ONLINE APPLICATION Form
Please complete all required fields accurately and with the correct information to avoid delays or errors. Check that all information is correct before submitting. Complete all required fields. If the form has trouble loading, please check your internet connection and try again. Make sure your application is successfully submitted before closing the form.
Student Details
Select the course you are applying for
*
Architectural Draughtsmanship
Beauty and Wellness
Hairdresser
Electrician
Title
*
Please Select
Mr
Ms
Mrs
Surname (as it appears on your ID card/booklet)
Names (as it appears on your ID card/booklet)
Please include all names in correct order as on your ID card/ ID booklet
Name people call you
*
Maiden Name
The surname you had before you got married.
ID number
*
Gender (as on ID document/card)
*
Male
Female
Nationality
*
Please Select
South African
Other
If you have indicated "Other", please specify which country
*
Passport Number
*
Only applicable if you selected "Other". If this is not applicable to you please indicate with n/a
Home Language
*
Please Select
Afrikaans
English
isiNdebele
isiXhosa
isiZulu
Sepedi
Sesotho
Setswana
siSwati
Tshivenda
Xitsonga
Other
Contact number 1
*
Contact number 2
*
E-mail Address
*
example@example.com
Residential Address (The following residential address is nominated for the serving of legal and formal notices (domicilium citandi et executandi)
*
Street Address
Street Address Line 2
City
Province
Postal Code
Back
Next
Save
Education
Select the type of schooling you attended
*
Public / Private School
Homeschool
Name of last school attended
*
Highest grade completed
*
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Year achieved
*
Back
Next
Save
Additional Personal Information
Emergency Contact/Next of Kin
*
First Name
Surname
How is the emergency contact/Next of Kin related to you?
*
Contact details for Next of Kin
*
Please enter a valid phone number.
Format: (000) 000-0000.
Marital Status
*
Please Select
Single
Married
Divorced
Partner
Dependants
*
Please Select
0
1
2
3
4
5
6
Current employment status
*
Please Select
School leaver
Unemployed
Self-employed
Casual/Temporary Employment
Contract Employment
Employed (Part-time)
Employed (Full-time)
If you selected any form of employment, please indicate the name of the business
*
Name of employer
*
First Name
Surname
Employer Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
Save
Payment Options
Select an option on how you will pay for your studies:
*
Cash fee (pay full fee at once)
Terms fee (pay deposit and monthly installments)
Bursary
Student Loan
Other
Upload Documents and Terms and Conditions
Copy of learner ID (front and back if ID card) and copy of learner's last school report or Grade 12 certificate/statement of results to be uploaded in PDF format
Upload documents: (PDF Upload: Please upload PDF files only. Maximum file size: 10 MB per file.)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
Payment Selection for Foreign Students
All foreign students are required to pay their full study fees upfront, according to the applicable cash fee structure for the year of application.
*
Cash fee (pay full fee at once)
Upload Documents and Terms and Conditions
Copy of learner passport, valid study visa (if you already have one) and copy of learner's last school report or Grade 12 certificate/statement of results to be uploaded in PDF format
Upload documents: (PDF Upload: Please upload PDF files only. Maximum file size: 10 MB per file.)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
Application Disclaimer
Please note that this is an application to study at Qualitas Career Academy in Bloemfontein and does not constitute acceptance, enrolment or registration. Once your application has been reviewed and approved, we will contact you to proceed to the final stages of the application process, namely enrolment, payment and registration. During these stages, all outstanding documentation, payment and enrolment requirements will be finalised. Once you have accepted the offer of admission and all enrolment requirements have been met, you will be enrolled as a student of Qualitas Career Academy in Bloemfontein. Your registration will only be finalised once the required deposit has been paid in full. Only registered students may commence with their studies/classes.
*
I understand the Application Disclaimer
Save
Submit
Should be Empty: