ST IGNATIUS COLLEGE

St. Ignatius College, P.O Box CH80 Chisipite, Harare | Cell: (263)774514193 | Tel: (263)8677004013/4

APPLICATION FOR ADMISSION FORM 5 IN 2024

APPLICANT’S NUMBER SIC24L60177
Submission and acceptance of this form does not constitute an undertaking that your child will be accepted.
Fill-in this form electronically and email it to admissions@stignatiuscollege.ac.zw attaching all requirements.

1. APPLICANT ’S DETAILS (as on birth certificate)

Surname First Name(s)

Citizenship National ID No.

Date of Birth Position in family Gender

DD/MM/YYYY Out of Male Female
Religion Church

Address -Street Suburb

Town/City Country

Languages Spoken
First language Second Language
Current school Grade/Form

Classification of Current School

Government Mission Private Other

If church controlled, indicate church:

Family At St Ignatius College

Sibling Cousin Parent Aunt/Uncle Form/Position

Full Name

Family Formerly At St Ignatius College

Sibling Cousin Parent Aunt/Uncle Period: YYYY - YYYY

Full Name
 2. APPLICANT’S PERFORMANCE RECORD
ACADEMIC RECORD (INSERT LAST GRADED RESULTS SYMBOLS AS PER ATTACHED SCHOOL REPORTS)

Subject Grade Subject Grade

1. English Language 2. Biology
3. Commerce 4. Physics
5. Geography 6. Combined Science
7. English Literature 8. Technical Graphics
9. History 10. Shona
11. Mathematics 12. Heritage Studies
13. Chemistry 14. Principles of Accounts
15. F R.S./ Religious Studies 16. Computers
17. Agriculture 18. Fashion & Fabrics
19. P.E.S.M.D. 20. Woodwork
21. Food & Nutrition 22. Design & Technology
23. Global Perspectives 24.
25. Additional Mathematics 26.

COURSE OPTIONS: [select applicable by ticking the box next to the subject] From each of the groups A, B, C and D
only one subject may be chosen in each group and a total of three from all groups. Applicant should have A's at
IGCSE/O Level in the subjects selected above, and a minimum of 5As in all subjects. All successful applicants
will be allocated AS English Language as a fourth subject.

Is applicant going to be in boarding school or Day school? Day school is only available for Arts students.
Boarding Day School

First Option
Group A Group B Group C Group D
Mathematics Biology Chemistry Accounts
Divinity Business Studies Computer Science Geography
Design & Technology English Literature Physics
History Economics Economics
Second Option
Group A Group B Group C Group D
Mathematics Biology Chemistry Accounts
Divinity Business Studies Computer Science Geography
Design & Technology English Literature Physics
History Economics Economics

SPORTS, ARTS & CULTURE RECORD (INDICATE BELOW )

SPORT / CLUB MEMBER 1ST / 2ND TEAM PROVINCIAL NATIONAL

AWARDS AND ACHIEVEMENTS (List achievements / recognized / awards you have received)
AWARD / ACHIEVEMENT YEAR
 3. PARENT/GUARDIAN DETAILS
Mother Female Guardian

Surname: First name:

Initials: Citizenship: ID No.

Date of birth: DD/MM/YYYY

Religion: Church:
Address
Street: Suburb:

Town/City: Country:

Phone No. 1 Phone No. 2

Email Address

Marital Status
Married Divorced Separated Step-Mother: Foster

Occupation: Employer:

Work address:

Father Male Guardian

Surname: First name:

Initials Citizenship: ID No.

Date of Birth: DD/MM/YYYY

Religion: Church:

Address
Street Suburb:

Town/City Country:

Phone No. 1 Phone No. 2

Email Address

Married Divorced Separated Step-Father Foster

Occupation: Employer:

Work address:
 4. GENERAL
Please list your involvement with activities and responsibilities at your child’s / ward’s current school. For
example, are you actively involved with any committees? If yes, please list them below:

Supporting Your School

Our success is underpinned by our ethos and values which are formed through the contribution, support and
participation of all our stakeholders including parents, staff, current and past pupils. As potential parents/
guardians in our college, how will you support the school with your time and talents?

5. DECLARATION
I declare that I have read and understood the requirements for submission of applications. I understand that
St Ignatius College is a Jesuit Catholic School. If my son is accepted, I am able and willing to pay school fees,
levies and other financial requirements towards the education of my child. My child and I will uphold the
values and rules o f the college. I further declare that the information I have given is correct.

Signature Date

ATTACH THE FOLLOWING CERTIFIED COPIES:

a) Birth Certificate, b) Certificates of Achievement / Recognition,
c) Baptism Certificate or equivalent, d) One passport size photo,
e) Prior and Current Year School Reports, f) Proof of payment of US$40 application fee,
g) Recommendation from current school Head h) Recommendation from Minister of Religion.

NB: The application fee can be paid at the College during office hours or deposited as CASH or by
electronic transfer into the College's bank accounts:
Account Name: St Ignatius College
Account No: 0000260009516
Bank: NMB
Branch: Borrowdale

For Official Use Only

Date of Submission
Receipt Number
All Requirements Submitted: (Y/N)
All Parts Completed: (Y/N)
Received and Checked by: Name & Signature