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Online Application for Film Studies
If you are a human, ignore this field
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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
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Postal Address
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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
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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?
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Yes
No
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Do you consume alcohol?
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Yes
No
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Do you or have you used illicit drugs?
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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
Please indicate which of the following you have experienced
Rejection/Abandonment
Physical Abuse
Sexual Abuse
Emotional Abuse
Depression (chronic)
Suicide Attempts
Sexual Promiscuity
Homosexual Experiences
Pornography
Occult
Abuse of Alcohol
Addiction
Other
If you have received counseling/therapy for any of the above please provide details
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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