APPLICATION FOR ADMISSION

OFFICE USE ONLY DEPARTMENT OF EDUCATION PROVINCE OF KWAZULU-NATAL

ENTRY NO DEPARTEMENT VAN ONDERWYS PROVINSIE VAN KWAZULU-NTAL
ADMIN NO UMNYANGO WEMFUNDO ISIFUNDAZWE SAKWAZULU-NATAL

FULL NAME and SURNAME

OF LEARNER
(AS PER BIRTH CERTIFICATE
OR ID DOCUMENT)
GRADE TO ENTER
ADMISSION YEAR
LURITS NO.
DAY SCHOLAR
BOARDER (GIBSON HOUSE) Yes No
HAVE YOU PREVIOUSLY Yes No
APPLIED TO GLENWOOD
HIGH SCHOOL?
IF YES, IN WHICH YEAR?
DATE OF APPLICATION

Before completing the form, please read the requirements and declaration.
Please note this is a “boys only” school.
The official language of Learning and Teaching is English
1. This form must be completed in full by the applicant’s parent.
2. For the purposes of this application "parent” means:
a. The parent or guardian of the child.
b. The person legally entitled to custody of the child.
c. The person who undertakes to fulfil the obligations of a person referred to in paragraphs (a) and (b).
3. The following documents must be included with the application (incomplete applications will not be
considered):
Copies of latest December and A copy of Unabridged Birth
current Reports for son Certificate for son
Copy of immunization card for son Recent passport photograph for son
Copy of ID for Father Copy of ID for Mother
Proof of Address Current School Fee Statement
Salary Advice Father Salary Advice Mother
Bank Statement Father (1 month) Bank Statement Mother (1 month)
Official Guardianship Study Permit for International
Documentation (if applicable) Applications (if applicable)

IMPORTANT NOTICE: The application is not to be regarded as an acceptance at Glenwood High School. Prospective pupils will be contacted for an
interview. Not all applicants will be granted an interview. All applicants will be notified by post or email of the status of their application.

NOTE: Your application will not be processed until the Administration fee is paid and all relevant documentation received. The payment of the
Administration Fee covers the costs of processing the application only and is non-refundable. Should you wish to pay the administration fee by EFT
please deposit the fee into the below mentioned account using the boy’s name as reference and attach proof of payment to your application.

FIRST NATIONAL BANK, GLENWOOD HIGH SCHOOL, ACCOUNT NUMBER: 50710175338, DAVENPORT BRANCH CODE: 220-226

The school reserves the right to institute legal action against parents who submit fraudulent information on, or with this application.

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PARTICULARS OF THE PUPIL:
N.B. THIS INFORMATION MUST BE EXACTLY AS ON THE UNABRIDGE BIRTH CERTIFICATE
Surname
Full first names
Date of birth Year: Month: Day:
Students place of Birth
ID number
Home Language
Religion
Highest Grade passed to date
Year in which that Grade was passed
Current School Name
Has your son repeated a Grade at any
stage? If so, which Grade and year?
Have you applied for admission at Other School applied to:
another School? If so, which school Yes No
Is he registered for a social grant? Yes No
Has he been granted a social grant Yes No
Did the learner attend a school last year Yes No
If not, why not?
Last year in a foreign country, if not RSA?
Province from, if not KZN
Ethnic group (please tick relevant box) Black White Indian
Coloured Asian Other
Other Preferred Language (Mother
Tongue):
Select 1st Additional Language IsiZulu Afrikaans
First time learner attended a school in this
Province (KZN). Give year.
Type of pre-primary education Formal Non-Formal None
(e.g. Home
Schooling)
Barriers to learning (e.g.) ADD, hard of
hearing, limb damage, etc.

APPLICANTS AFFILIATION WITH GLENWOOD HIGH SCHOOL

Has he got a brother in the school now? Yes No
If yes Name:
Surname:
Grade:
House:
Has he ever had a brother in the school? Yes No
If yes Name:
Surname:
Matric year:
House:

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Is the father an old boy of the school? Yes No
If yes, name, matric year, and house? Name:
Surname:
Matric Year:
House:
Other affiliation: friend/family Yes No
connection/grandfather/staff
If yes Affiliation:
Name:
Surname:
Matric Year
House:
PARTICULARS OF PARENT / GUARDIAN:
FATHER MOTHER
Please circle the Married / Divorced / Please circle the Married / Divorced /
relevant information Single / Widowed relevant information Single / Widowed
Surname Surname
First Names First Names
Title (Prof, Dr, Mr) Title (Prof, Dr, Mrs)
ID Number ID Number
Please circle the Owner / Renting / Please circle the Owner / Renting /
relevant information Living with relevant information Living with
Physical Address Physical Address

Suburb of Residence Suburb of Residence

Postal Code Postal Code
Cell No Cell No
Work No Work No
Email Address Email Address
Occupation Occupation

Name of Employer Name of Employer

Business Address Business Address

Signature of Father Signature of Mother

Date signed Date signed

DECEASED PARENTS:
Mother only deceased Yes No
Father only deceased Yes No
Both parents deceased Yes No

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 MARITAL STATUS OF PARENTS
Married Yes No

Divorced Yes No Date of Final Order

In the event of Divorce, state the name of

the child’s legal guardian
Widowed Yes No

Never Married Yes No

State the name of the person who has

custody of the child

HEALTH PARTICULARS OF THE PUPIL:

1 Previous illnesses
(Nature and seriousness)
2 Allergies / Ailments
3 Has the pupil been immunised
against:
A Tuberculosis Yes No
B Poliomyelitis Yes No
C Lockjaw and diphtheria Yes No
4 Name and phone number of Doctor Number
Family Doctor
5 Name of Medical Aid, Type of Medical Aid Plan Number
Plan and Membership No
6 Main Member of Medical Aid
7 Any physical disabilities (or any
information you wish to bring to
the school’s attention?
8 Additional emergency contact Contact: Number:
and number (Not the parent e.g.
Step-parent, Grandparent, Friend)

ACADEMIC AND SPORTING ACHIEVEMENTS OF PUPIL

Details of Academic Prizes
and Awards achieved at
previous school
Details of sports played at
school (and team)
Details of involvement in
School Societies and Clubs

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 PARTICULARS OF PERSON RESPONSIBLE FOR SCHOOL FEES
Person responsible for Mother Father Guardian Trust Company
the fees, please circle Benefit
the relevant box
Title
Name
Surname
Cell no
Address for Accounts

Code
Which person(s) Mother Father Guardian Trust Company
requires a statement, Benefit
please circle the
relevant information
In event of divorce,
state the name of the
child’s legal guardian?
With whom does the
learner live

APPLICATION FOR ENROLMENT FORMS / ACCEPTANCE OF PLACE AT A SCHOOL:

We as parents and the applicant accept that the information provided to the school was given voluntarily and
that the school may:
a. Store the data in its files and electronic systems,
b. Generate academic, attendance, behavioural and other school-related records,
c. Use both the provided and generated data for purposes of providing services relevant to the enrolment
and progress of the applicant at the school (including, but not limited to contacting parents; placing
the applicant in a class; entering him in exams, competitions, leagues and the like; updating the school
roll and past learners’ register; and researching and reporting on school demographics or
performance),
d. Pass data on (including to the provincial and national education departments) when required to do so
as part of data provision, school reports, testimonials and confidential reports, and for statistical or
research purposes, or when legally required to do so,
e. Gain access to credit history check if required.

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SUBJECT SELECTION
Grades 8 & 9

 All subjects for Grades 8 & 9 are compulsory however, your son may select one of the two First
Additional Languages:
 Indicate the current marks in these three categories as requested below.

CATEGORY SUBJECT CURRENT MARKS

English %
First Additional Language (circle selection) Afrikaans isiZulu %
Mathematics %
Aggregate %

Grades 10, 11 & 12

Please note that certain subjects may not be available for selection due to an over-subscription. If required,
the full subject option list is available, on request form the Admissions Office
([email protected])

GRADE 10 SUBJECT PACKAGES

COMPULSORY
1 English Home Language
(ENGHL)
2 Life Orientation (LIFE)
3 Mathematics (MAHT)
SELECTIONS
4 Afrikaans 1st ADD Lang A
(AFRFA)
OR
Zulu 1st ADD Lang (ZULFA) Z
5 Physical Science (PHSC) P
or Life SC / Geography
SUBJECT CHOICES
1 ACCN/BSTD 8 BSTD/DRMA 16 GEOG/GRDS 24 GRDS/INFT 32 HIST/SPES 40 VSLA/BSTD
2 ACCN/DRMA 9 BSTD/GEOG 17 GEOG/HIST 25 GRDS/LFSC 33 HIST/VSLA* 41 VSLA/DRMA
3 ACCN/GEOG 10 BSTD/GRDS 18 GEOG/INFT 26 HIST/BSTD 34 SPES/BSTD 42 VSLA/GEOG
4 ACCN/GRDS 11 BSTD/HIST 19 GEOG/LFSC 27 HIST/DRMA 35 CAT/GRDS 43 VSLA/GRDS
5 ACCN/HIST 12 BSTD/INFT 20 GRDS/BSTD 28 HIST/GEOG 36 GEOG/SPES 44 CAT/HIST
6 ACCN/INFT 13 BSTD/LFSC 21 GRDS/DRMA 29 HIST/GRDS 37 GRDS/SPES 45 VSLA/LFSC
7 ACCN/LFSC 14 GEOG/BSTD 22 GRDS/GEOG 30 HIST/INFT 38 CAT/BSTD 46 VSLA/INFT
15 GEOG/DRMA 23 GRDS/HIST 31 HIST/LFSC 39 CAT/GEOG

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 Subject Package Selection is 4 characters i.e. AP22
SAMPLE: AP22 - FRFA/MATH/PHSC/GRDS/GEOG

Green (Line 6): ACCN/SPES/VSLA

Yellow (Line 7): DRMA/INFT/LFSC
Both (Line 6 or 7): BSTD/GEOG/GRDS/HIST

NB: Prerequisite for SPEC - must do either PHSC or LFSC

NB: A written request must be addressed to the Deputy Headmaster, Head of Academics for boys requesting Foreign
Languages or an eighth subject or more.

Note: Grade 11 applicants to discuss subject choices with the Head of Academics.

SECTION B

DECLARATION/UNDERTAKINGS BY APPLICANT and PARENTS/GUARDIANS

1. We have read and understood the statements and questions on this form. The information supplied by
us, individually or together, is complete and true in every respect. If any of the supplied information is
found to be incomplete, incorrect, untrue or misleading, the school may cancel any offer of a place and
refuse to accept any future application in respect of the same applicant.

2. We undertake to accept and abide by the code of conduct of the school, and such rules and regulations
as are put in place by the school or Governing Body from time to time. We accept further that the
applicant will be under the disciplinary control of the school from the date on which he commences his
studies at the school, to the date on which he is withdrawn from or leaves the school. This includes, but
is not limited to, random drug testing.

3. We accept that the school may:

3.1. At its sole discretion, report to the parent, guardian and/or (in the case of bursary or scholarship
holders), to the sponsor, any breaches of discipline by the applicant as it deems necessary or
advisable.
3.2. Report to the same people on any matter concerning the progress, conduct, well-being or health of
the applicant.
3.3. Take such steps as it deems reasonable in the event of the applicant coming ill, being injured, or for
any reason requiring medical attention.

4. As parents or guardians we jointly and severally accept responsibility for such school fees as are
payable in terms of the law. Should we fail to meet this legal responsibility and fall into arrears in terms
of school fee payments, we accept that we will be liable for the arrears plus collection commission and
all costs of recovery, including fees charged by attorneys on the scale as between attorney and client.

5. Domicilium citandi et executandi - the address for the service of any formal notice in relation to this
application may be served at the physical address listed on the Application Form. We undertake to
inform the school in writing should our domicilium citandi et executandi change at any time.

6. We accept liability for any damage to the school or school property caused by the applicant, howsoever
it may occur.

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7. We accept that the school may use photographs of our son for the purpose of marketing if required,
including but not limited to various social media platforms, press releases, website and other forms of
marketing media.

8. We accept that our son will have to play one Summer and one Winter sport each year at Glenwood High
School.

9. We indemnify the school against any claim whatsoever which may arise as a result of the applicants’
attendance at school or any school activity, acknowledging the applicants’ participation in any sporting
or other activity at or through the school, and including the use of transport arranged by the school, may
entail risks, and that such participation or use shall be at the sole and absolute risk of the applicant and
his parent or guardian.

10. We confirm that we have:

10.1 Been made aware that school fees are payable in full,
10.2 Given permission for the school to undertake credit checks using the information provided,
10.3 Agreed that a further interview with the financial official may be required before acceptance is
made final.

PARENT / GUARDIAN SIGNATURE DATE

APPLICANT SIGNATURE DATE

WITNESSES: SIGNATURE FULL NAME & ADDRESS DATE

1.

2.

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 LEGISLATION: SCHOOL FEES REMISSION
Undertaking for parents who reside OUTSIDE the normal feeder zone of PREFERENTIAL ADMISSION to
Glenwood High School.

I, ______ the undersigned parent/guardian/legal ward of

, hereby acknowledge that I reside outside of the normal feeder area for
GLENWOOD HIGH SCHOOL. I further acknowledge that, by my own choice and for personal reasons, I
have opted to apply for admission of the aforementioned child at GLENWOOD HIGH SCHOOL rather than
applying at my nearest Public School, as would be the norm.

By exercising my choice in this matter, I acknowledge that I have placed myself outside of the normal
parameters governing school admissions, and therefore commit myself to and undertake to meet, the
following conditions:

1. I waive all rights to exercising any claims against the School for inclusion or participation in any fee
subsidy schemes that may be applicable to the School from time to time.

2. I commit myself to, and undertake to meet, the requirements of the school with regard to the timeous
payment of school fees as established by the parents at the annual budget meetings of the School.

3. I acknowledge that, in the event of my not complying with the undertaking to timeously meet the
School fee payments, I will be immediately subject to the School taking legal action for the recovery
of the outstanding fees at that time.

This done and signed at __________________________ this ________ day of _______________ 20___

Parent / Guardian (Name and Signature):

Parent / Guardian (Name and Signature):

Witness 1 (Name and Signature):

Witness 2 (Name and Signature):

THIS FORM MUST BE COMPLETED IF YOU RESIDE OUTSIDE THE ZONE OF PREFERENTIAL
ADMISSION TO GLENWOOD HIGH SCHOOL

Queries can be directed to the Admissions Secretary:

Tel: 031 2055241

Email: [email protected]

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 LEARNER CONFIDENTIAL QUESTIONNAIRE

Document to be completed by your son’s current school.

Learner’s Full Name:

Current school the child is attending
Present Grade
Years at the school
Year
Description of the learner’s
character.

Does the learner actively

participate in cultural activities? If
yes, please name the activities and
involvement of the learner.

Does the learner actively

participate in sporting activities? If
yes, please name the activities and
involvement of the learner.

SIGNATURE OF PRINCIPAL / BURSAR OF CURRENT SCHOOL

FULL NAME DATE

CURRENT SCHOOL STAMP

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 FINANCIAL CLEARANCE CERTIFICATE
CONFIDENTIAL QUESTIONNAIRE
Document to be completed by your son’s current school.

Learner’s Full Name:

Current school the child is attending
Present Grade
Years at the school
Year
Annual Fees
Fees paid to date
Fees outstanding

SIGNATURE OF PRINCIPAL / BURSAR OF CURRENT SCHOOL

FULL NAME DATE

CURRENT SCHOOL STAMP

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CODE OF CONDUCT FOR GLENWOOD HIGH SCHOOL LEARNERS
The Glenwood High School Code of Conduct for Learners can be found on our webpage using the following
address: https://www.glenwoodhighschool.co.za/code-of-conduct-2023/
This Code of Conduct has been drawn up in accordance with the South African School’s Act No 3 of 1996
and is done is such a manner as to preserve the School's ethos and foster the growth of its learners. The
Code of Conduct sets out the rules governing behaviour and the manner in which those rules should be
followed. It further sets out the system of discipline that must be followed when obeying instructions. Any
breach of the Code of Conduct is an affront to the learners of Glenwood High School and will be treated as
such. Learners are compelled to comply with the Code of Conduct and action shall be taken against any
learner who contravenes it.
I acknowledge that, in the event of my son not complying with the Code of Conduct, action shall be taken
against him.

I/we acknowledge that together with my son we have read and understood the Code of Conduct and give
my/our informed and unconditional consent for my/our son to attend Glenwood High School under the terms
and conditions therein contained.

Parent / Guardian (Name and Signature):

This signed at __________________________ this ________ day of _______________ 20___

Parent / Guardian (Name and Signature):

This signed at __________________________ this ________ day of _______________ 20___

Applicant (Name and Signature):

This signed at __________________________ this ________ day of _______________ 20___

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