Beruflich Dokumente
Kultur Dokumente
Yes
No
INITIALS:
NATIONALITY: ____________________________________
(SA Citizen, Foreign with SA permanent residence, or Foreign requiring a study permit)
DD
MM
YY
DATE OF BIRTH:
Diabetic
Deafness
Partially sighted
Quadriplegic
Wheelchair
Unspecified
B
E
L
S
Y
M
Blind
Behavioural/Psychological
Intellectual (Learning Difficulty)
Speech Defect
Dyslexia
More than one disability
C
H
P
T
Z
Cerebral Palsy
Partial Hearing
Paraplegic
Communication (Talking/Listening)
Physcial (Moving/Standing/Grasping)
PROPOSED REGISTRATION
Please note that Rhodes University does NOT offer Engineering, Architecture, Veterinary Science, Dentistry, Medicine or Actuarial Science.
Full-time/Part-time/Special: _____________________________________________________________
CHOICES OF DEGREE/DIPLOMA (eg. BA, Social Sciences, BSc, BCom, Pharmacy, Business Sciences):
First degree choice: ____________________________________________________________________
Possible subject choices (eg. Journalism, Chemistry, Economics, Zoology, Politics):
______________________________________________________________________________________
Second degree choice: __________________________________________________________________
Possible subject choices (eg. Journalism, Chemistry, Economics, Zoology, Politics):
______________________________________________________________________________________
PREVIOUS STUDIES
Have you previously been enrolled at a university/higher education institution (other than Rhodes)?
Yes
No
(Please provide a full transcript/ academic record & certificates of conduct from all institutions attended)
YEAR
INSTITUTION
DEGREE/QUALIFICATION
DEGREE COMPLETED?
YES or NO
Please give a short explanation of why you wish to transfer to Rhodes University
______________________________________________________________________________________
______________________________________________________________________________________
ADDRESS DETAILS
HOME POSTAL ADDRESS:
DIALING CODE:
TELEPHONE NUMBER:
DIALING CODE:
FAX NUMBER:
POSTAL CODE
CELL:
E-MAIL:
POSTAL CODE
DIALING CODE:
DIALING CODE:
POSTAL CODE
TELEPHONE NUMBER:
FAX NUMBER:
CELL:
E-MAIL:
VERY IMPORTANT!!
EXAMINATION RESULTS
PLEASE ONLY COMPLETE THE SECTION RELEVANT TO YOUR SCHOOLING.
Please DO NOT use correction fluid on examination results. If you do make a mistake and need to
use correction fluid please ask your school to verify the correction.
If you have already completed your schooling, please attach a certified copy of your school certificate
to this application. If you have not yet completed your schooling please provide the results of your
most recent examinations.
%
59%
Subject
eg. Life Orientation
5.
6.
7.
8.
%
49%
SOUTH AFRICAN SCHOOL LEARNERS (Grade 12 learners who completed school prior to
2008) AND ALL FOREIGN APPLICANTS please complete this section only
Students doing A-levels should enter their mock A-level results and supply a certified copy of their
O-Level results.
Students doing HIGSCE or IB examinations should enter their mock results and where relevant supply
certified copies of their IGSCE results.
Subject
eg. English 1st Language
1.
2.
3.
4.
Grade/
Level
HG
Symbol
D
Subject
eg. Accounting
5.
6.
7.
8.
Grade
/Level
A-level
Symbol
C
The Student Bureau, Rhodes University, P.O. Box 94, Grahamstown 6140
Email: registrar@ru.ac.za
4. Applicants position in standard, eg. 3rd out of 132:
Approximate Position
out of
Yes
No
Yes
NAME:
Student No:
NAME:
Student No:
No
Yes
No
RESIDENCE APPLICATION
Please note that residence allocations are carefully managed and that we cannot guarantee allocations
to a single room or to a specific residence.
Yes
FIRST NAMES:
DIALING CODE:
TELEPHONE NUMBER:
DIALING CODE:
FAX NUMBER:
CELL:
E-MAIL:
POSTAL CODE
No
SCHOOL HISTORY
If you have completed school please complete section A
If you are currently at school please complete section B
(Number) ____________________________________________________
____________________________
_______________________________
_______________________
Name of school
1. _________________________
_______________________________
_______________________
2. _________________________
_______________________________
_______________________
3. _________________________
_______________________________
_______________________
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2. Please list the adults you live with and give their occupation and highest educational qualification:
RELATIONSHIP TO YOU
eg. Father
OCCUPATION
HIGHEST EDUCATION
eg. Teacher
3. Please tell us about your computer skills: Please tick where relevant
a) Can you send and read emails
Yes
No
Yes
No
Yes
No
SECTION 3 ESSAY
______________________________________________________________________________________
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______________________________________________________________________________________
If your degree choice is BSc, please complete the following by placing a tick in the appropriate box or
boxes.
In which broad area of science do you plan to study at Rhodes (you may tick more than one box)
Broad areas
Place tick in
this row.
10
Biological
Sciences
(eg botany,
zoology,
microbiology,
entomology,
ichthyology
Chemical
Human
sciences (eg
Kinetics &
chemistry,
Ergonomics
biochemistry)
Mathematical
and Physical
Sciences (eg
maths,
statistics,
physics)
Earth and
environmental
sciences (eg
geography,
geology,
environmental
science)
Computer
Science
Date: .......................................................
NOTE: All signatures are essential. This form will be returned if this is not signed.
11
CHECK LIST
1.
2.
B.
C.
D.
SIGN