Full Programme



1584960-254000002021 - APPLICATION FORM1.) PERSONAL INFO(i) Please enter all required personal details of the candidate registering.Full NamesLast NameID NumberEmailPhoneGender (Mark with an "X")MaleFemale2.) GUARDIAN DETAILS(i) Please enter all required details of the legal guardian for the child.Full NamesLast NameID NumberEmailPhoneAddressAlternative Contact NameAlternative Contact PhoneAccount HolderPayment Option (Mark with an "X")EFTDebit orderCardDirect dep.3.) PROGRAMME(i) Enroll for a curriculum / gradeFull ProgrammeGr. R - 9Gr. 10 - 12CAPSTHINK-- Select a programme to enroll for --Curriculum-- Select a curriculum to enroll for -Student Number (if applicable)Found. PhInterm. PhSeniorPhFET PhGr. RGr. 4Gr. 7Gr. 10Gr. 1Gr. 5Gr. 8Gr. 11Gr. 2Gr. 6Gr. 9Gr. 12Gr. 3Grade-- Choose a grade --Language of instructionEnglishAfrikaans-- Choose a language of instruction --SUBJECT SELECTIONHome LanguageEnglishAfrikaans-- Select a first language –First Additional LanguageEnglishAfrikaans-- Select a second language --* CompulsoryLife OrienatationCOMPULSORY (GR 10 - 12 ONLY)Mathematics1905050165MathMath Lit.00MathMath Lit.SUBJECT OPTIONSPhysical ScienceLife ScienceGeographyHistoryHospitality StudiesCATEGD*Business Studies*Tourism -- Select a maths option –Subject-1Subject-2 Subject-3 Optional-1 Optional-2120015098425* Please contact Admissions: admissions@studyxpress.co.za / 018?294 563000* Please contact Admissions: admissions@studyxpress.co.za / 018?294 5630INFORMATIONAll information, consent and documents are legitimate, honest and relevant to the application process.You have stipulated in full the detail regarding the service that you require.PARENT CO-OPERATIONYou agree to give your full co-operation and assistance regarding:Supporting our disciplinary procedures and measures.Supporting the learner in any additional work which may be required outside of lessons at Study Xpress Potchefstroom (if this is deemed necessary to improve his/her understanding of the content)Supporting Study Xpress Potchefstroom in ensuring that assessments and assignments are completed honestly, as the learner’s own work, and that it is handed in on time.Help ensure that the learner(s) attend school, and that they arrive on time and ready to commence the day’s work.PAYMENTSFull payment will always be made either: By debit order (set date), or on time as per the service agreement. These payments can be completed either by EFT, direct deposit or by making use of our card facilities.SCHOOL FEES are always payable before the start of each month (unless a debit order mandate is filled in)EXTRA CLASSES are payable after a month’s services have been provided and an invoice has been generated.OUR VALUESJohn 1:1–5 We believe that Scripture (the Bible) is our foundation.James 5:16 We believe in praying with learners and / or parents for solutions and guidance.Romans 10:8 We believe that our salvation is found in the perfect sacrifice on the Cross.James 2:17-18 We believe that “faith” requires me to do something in response to His grace.Matt. 28:19–20 We believe that to teach and disciple is our calling.TERMS & CONDITIONS* You hereby agree to our terms and conditions. (Mark with an "X")Registration can now be submitted for approvalPlease answer the following questions:1.What do you expect from the School, Study Xpress?2.Name the shortcomings of the learner’s previous school?3. (IF APPLICABLE): What have been Study Xpress’s shortcomings? Thank you for applying. We are so happy to find ourselves given the opportunity to work with your child at our school. *We will keep you posted on the registration process.Please have the following forms ready for registration:ID / Birth Certificate (Parent)ID / Birth Certificate (Learner)Immunization Card (Learner)Transfer Form (Learner)Copy of latest report Behavior report / letter with school letterhead-24383-30479-24383807669Signature (Parent)Signature (Account Holder) ................
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