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Online Application for Film Studies
If you are a human, ignore this field
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If you require a bursary to study with us, please only complete this application prior to September 15th. If it's after September 15th, you're wasting your time and ours. Thanks!
It's after September 15th, but I don't require a bursary.
It's before September 15th and I do need a bursary.
It's after Sept. 15th, and I have been instructed to complete this form now.
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First Name/s
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Surname
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Email address
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Age
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Gender
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Home Language
Other spoken languages
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Date of birth
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ID Number
Postal Address
Postal Code
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Home Address
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Postal Code
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Cell Number
Landline (if available)
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Drivers License
Code
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Stream of Study (check the box next to indicate your area of interest)
Preproduction Arts (Screenwriting, Casting, Production Design, Locations, Producing)
Production (Cinematography, Lighting, Sound recording)
Post-production (Editing, Sound Editing/Design)
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Name & Surname of person responsible for payment of school fees
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Contact Number of person responsible for payment of school fees
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Email address of person responsible for payment of school fees
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Do you require a bursary?
Parent/Guardian Information
(Fill in what is relevant for you)
Father’s Name & Surname
Father’s ID Number
Father's Contact Number
Father’s email address
Father's Address
Mother’s Name & Surname
Mother’s ID Number
Mother's Contact Number
Mother’s email address
Mother's Address
Guardian’s Name & Surname
Guardian’s ID Number
Guardian's Contact Number
Guardian’s email address
Guardian’s Address
Medical Information
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Do you belong to a Medical Aid?
Select option...
Yes
No
Medical Aid Company
Medical Aid Membership Number
Main Member
Medical Aid Plan/Scheme
Do you or have you suffered illness (physical/mental), disease or disorders? If yes, give details:
Are you on chronic medication? If yes, give details
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Do you smoke?
Select option...
Yes
No
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Do you consume alcohol? If yes, how regularly?
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Do you or have you used illicit drugs?
Select option...
Yes
No
If yes to any of the above, please give details
Academic History
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Name of High School
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Highest Grade Passed and Year Passed
Grade 12 Subjects and Results
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Have you attended another tertiary institution?
Select option...
Yes
No
If yes, provide name of institution
Highest Qualification Achieved
Your Faith
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Give a summary of your faith story (What do you believe? What religion do you claim if at all? Help us get to know you!)
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Why are you passionate about studying film?
We do not have an acting course, if you want to study performance you should apply elsewhere.
Please indicate which of the following you have experienced - these will NOT disqualify you in any way - please be honest.
Rejection/Abandonment
Physical Abuse
Sexual Abuse
Emotional Abuse
Depression (chronic - ongoing and recurring)
Suicide Attempts
Sexual Promiscuity
Homosexual Experiences (not abuse related)
Pornography
Occult - Satanic practices
Abuse of Alcohol - Alcoholic tendencies
Addiction
Other - Please specify
If you have received counseling/therapy for any of the above please provide details. If you checked Other, please give details here.
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I, _____________________ (Name & Surname of applicant), hereby declare that the above information is accurate and true. I understand that if any information is not true, I will be liable for suspension and possible expulsion.
Type your name in the box above to accept the declaration