties.

Admission: To Kloof High School will be confirmed by a letter from the Principal. Applicants who are unsuccessful will also be informed in writing. Acceptance is always conditional upon the applicant still meeting all admission requirements at the end of the year.

Language of Instruction: The Governing Body of Kloof High School has determined that the school will be a single medium school and that the language of instruction will be English. Accordingly, learners admitted to the school will need to be sufficiently proficient in English so as not to prejudice their academic progress.

CONDITIONS OF ACCEPTANCE AT KLOOF HIGH SCHOOL

1. Governing Body:

Kloof High School is a public fee paying school and the Governing Body is empowered by the South African School’s Act 84 of 1996 to exercise control over the school and its activities in terms of delegated functions and powers. The Governing Body is empowered to determine entrance criteria, to levy school fees and to enforce payment thereof, subject to the above Act. The Governing Body has the authority to make decisions effecting the management and operation of the school, and such decisions are binding on the parent/guardian and the child, subject to the Act. The parent/legal guardian hereby irrevocably consents to the school undertaking any credit checks with the credit bureau for the purpose of determining whether or not such applicant qualifies in terms of the Criteria for Admission. The Governing Body undertakes to keep any information relating to any such credit check confidential. (The credit check clause was agreed to by secret ballot of the parents of Kloof High School present at the AGM on 7 November 2012).

2. School Rules and Regulations:

All learners enrolled at Kloof High School shall adhere to the Code of Conduct and School Rules as approved by the Parents, Educators and Learners and signed by their representatives and by an Education Department representative.

3. School Fee:

Payment of the school fee is compulsory in terms of the South African Schools Act No 84 of 1996. The signatories hereto acknowledge and understand that they will both be jointly and severally liable for all school fees whilst their child is enrolled at Kloof High School. In the event of Kloof High School instructing Attorneys to proceed with legal action for the recovery of any outstanding amount, the signatories will be liable for all legal fees incurred, including any Tracing Agent fees and Collection Commissions. Should the school fee not be paid, it means that the learner is being subsidised by other learners.

4. Co-Curricular Activities:

It is expected that learners will take part in the co-curricular activities of the school, including sport tours, cultural activities, and any other excursions arranged by the school, and parents will be expected to consent to this. Specific school activities will require attendance by all learners as spectators, helpers or participants. These activities include Derby Day, Prize-Giving, and other events that may be selected from time to time at the discretion of the Principal.

5. OBLIGATIONS: The parent/legal guardian shall be obliged to:

Immediately inform the school of any change of address or telephone number.

Inform the school of any case of infectious, communicable or contagious disease that occurs in the learner’s household.

Ensure that the learner complies with the Code of Conduct and Rules of the school.

Respect the tradition, character and ethos of the school.

Ensure that the learner attends school timeously on every school day excepting in the case of verifiable serious illness.

Ensure that all appointments are made after school hours excepting urgent, valid, specialist appointments. Letters requesting these urgent appointments are to be forwarded at least the day before, for the Principal’s attention.

Please sign and date below as acceptance of the above criteria: Name:(Please print) Name:(Please print)

(Specimen Signature) (Specimen Signature)

FATHER/LEGAL GUARDIAN MOTHER/LEGALGUARDIAN

Date: ____________________ Date: ______________________

KHS 2

Please Note: all conditions are subject to the South African Schools’ act 84 of 1996

KLOOF HIGH SCHOOL

SOUTH AFRICAN SCHOOLS ACT 84 OF 1996

REGULATIONS FOR THE EXEMPTION OF PARENTS FROM PAYMENT OF SCHOOL FEES

CHECKLIST FORM (mark with an X where applicable) YES NO

1. Have you been informed about the amount of the annual fees to be paid? 2. Have you been informed that you are liable to pay school fees unless you

are totally exempted from paying school fees?

3. Have you been informed about your rights to apply for exemption/ partial exemption from paying school fees?

4. Do you wish to apply for such exemption/partial exemption? 5. Do you wish to be assisted in such an application?

ONLY PARENTS LIVING OR WORKING IN THE AREA WILL BE CONSIDERED FOR EXEMPTIONS. ALL PARENTS ARE REQUIRED TO CONTRIBUTE TOWARDS THEIR CHILD'S/CHILDREN'S EDUCATION. Signature Mother/Guardian/Sponsor: Date: Signature Father/Guardian/Sponsor: Date:

How are School Fees to be paid? Monthly Quarterly Annually Postal Address: Code:

KLOOF HIGH SCHOOL Est. 1960

CHECKLIST FOR ADMISSION (2018)

This checklist will assist you in compiling all documentation required for application.

The documents listed below are required and must accompany your application. If these documents are not received, your application will be regarded as incomplete and will not be considered. Name of Learner: _______________________________________________________

Document Requirement Parent to

Tick if Attached

Application for Admission To be filled in by the learner's biological parents/guardians

School Report A certified copy of the most recent school report

Birth Certificate A certified copy of the unabridged birth certificate or receipt of application

Recent I.D Sized Photo A recent photo of the learner

Parents' ID Documents A certified copy of the ID documents of both biological parents is required

Guardianship A certified copy of the court ruling – if necessary

Proof of Residence A certified copy of most recent Electricity & Water or Rates Account

Current School Fee Statement A copy of your latest school fee statement from current school

School Fee Payment Structure The form (KHS 2) for the fee payment structure must be completed and signed

Proof of Employment Certified copies of both parents pay slips / 3 months bank statements

KHS 1

KLOOF HIGH SCHOOL Est. 1960

APPLICATION FOR ADMISSION

False, incomplete or non-divulgence of details on your application can result in the cancellation of your application.

OFFICIAL USE ONLY

GRADE APPLIED FOR I.D DOCUMENTS – both parents

REPORT LEASE AGREEMENT – if necessary

BIRTH CERTIFICATE UTILITY BILL

PHOTO S/FEE STATEMENT FROM CURRENT SCHOOL

CURRENT SCHOOL ‘KHS 2’ COMPLETED

DATE FORMS RECEIVED PAYSLIPS / BANK STATEMENTS

APPLICATION FOR ADMISSION : GENERAL INFORMATION

(PLEASE USE BLOCK LETTERS) _____________________________________________________________________________________________________

1. LEARNER INFORMATION

Surname: First Names: Known as:

I.D Number: Male / Female: Date of Birth: Place of Birth: Citizenship: Race:

Home Language: Immigrant / Refugee? Yes/No?: If yes, supply copy of the current study visa. Siblings:

Name Grade School

Grade applied for: Starting date: Highest grade passed : Current school:

TEMP ADMIN NO.

This section applies to isiZulu mother-tongue speakers only whose primary home language is isiZulu. Learners have a choice to study isiZulu or Afrikaans as the 1st Additional Language.

1st Additional Language Choice: please tick the box applicable If your child is applying for Grade 10, 11 or 12, please supply the following subject information: The first 4 subjects are compulsory, one subject must be chosen from each line 5, 6 and 7.

LINE SUBJECT CHOICE

1 English

2 Afrikaans/isiZulu

3 Math/Math Lit.

4 Life Orientation

5 Life Science/Physical Science/Geography/ History

6 Accounting /Visual Arts/French/Geography/ History

7 Consumer Studies/Life Science/Physical Science/Dramatic Arts /Business Studies/ E.G.D/I.T.

Full Residential Address: Code: Full Postal Address:

Code:

Home Telephone Number: Does your child reside at the address given above? Yes/No:

isiZulu Afrikaans

2. BIOLOGICAL MOTHER/LEGALLY APPOINTED GUARDIAN:

Surname: First Name:

ID Number:

Occupation:

Employer’s Name, Address and Telephone Number:

Tel:

Cell Number:

E-Mail Address:

(If self-employed please supply name of Company and Telephone Number)

3. BIOLOGICAL FATHER/LEGALLY APPOINTED GUARDIAN: Surname: First Name:

ID. Number:

Occupation:

Employer’s Name, Address and Telephone Number:

Tel:

Cell Number:

Email Address:

(If self-employed please supply name of Company and Telephone Number)

Marital Status: Married/Divorced/Single/Never Married/life partner In the case of separation/divorce indicate which parent the child resides with? Which parent has legal custody? Is there right of access by the other parent? Are copies of reports required for each parent in the above case? If yes, to whom is the second report to be sent? Title (Mr, Mrs, Miss, Dr, Prof, other): Initials: Surname: Address: Postal Code:

4. MEDICAL INFORMATION Name of family Doctor: Telephone Number: Does the child have any disability or allergy? Yes/No: Details: Name of Medical Aid: Medical Aid Number: Principal Member’s: Previous illnesses (nature and seriousness): Alternative Contact Person who the school contact in an emergency if a parent is unavailable? Name: Contact Numbers: Kindly notify the principal should your child contract the following:

Cholera; Diphtheria; Leprosy; Malaria; Marburg Fever; Measles; Meningococcal Infection; Poliomyelitis; Rabies; Rheumatic Fever; Smallpox; Tetanus; Trachoma; Tuberculosis; Biliary; Typhoid; Viral Hepatitis; Yellow Fever; Chickenpox; Diphtheria; German Measles; Haemorrhagic Fevers or Virus; Conjunctivitis; Hepatitis A; Louse Infestation; Mumps; Polio; Scabies; Tuberculosis; Typhoid Fever; Whooping cough.

5. CO-CURRICULAR The following activities are offered at Kloof High School: Sport:

Athletics, Cricket (Boys), Cross-Country, Fishing, Outdoor Hockey (Boys & Girls), Indoor Hockey (Boys & Girls), Netball, Rock Climbing, Rugby and Rugby 7s, Soccer (Boys & Girls), Softball, Swimming, Touch Rugby (Girls), Waterpolo (Boys & Girls).

Cultural & other Co-Curricular Activities: Art Club, Band, Beach Club, Breakin' Pointe Dance Group, Chess, Choir, Commerce Club, Debating, Debutantes & Squires, Eco Club, First Aid, French Club, Interact Club, Life Christian Group, Peer Tutoring, Photography, Public Speaking, School Play, Toastmasters, Forum Discussion. My child wishes to participate in:

6. SPECIAL CIRCUMSTANCES Are there any special circumstances you feel the school & the counsellor should know about?

These circumstances might affect your child’s health, emotional and social state, and may have a detrimental effect on his/her performance at school. The information below will be regarded as strictly confidential and will be shared with the school counsellor.

Emotional/Individual Problems: Social/Family Problems: Academic: Has you child been granted any concessions in the past yes/no? If so please attach relevant information. Has your child had any remediation in the past yes/no? If so please state, Speech Therapy, Occupational Therapy etc. Other:

7. DECLARATION BY THE PARENT/S (PLEASE PRINT CLEARLY): I (full names)

the parent of (full names)

hereby declare that the information and documents submitted in this application are true and correct.

I undertake:

to furnish original, authentic documents as required.

to inform the school in writing of any change of address or telephone number.

to ensure that my child attends school regularly and notify the principal in writing or telephonically should my child be absent from school, stating the reason for absence.

to ensure that my child complies with the school’s Code of Conduct .

to respect the tradition and character of the school and encourage my child to do the same.

to ensure that my child attends organised school activities.

to ensure that the application form is complete. If incomplete the application will not be considered. If any information is fraudulent the application will be refused.

to contribute to the school fees in terms of sections 39 and 40 of the South African Schools’ Act (Act no 84 of 1996), and to pay all costs incurred should any damage be done or losses caused by my child any to school property, books and equipment.

I agree that the Principal or her designates may act in loco parentis in the event of any injury, accident or incident in which my child may be involved.

By signing below I understand that the above declaration is binding on myself for this application.

Signature of Parent Date Witnesses (to be provided by the parent): 1. Name: Signature: Address: Phone Number: Date: 2. Name: Signature: Address: Phone Number: Date:

8. NOTES: This form must be completed in full by the child’s Biological Parent/Legal Guardian. ‘Parent’ means the

person legally entitled to custody of a learner; or the person who undertakes to fulfil the parental obligations of the learner’s education at school.

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 will be taken against the learner.

This commitment in its entirety will be valid from the day on which it is signed by the parent/guardian to

the day on which the learner officially leaves the school. The Governing Body reserves the right to reconsider the admittance of learners to the school.

SCHOOL FEE PAYMENT STRUCTURE – 2017

Kloof High School is a fee paying school in terms of Section 39 and 40 of the South African School’s Act, Act No. 84 of 1996. Compulsory School Fees are prescribed by law and the Governing Body may enforce their payment by taking legal action (SA Schools Act 84 of 1996 – Section 41). The school fee for 2017 was set at R39,060.00 per learner per annum for Grade 8. The non-refundable school fee deposit of R3 000.00 must be paid on acceptance and will be deducted from the total fees. School fees are R36,060.00 per learner per annum for Grades 9 to 12. School fees are due and payable in full on the 1st day of the new school year but the following arrangements for credit may be made: 1. Discounts for fees paid in full by 28 February are offered as follows: For all Grades: on the full fee the discount will be R 2704.50 per child.

Scholarship learners, whose fees are paid by 28 February, must obtain the applicable discount

amount from the Finance Office. 2. Payment monthly in 12 equal instalments commencing on 1 January 2017 via Debit Order

ONLY. 3. 12 equal payments via credit card (Master or Visa) – credit card details to be lodged with the

school by 31 January 2017.

4. 2018 School Fees will be set at the Annual General Meeting in November 2017.