INTL TRAINING & EDUCATION NETWORK

APPLICATION FORM

SURNAME GIVEN NAMES PREFERRED FIRST NAME PHYSICAL ADDRESS CITY P/CODE: COUNTRY POSTAL ADDRESS CITY P/CODE COUNTRY TEL : (WORK) TEL : (WORK) MOBILE (FAX) EMAIL DATE OF BIRTH NATIONALITY ARE YOU A SOUTH AFRICAN CITIZEN? IF NOT WHICH COUNTRY?
YEAR OF CONVERSION IF KNOWN

MARITAL STATUS NAME OF SPOUSE I HAVE READ THE STUDENT HANDBOOK YES OR NO DESIRED STUDY PROGRAM OR TO APPLY FOR
(PLEASE TICK ONE)

UNDERGRADUA TE

DEGRE E

MASTE RS

DOCTORA TE

FEES: Enrolment Fee: Non refundable) ____________________________ Subject Fee (Undergrad): __________________________________ Subject Fee (Graduate): ___________________________________ Academic TransferPer Award Level: __________________________ AS PER REQUEST RPL I will be applying for RPL Yes or No: Application (Non-refundable)

Fees to be confirmed before submitting by prospective students LOCAL MINISTRY Ministers Name Tel CHURCH DETAILS Denomination Physical Address Church Tel Fax City Postal Code Country Email
I give permission for the College to contact the above church minister for a personal and confidential reference. Yes/No

EMPLOYMENT: (please tick X) Full time / Part time / Unemployed Occupation Employer Physical Address Tel Fax City Postal Code Country E-mail & Contact Person PREVIOUS STUDIES (Include secondary, beginning with the most recent) School/College/University 1. Name of Institution Course Year completed Qualification Gained 2. Name of Institution

Course Year completed Qualification Gained 3. Name of Institution Course Year completed Qualification Gained 4. Name of Institution Course Year completed Qualification Gained NOTE: Considerations for Advanced Standing We would need additional evidence on request. Please send two (2) passport photos for your Student ID card by separate email to hq.zavisioncolleges@gmail.com Student Signature: __________________________________________ Please print full name: _______________________________________ Date: (dd/mm/yyyy) _________________________________________