DEPARTMENT OF PSYCHOLOGY



APPLICATION FOR ADMISSION TO A HONOURS DEGREE IN THE DISCIPLINE OF PSYCHOLOGYPLEASE CROSS ONE OF THE FOLLOWING BLOCKS TO INDICATE THE CAMPUS YOU ARE APPLYING TO. Please cross only one box. You must make a choice!Pietermaritzburg Campus Howard College CampusIF YOU ARE APPLYING AT HOWARD COLLEGE CAMPUS PLEASE CROSS ONLY ONE OF THE FOLLOWING BOXES TO INDICATE YOUR CHOICE OF STREAM. YOU MUST MAKE A CHOICE! NOTE: YOU CAN ONLY APPLY FOR INDUSTRIAL RELATED ELECTIVES IF YOU HAVE MAJORED IN INDUSTRIAL AND YOU CAN ONLY APPLY FOR GENERAL IF YOU HAVE MAJORED IN GENERAL PSYCHOLOGY. General StreamIndustrial StreamGeneral StreamIndustrial StreamIF YOU ARE APPLYING FOR INDUSTRIAL RELATED ELECTIVES (HOWARD COLLEGE CAMPUS) AND ARE NOT SUCCESSFUL IN YOUR APPLICATION WOULD YOU LIKE TO BE CONSIDERED FOR SELECTION ONTO CLINICAL/ COUNSELLING RELATED ELECTIVES (HOWARD COLLEGE CAMPUS) IF YOU MET THE NECESSARY REQUIREMENTS? CROSS THE RELEVANT BOX. 125984017780NO00NO52705017780YES00YESPLEASE PROVIDE US WITH THE FOLLOWING INFORMATION:MR/MS/MRS_______ FIRST NAME_______________________SURNAME _______________________________POSTAL ADDRESS __________________________________________________________________________DATE OF BIRTH: _______________________________TEL.NO. & AREA CODE: (____) ___________________________FAX: (____)______________________________CELL NO: __________________________ E-MAIL: _________________________________________________PRIVATE E-MAIL: _____________________________________________________________________________CONTACT ADDRESS AND TEL. NO. DURING DECEMBER/JANUARY (VERY IMPORTANT!):_____________________________________________________________________________________________ ______________________________________________________________________________________________For equity purposes, please indicate your race group: (Mark with an X) 416623574295Other00Other313753574295Indian00Indian210883574295White00White5143574295Black00Black108013574295Coloured00ColouredACADEMIC RECORD (FOR EXTERNAL APPLICANTS ONLY) Please include ALL available academic results in your academic record attached. If you have completed more than one undergraduate degree, please include final results for all qualifications. If you are currently completing your final year of undergraduate studies, please submit first semester marks for both majors. If you are NOT a University of KwaZulu-Natal graduate, please attach certified copies of a complete academic record (and degree certificates if applicable) from your institution.NOTE: Applications without marks will NOT be considered.ACADEMIC RECORD – MUST BE COMPLETEDStudent numberYearInstitution1ST year Psychology modules ONLYMarks obtained (%)Complete/ Current? 2ND year Psychology modules ONLY3RD year Psychology modules ONLYI confirm that the above is a true reflection of my personal history and accept that undisclosed omissions or distortions may lead to my exclusion from the course.SURNAME: _______________________________________________________________FIRST NAME(S):___________________________________________________________SIGNATURE: ______________________________DATE: __________________________Please return this form via email together with your documents (see check list) to the correct administrator for the programme that you are applying for: via email to the relevant Honor’s administratorHOWARD COLLEGE (DURBAN)PIETERMARITZBURG (General)email: Mrs Sbongile Mthembu MthembuS15@ukzn.ac.zaEmail:Ms Priya Konan konan@ukzn.ac.zaFor enquiries email: MthembuS15@ukzn.ac.zaPhone: +27 (0)31-2602615For enquiries e-mail: konan@ukzn.ac.zaPhone: +27 (0)33-2605549Closing date: 30 th October 2020NO LATE APPLICATIONS WILL BE CONSIDERED.CHECKLIST OF DOCUMENTATION REQUIRED:Please check that all relevant documentation is enclosed so that your application can be processed.DOCUMENTS REQUIREDPlease tick box1Discipline of Psychology Application form.2University of KwaZulu-Natal: Application for postgraduate admission form.3Certified copy of your Identity Document4Certified copy of your Academic Record from the Institution you studied at5Certified copies of your degree Certificate (if available).6Copy of deposit slip (If you are not registered at UKZN) ................
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