Film School Africa | Online Application for Film Studies

* First Name/s

* Surname

* Email address

* Age

* Gender

* Home Language

Other spoken languages

* Date of birth

* ID Number

* Postal Address

* Postal Code

* Home Address

* Postal Code

* Cell Number

Landline (if available)

* Drivers License

* Code

* 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)

* Name & Surname of person responsible for payment of school fees

* Contact Number of person responsible for payment of school fees

* Email address of person responsible for payment of school fees

* Do you require a bursary?

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

* Do you belong to a Medical Aid?

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

* Do you smoke?

* Do you consume alcohol?

* Do you or have you used illicit drugs?

If yes to any of the above, please give details

* Name of High School

* Highest Grade Passed and Year Passed

Grade 12 Subjects and Results

* Have you attended another tertiary institution?

If yes, provide name of institution

Highest Qualification Achieved

* 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

* 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