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    Application Form DPE 2022

    Uploaded by

    temogobosigo1
    This document is an application form for admission to a diploma program in primary education. The form requests information such as personal details, contact information, academic qualifications, subject options, references, and proof of ability to pay fees.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Application Form DPE 2022

    Uploaded by

    temogobosigo1
    44 views3 pages
    This document is an application form for admission to a diploma program in primary education. The form requests information such as personal details, contact information, academic qualifications, subject options, references, and proof of ability to pay fees.

    Copyright

    © © All Rights Reserved

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    This document is an application form for admission to a diploma program in primary education. The form requests information such as personal details, contact information, academic qualifications, subject options, references, and proof of ability to pay fees.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    44 views3 pages

    Application Form DPE 2022

    Uploaded by

    temogobosigo1
    This document is an application form for admission to a diploma program in primary education. The form requests information such as personal details, contact information, academic qualifications, subject options, references, and proof of ability to pay fees.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    1

    TELEPHONE: 3928351
    FAX: 3928382
    TLOKWENG COLLEGE OF EDUCATION
    PRIVATE BAG T01
    TLOKWENG

    APPLICATION FORM FOR DIPLOMA IN PRIMARY EDUCATION

    For Official Use: Application Number: ………………………………… CLOSING DATE: 28th April 2021

    Admission Year: 2022/23

    1. Surname: …………………..………………….. Other Names: ……..………………………………………………….

    Male: ………… Female: ………… Date of Birth: …………………………………… Age: ………………


    2. Citizenship: …………………………………… Omang/Passport No: ………………………………………………
    3. Marital Status: Married/Single/Divorced Other: …………………………………………
    4. Home Address: ………………………………………………………………………………………………………………
    Tel No: …………………………………………… District: ………………………………………………………………
    5. Address for Reply: …………………………………………………………………………………………………………

    Cell No.: ………………………………… E-mail Address: ……………………………………………………………

    6. Name of last Senior Secondary School attended: …………………………………………………………………

    Year of Completion: ………………………

    Who financed your education at Senior Secondary School?

    Parent/Guardian Social Services Department Other (Specify) ……………………

    7. Academic Qualifications: BGCSE POINTS: ……………… COSC POINTS: ……………………………

    Other Exam(s): ……………………………………………… Year of Completion: ……………………

    8. Please specify any other qualifications/training/Tirelo Sechaba?

    ………………………………………………………………………………………………………………………………………

    9. SUBJECT RESULTS: In each box put the letter grade that you obtained in the subject.

    English English History Geography Development Commerce Setswana Agriculture Religious


    Literature Studies Education

    Maths Additional Double Biology Chemistry Physics Art Food & Fashion& Statistics
    Maths Science Nutrition Fabrics

    Other(s): ………………………………………………………………………………………………………………………….
    2

    10. Teaching Experience: Yes/No ………… If “yes” type of School: ………………………………………………

    Standard/Level taught: …………………… No. of Months/Years:……………… TSM No: …………………


    11. Any Other Work Experience: ………………………………………………………………………………………………

    Number of Months/Years: …………………………………………………………………………………………………


    12. What work or Study are you currently doing: ………………………………………………………………………

    Name of Employer/Institution: ……………………………………………………………………………………………

    13. SUBJECT OPTION

    CHOICES OF AREAS OF SPECILISATION.


     Mathematics and Science
     English and Setswana
     Religious Education and Social Studies
     Practicals: Choose one from part ‘a’ and one from part ‘b’

    a. Agriculture b. Home Economics


    Physical Art
    Education Music

    Which subject option would you like to specialize in? [Select from the above areas of
    specialization].
    First Choice: ……………………………………………and ………………………………………………………
    Second Choice:…………………………………………… and ……………………………………………………
    Third Choice:……………………………………………… and ……………………………………………………
    14. Have you ever been convicted of any criminal offence? Yes: No:

    15. Do you have any of the following: YES NO

    Social Disadvantage

    Medical Problem

    If “YES” Specify. (NB: Provide a supporting document if you are under Social Services
    Department care):
    ………………………………………………………………………………………………………………………………………………

    …………………………………………………………………………………………………………………………………………………

    16. Do you have any disability? Yes No

    If “YES” Specify

    ………………………………………………………………………………………………………………………………………

    ………………………………………………………………………………………………………………………………………
    17. Person to be contacted in case of emergency: ……………………………………………………………………

    Relationship: ……………………………………… Tel/Cell No: ………………………………………………………


    3

    Address: ………………………………………………………………………………………………………………………

    18. INFORMATION FOR PREVIOUS EDUCATION

    Have you attended any Tertiary Institution before? (Tick) Yes: No:

    Name of Institution: …………………………………………………………………………………………………………

    Programme: ………………………… Duration of Programme: ……………… Date: …………………

    Did you complete the programme? (Tick) YES NO

    If the answer above is No, how long did you attend the programme and why didn’t you
    complete the programme?

    Duration: ……………… Reason: ……………………………………………………………………………………

    Have you ever been granted a student loan by Ministry of Education? Yes: No:

    19. SPONSORSHIP INFORMATION

    How are going to finance your College tuition? (Tick)

    Government Sponsorship: Private Sponsorship:

    20. FOR INTERNATIONAL APPLICANTS ONLY:

    Are you or your parents/guardian resident in Botswana? (Tick)

    Yes: No:

    If yes, please provide proof of resident status by attaching a copy of each of the following: Tax
    Certificate, payslip and resident permit for your parents/guardian

    21. Declaration by Applicant:

    All the information given by me is true to the best of my knowledge. I am aware that any false
    statement will nullify my application.

    Name: …………………………………………………………… Signature: …………………………………………

    Date: ………………………………………

    Note:
    The following must accompany your application: at least 2 references, certified copy of Omang or Passport
    ( international applicant only), certified copy of residential permit (international applicant only), Social
    Services Department letter (only for those assisted by Social Services Department), certified copies of
    academic and professional certificates and any other relevant document.

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