Application Form – Calvary Application Form | Developing Future Leaders of Integrity

LEARNER'S DETAILS
Names*
First Last
Preferred Name*
Country of Birth*
Home Language*
ID/Passport number*
Religion*
Nationality*
Gender*
Ethnic Group*
Means of transport to/from school*
Other
LEARNER'S EDUCATIONAL DETAIL
Current School*
Last Grade Passed*
Tel no.*
Year*
Previous School*
Grade/s Repeated*
Tel no.*
Previous School Telephone Number
Has any admission to other school/s ever been refused? If yes, please state reason.*
If answer is YES please state the reason
FAMILY DETAILS
Father's Names
First Last
Father's ID/Passport number
Father's Nationality
Father's Physical Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Father's Postal Address
P.O. Box Details City State / Province / Region ZIP / Postal Code Country
Father's Employer
Father's Occupation
Father's Work Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Father's Work Phone
Father's Cellphone
Father's Home Phone
Father's Email
Mother's Names
First Last
Mother's ID/Passport number
Mother's Nationality
Mother's Physical Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mother's Postal Address
P.O Box Details City State / Province / Region ZIP / Postal Code Country
Mother's Employer
Mother's Occupation
Mother's Work Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mother's Work Phone
Mother's Cellphone
Mother's Home Phone
Mother's Email
Marital Status of Parents
Parents are
Children are in custody of:
Is the child adopted?
Brothers and Sisters Currently Enrolled at Calvary Christian College
Child 1 Name
First Last
Child 1 Date of Birth
Date Format: MM slash DD slash YYYY
Child 1 Age
Child 1 Grade
Child 1 Gender
Child 2 Name
First Last
Child 2 Date of Birth
Date Format: MM slash DD slash YYYY
Child 2 Age
Child 2 Gender
Child 3 Name
First Last
Child 3 Date of Birth
Date Format: MM slash DD slash YYYY
Child 3 Age
Child 3 Gender
LEARNER'S MEDICAL INFORMATION
Medical Aid
Medical Aid no.
Main member's name:
Main member's ID no.
Main member's cell no.
Main member's work no.
Has the learner ever had or been treated for the following diseases?
German Measles*
Mumps*
TB*
Measles*
Diphtheria*
Asthma*
Migraine*
Chicken Pox*
Hepatitis A or B*
Diabetes*
Tonsils*
Epilepsy*
Heart Disease*
Ulcers*
Other diseases not mentioned above
Details of any other contact in the case of emergency
Full Names*
First Last
Home Phone
Work Phone
Cell Phone
Email Address
Relation to Learner*
Contact Details of Person Responsible for Account: (Complete if different from parent/s or guardians details already supplied)
Who is responsible for the account?*
First Last
ID/Passport number
Nationality
Physical Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Postal Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer
Occupation
Work Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone:
Cell no.
Home number:
Email Address
Has the person/s responsible for the account ever been insolvent?
Has the person/s responsible for the account ever been blacklisted?
Please sign below when you arrive at the office
DOCUMENTS/INFORMATION REQUIRED
T&Cs apply. All documents required before finalising application.
Copy of birth certificate / ID document
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Copy of parents/legal guardian ID documents
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Latest report if enrolling after the year end
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Copy of learner’s vaccination records (Gr R to 3)
Drop files here or

Accepted file types: jpg, gif, png, pdf.
School Testimonial
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Two ID size photographs of primary school learner
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Copy of Learner's proof of residence
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Utility bill or lease agreement
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Copy of marriage certificate/divorce decree
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Copy of marriage certificate/divorce decree
Drop files here or

Accepted file types: jpg, gif, png, pdf.
3-months bank statements of person/s responsible for school account
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Copy of learner’s latest progress report on application
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Financial clearance certificate from previous school – refer to attached document which must be completed and stamped by the previous school.
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Foreigners: study permit
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Last 3 months’ pay slips of person/s responsible for the school account
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Proof of Guardianship
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Foreigners: residential permit
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Statement of Faith: I have read and understood and agree with the statement of faith. (Please sign at the office)
Signature: Father/Guardian
Signature: Mother/Guardian
Date:

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Agreement of Tuition Download

Statement of Faith Download

LEARNER'S DETAILS

LEARNER'S EDUCATIONAL DETAIL

FAMILY DETAILS

Marital Status of Parents

Brothers and Sisters Currently Enrolled at Calvary Christian College

LEARNER'S MEDICAL INFORMATION

Has the learner ever had or been treated for the following diseases?

Details of any other contact in the case of emergency

Contact Details of Person Responsible for Account: (Complete if different from parent/s or guardians details already supplied)

DOCUMENTS/INFORMATION REQUIRED

Statement of Faith: I have read and understood and agree with the statement of faith. (Please sign at the office)

Must read documents