Bursary Application Form


    INSTRUCTIONS

    PLEASE NOTE THAT THIS BURSARY IS ONLY AVAILABLE TO:

    • BLACK SOUTH AFRICAN WOMEN WHO ARE EITHER STUDYING TO BECOME TEACHERS;

    • BLACK SOUTH AFRICAN WOMEN WHO HAVE TEACHING QUALIFICATIONS OR DIPLOMAS;

    • UNEMPLOYED BLACK SOUTH AFRICAN WOMEN WHO WISH TO STUDY FOR A TEACHING QUALIFICATION;

    • EMPLOYED TEACHERS AT EARLY CHILDHOOD DEVELOPMENT, PRIMARY OR HIGH SCHOOL LEVEL OR AT A TERTIARY INSTITUTION WHO WISH TO
      FURTHER THEIR EDUCATION.

    Read carefully before completing, signing and submitting this form.

    1. Ensure that this form is completed in full.

    2. Complete in BLOCK LETTERS.

    3. This bursary will be paid directly to the University or Technical institution on submission of the fee statement.

    4. Application forms with incorrect information may lead to your application being disqualified.

    5. Attach ALL of the following documents REQUIRED:

        6. 5.1 Certified copy of a valid Matric certificate (if you have completed Grade 12);
        5.2 Certified copy of valid Matric results received on publication of results (if you are currently in Grade 12);
        5.3 Certified copy of the latest academic transcript or record on official letterhead or logo of the Institution (if you are already at university);
        5.4 Certified copy of all degrees, diplomas and other academic certificates;
        5.5 Certified copy of a valid South African identity document;
        5.6 Certified copy of document/s reflecting that you are employed as a teacher at a school;
        5.7 If you are studying to become a teacher, proof of family income or an affidavit if parent(s) or legal guardian(s) are unemployed.
        5.8 Motivational letter.

    SECTION A - PERSONAL DETAILS OF APPLICANT

    Are you a South African Citizen?



    Contact telephone numbers including dialling codes:

    SECTION B - HIGH SCHOOL INFORMATION

    This Section is to be completed if the Applicant is studying to be a teacher

    School Name

    School Address
    Select Province

    (Please tick Currently in Grade 12 if you are still in school)

    Upload School Results

    SECTION C - BACKGROUND INFORMATION

    If you have not worked as a teacher, please state briefly any distinctions obtained or prizes awarded at school and any office held (e.g. prefect, sports captain)

    If you have not worked as a teacher, while at University did you hold office or were you a member of any student societies?

    If you have not worked as a teacher, what vacation work have you done while at university?

    Give details of any distinctions, honours or awards of any kind that you have been awarded

    SECTION D - POST MATRIC QUALIFICATIONS AND COURSES

    1. Full name of highest qualification:

    2. Nature of qualification Degree/ Diploma:

    3. Current Status:

    4. If discontinued, for what reasons?

    5. If presently studying. Which year of study?

    6. Student number:

    7. Name of institution:

    8. Address of Institution:

    9. Telephone number of the registrar’s office:

    10. What ORT South Africa courses have you attended? Please include the date/s of the course/s that you attended.

    Please attach full academic transcript of all academic years completed and certificates from any courses that you have attended.

    SECTION E - INTENDED STUDY FOR THE NEW ACADEMIC YEAR

    9. R

    10. R

    SECTION F - REFERENCES

    This Section is to be completed if the Applicant is studying to be a teacher

    First Referee

    Second Referee

    Please attach a minimum of two testimonials from relevant persons in support of your application:

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