Varsity College Sports Life Brochure 2017 41831VC_Sports_Life_Brochure_2017_LR.PDF | Page 15

APPLICATION FORM
APPLICANT INFORMATION
Entrance Year: _______________
Campus:

Durban North
Westville
Pietermaritzburg
Cape Town

Port Elizabeth
Sandton
Waterfall
Pretoria
Qualification: __________________________________________________________________________________________
(E.g. BCom)
STUDENT DETAILS:
First Name: _______________________________________
Gender: (M)
(F)

CONTACT DETAILS:
Guardian Cell Number: ____________________________
Surname: ______________________________________________
Date of Birth: _____________________________________
Student Cell Number: _____________________________
Guardian Email: _________________________________________________________________________________________
EDUCATION:
High School Name: _________________________________ Completion Year:_________________________________
Other Tertiary Information: __________________________________________________________________________
Name of Institution: ____________________________________________________________________________________
SPORT BURSARY DETAILS:
Please indicate which sport you would like to apply for a bursary for: (Tick the box)
Mountain Biking Surfing Surfskiing Canoeing
Running &
Trail Running Netball Hockey** Football*
Water Polo** Golf Rugby** Other
Please specify:
Are you interested in becoming a Sports Club Captain?
YES
NO
*Sandton Campus only • **KZN campuses • ***Cape Town campus only
Leadership Details:
Please list the positions of leadership that you have held e.g. Head Girl or Surfing Club Captain.
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Sporting Achievements:
Please list your top sporting achievements in the last two years:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Varsity College is an educational brand of The Independent Institute of Education (Pty) Ltd which is registered
with the Department of Higher Education and Training as a private higher education institution under the Higher
Education Act, 1997(reg. no. 2007/HE07/002). Company registration number: 1987/004754/07.