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ADE Advanced Diploma in Education

(REQV 15 - NQF Level 7 - Duration ONE Year)

Entrance Requirement: An approved 4-year teaching qualification

ADE – Special Needs Education Advanced Counselling and Communication Skills HIV/AIDS: Legislation, Counselling & Support Disabilities & Learning Difficulties in Education Emotional & Other Difficulties in Education Inclusive Education: A Policy Perspective Social and Health Issues in Education Applied Support in Special Needs Education Introduction to Education Research Information & Communication Technology in the Classroom

Students permanently employed by the DoE and paid on Persal may use the Fundi option. Fundi Stop Order ACT ADE Cash Price R 18 360.00 R 18 360.00 Interest Payable R 4 663.16 R 4 663.16 Monthly Service Fees R 1 008.00 R 1 008.00 Initial Fee R 735.00 R 735.00 Total Amount Payable R 24 766.16 R 24 766.16 No of Installments 24 24 Monthly Installment R 1 031.94 R 1 031.94 Annual Interest Rate 22.75% 22.75%

PLEASE TAKE NOTE CONTACT US Complete the application form and FUNDI loan deduction form and attach copies of the following documentation: - Copy of your ID (must be certified) - Copy of Your Matric Certificate - Copy of Your Teaching Diplomas (M+2/3/4) - Copy of your latest Salary Advice - Copy of your Marriage Certificate (married women only) - Completed PR 02 Form (ACT only) Send, fax or email the application form together with all the documents to us.

Tel/Fax 021 930 3433 Email: [email protected] Fax2Email: 086 630 4900 P O Box 669, Parow, 7499

Emile Beselaar 073 520 1889 Johan Matthee 083 742 3069 Paul Beselaar 083 650 5565 Jikizwa (Xhosa) 083 736 1845 Pieter Otto 079 425 6653 Gregory Oliphant 084 976 0048

Stephan Bothma 060 961 1003

APPLICATION FORM | Page 1

Matric year C C Y Y

HOW TO APPLY

APPLICATION FORM (Unit for Open Distance Learning)

1. Complete the application form in full and answer all questions. 2. Write in block letters in the squares and use a black pen. 3. Applicant must only submit one application form. 4. Please note that the allocation of an application number does not necessarily mean that you have been accepted as a student. 5. Please include a certified copy of your ID, marriage certificate (if applicable), Gr 11 or Gr 12 results, record of previous university’s results (if applicable).

1. QUALIFICATION STUDENT NUMBER_______________________

Application year C C Y Y

Qualification type Undergraduate Qualification Postgraduate Qualification

FIRST CHOICE STUDY

Qualification Programme – see website Code

Study centre

SECOND CHOICE STUDY (NOT COMPULSORY)


Study centre

THIRD CHOICE STUDY (NOT COMPULSORY)


Study centre

Were you previously enrolled at any tertiary institution? Y N Were you previously registered for this qualification? Y N

Were you previously enrolled at this tertiary institution? Y N Were / Are you a Univprep student? Y N

2. BIOGRAPHICAL INFORMATION

Country of origin South Africa International – please specify

Surname Initials Title

Date of birth C C Y Y M M D D Gender M F

ID Number

First name(s) Preferred name

Cell Number 2nd Contact Number

Maiden name/Surname at birth

Marital status Divorced Married Single Other - specify

*Religious affiliation Christian Hindu Muslim Other - specify

*Population group Asian Black Coloured White Other

Disability Do you use a wheelchair? Y N *Although this information is important for statistical purposes, answering is optional.

SEND TO: P.O.Box 669

Parow, 7466 or

Fax: 086 630 4900 Email: [email protected] Office Phone: 021 930 2651

308 Emile Beselaar 073 520 1889


Preferred method of correspondence SMS Email

3. CONTACT DETAILS OF THE STUDENT

I hereby grant permission to the NWU to disclose my personal information as defined in the Protection of Personal Information Act (4 of 2013) to third parties, including bursary providers, financial institutions, parents and guardians, potential employers, etc. I understand that I have the right at any time to withdraw this consent by submitting such a request in writing.

Yes

No

*Note that the policy of the NWU is to preferably communicate via email.

Preferred method of account correspondence SMS Email

Email address

Confirm Email address

Account Email address

Confirm account Email address

STREET ADDRESS / COURIER ADDRESS (COMPULSORY)

Country of origin South Africa International - please specify Postal code

Street address

POSTAL ADDRESS – IF AVAILABLE


Postal address

ACCOUNT ADDRESS – IF DIFFERENT


Account address

CONTACT NUMBERS

Cellphone/contact number International dialing code

Account cellphone/contact number International dialing code

4. SCHOOL SUBJECT INFORMATION

SA Education Department Other Education Systems (e.g. Cambridge)

Grade Gr 11 Gr 12 School year C C Y Y

Education department (e.g. NW Dept. of Education)

School

Do you have any brother(s) or sister(s) who are (or have ever been) registered at this institution? Yes No


C C Y Y M M D D

5. POST-SCHOOL INFORMATION

Compulsory for all undergraduate students.

Will this be your first second/further registration at a tertiary institution?

Have you ever written any examination at tertiary level? Yes No

ACTIVITY IN THE YEAR PRIOR TO STUDY

School TVET Work Home Tertiary institution Other - specify

6. EMPLOYMENT HISTORY (IF APPLICABLE)

EMPLOYMENT 1

Occupation Employer

Start date C C Y Y M M D D End date C C Y Y M M D D

EMPLOYMENT 2

Occupation Employer


EMPLOYMENT 3

Occupation Employer


7. RELATIONSHIPS

Relationship (e.g. Father, Mother, Guardian, Next of Kin)

Surname Initials Title

ID Number

First name(s) Preferred name

Cellphone/contact number International dialing code

STUDENT SIGNATURE: DATE:


Date C C Y Y M M D D

Date C C Y Y M M D D

Date application is processed C C Y Y M M D D

University number (office use):

8. OFFICE USE ONLY

RECOMMENDATION BY FACULTY/SELECTION COMMITTEE

Application approved Application rejected Year level to which admitted

Other recommendations

Snr/Faculty Administrator/chairperson

RECOMMENDATION BY THE SCHOOL DIRECTOR

NOTE: Only applicable to postgraduate applications, excluding Master ’s/Doctoral students

Application approved Application rejected

Other recommendations

School director

FOR OFFICE USE ONLY TB P

Year 2 0

University number: Other:

Title: Initials: Surname:

Journal entry Bursary

Tuition fee: R T K P J B

First payment: R T K P J B

Age exemption / Postgraduate: R T K P J B

Total R

Receipt number: Date: Signature:

Amount Received

First Payment

Signature:


Choose the programme for which you want to apply ACT - Advanced Certificate in Education Level 6 � ACT – Foundation Phase

� ACT – Intermediate Phase Choose ONE First Major (must be a current Maths teacher if you choose Maths as First/Second Major) �Mathematics � Social Science � Science and Technology � Life Skills Choose ONE Second Major (not the same as First Major) � Mathematics � Social Science � Science and Technology � Life Skills

� ACT – Senior & FET Phase NEW! Choose ONE Major � Technology � Social Science � Natural Science � Life Orientation � English First (Home) Language � Economic and Management Science � Mathematics (must be a current Maths teacher to do Maths)

ADE – Advanced Diploma in Education Level 7 � ADE – Special Needs Education

GRADE R DIPLOMA Level 6 � Grade R Diploma � First Year � Second Year � Third Year

B.Ed – Bachelors of Education Degree Level 7 � B.Ed – Foundation Phase � First Year � Second Year � Third Year

� B.Ed – Intermediate Phase � First Year � Second Year � Third Year

� B.Ed – Senior and FET Phase � First Year � Second Year � Third Year

B.Ed Honours Degree Level 8 � B.Ed(Hons) Degree (Level 8) Choose ONE Specialisation � Curriculum Studies � Learner Support � Mathematics Education � Life Orientation � Education Management, Law & Systems

BA Degree in Public Governance with Specialisation in Policing Practice Level 7 � BA Degree with Policing Practice � First Year � Second Year � Third Year

You can fax to 086 203 7792

Registration – North West University – Advance Diploma in Education (ADE)

Thank you for your enquiry and congratulations on taking a step to a better future by furthering your studies with the North-West University. We are committed to provide Distance Education of a high standard. To help us to process your application please ensure that the following documents are included with your application:

1. Copy of your ID 2. Marriage certificate (married woman only) 3. Certified copy of your Std 10/ matric certificate 4. Copy of M+4 Diploma 5. Copy of deposit slip(s) – R 18 360-00 6. Use your student number as reference 7. If you do not have a student number the you must use your ID number

as reference and pay into the NEDBANK account only!

To complete application form: Sign on page 3

Bank Account Nr Branch

ABSA 407 009 9350 632 005

FNB 6216 190 7335 240 438

Nedbank 1713 378 531 171 338

Standard Bank 33 038 4465 052 838

Send all documents to the following: Po Box 669 Parow 7499 Or FAX TO 086 203 7792 Or email [email protected]

Yours faithfully

Emile Beselaar (Study Advisor) Cell no. 073 520 1889 Office: 021 930 2651

mailto:[email protected]

Registration – North West University Advance Diploma in Education (ADE)

Thank you for your enquiry and congratulations on taking a step to a better future by furthering your studies with the North-West University. We are committed to provide Distance Education of a high standard. To help us to process your application please ensure that the following documents are included with your application:

1. Copy of your ID 2. Marriage certificate (married woman only) 3. Certified copy of your Std 10/ matric certificate 4. Copy of M+4 Diploma or ACE or HOD or HDE. 5. Latest salary advise 6. 3 Months bank statements 7. Wil form (PR02)

Work Integrated Learning Form (PR02 form) must be completed by the principal

You must also complete and sign the Terms and Conditions form as applicant. Spouse must sign if married in COP and two witnesses must also sign. Complete the applicant and student’s details on the fundi form. # Do not complete the consumer’s income details # You must also complete bank details.

Send all documents to the following:

Po Box 669 Parow 7499 Or FAX TO 086 203 7792 Or email [email protected]

Yours faithfully

Emile Beselaar (Study Advisor) Cell no. 073 520 1889 Office: 021 930 2651

mailto:[email protected]

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