MICHAELIS PRIVATE SCHOOL APPLICATION FORM

Year & Grade Applying for*

YearGrade

Student Name*

First NameLast Name

Home Language*

Place of Birth*

Date of Birth*

Date

Age*

ID Number & Nationality*

ID NumberNationality

Has student repeated a grade*

YesNo

Religion*

Gender*

MaleFemale

Preschool Attendance*

YesNo

Present School & Grade

Name of SchoolGrade

Name of Principal

Name of Teacher

School Telephone Number

Please enter a valid phone number.

School e-mail Address

example@example.com

School Address

Street Address

Street Address Line 2

CityProvince

Postal Code

Where did you hear about us?

WebsiteWord of mouthOther

Father's Name*

First NameLast Name

Cell Number*

Please enter a valid phone number.

ID Number*

Home Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Occupation*

Employer*

Business Telephone Number*

Please enter a valid phone number.

Business Email*

example@example.com

Business Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Mother's Name*

First NameLast Name

Cell Number*

Please enter a valid phone number.

ID Number*

Home Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Occupation*

Employer*

Business Telephone Number*

Please enter a valid phone number.

Business Email*

example@example.com

Business Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Are Parents:*

MarriedDivorcedSeparatedOther

If OTHER...please specify

If divorced or separated, who has custody?

With whom is the applicant living?

Who will be responsible for the fees?*

Email Address of fee payer*

example@example.com

In case of emergency, who will be notified? Please answer the fields below:

Emergency Contact Person*

First NameLast Name

Emergency Phone Number*

Please enter a valid phone number.

Guardian's Name

First NameLast Name

Cell Number

Please enter a valid phone number.

ID Number

Address

Street Address

Street Address Line 2

CityProvince

Postal Code

Occupation

Employer

Business Telephone Number

Please enter a valid phone number.

Business Email

example@example.com

Business Address

Street Address

Street Address Line 2

CityProvince

Zip Code

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If the student has any learning difficulties, please list them below:

If the student has any allergies, please list them down below:

Is the student currently taking any medications? If yes, please list them down below:

Does the student have any medical conditions that you would like to declare?

1. Michaelis is a Christian School and all children are expected to participate in the activities, which make up the Christian curriculum.

2. Michaelis Private School will maintain its German identity. All pupils will therefore be expected to take German as a compulsory extra subject. English being the main medium of education.

3. The applicant must be six years of age when starting school.

4. The Code of Conduct is to be signed by both parent/guardian and child.

5. The pupils name must be on the waiting list (see point 1 below)

6. The Applicant must be assessed by the school (see point 2 below)

7. An Application fee of R 500.00 is charged when a child is registered for admission for Kindergarten and R 1000.00 is charged when a child is registered for admission for Grade 1-7. (See point 3 below)

8. Kindergarten Fees must be up to date in order for a child to enter Grade 1 at Michaelis Private School. (if applicable)

9. Parents are expected to play an active role in organizing and participating in fundraisers and cultural activities. . School Events (Michaelis Challenge, Oktoberfest & Easter Sale) form an integral part of the school to keep our school fees affordable. Although involvement is voluntary, we encourage ALL parents to play an active role in the organization thereof.

10. The Head shall have the discretion to admit learners, subject to the provisions of this policy. The absence or presence of any of the factors above does not mean that a learner will be refused or guaranteed admission to the School.

11. Once your child’s application is successful, you will be notified and given a Parent Contract to complete. Only once the proof of payment of the admission fee and the correctly completed Parent Contract have been received, the school will be able to formally confirm placement.

Please note: Due to the limited number of places in the school, adherence to the above-mentioned criteria does not necessarily guarantee each applicant a place in the school.

Explanations Re: Criteria

1. Waiting List

Michaelis Private School can currently admits 24 pupils per grade from Grade RR to Grade 7. The school will therefore work on a waiting list principle, whereby applicants who have applied and fulfilled all other criteria will be admitted according to the order in which they appear on the waiting list.

Priority on the waiting list will be given to children who:

· Belong to the “Evangelische Lutherische Kirche”

· Michaelis Kindergarten students will get a preference.

· Children who have siblings at the school already.

2. Assessment

Applicants in all grades will be thoroughly assessed.

· Children entering Grade 1 will be assessed by an external therapist.

· Grade 2 – 7 will undergo an interview with the Head as well as an age appropriate assessment consisting of English and Mathematics.

If it is visible after the assessment that the child will not cope in the grade that they are applying for, they will have the opportunity to re-apply for the lower grade, subject to availability of space and age.

Parent/Guardian Signature*

Date Signed*

Date

MICHAELIS PRIVATE SCHOOL

DETAILS OF STUDENT

DETAILS OF PARENTS

DETAILS OF GUARDIAN

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RELEVANT INFORMATION ABOUT APPLICANT

CRITERIA FOR ADMISSION