Application Form

PERSONAL DETAILS
Title: Mobile:
First Names: Fax(h):
Surname: Fax(w):
Address: Email:
Post Code: ID Number
Tel (h): Undergraduate:
 Postgraduate:
Tel (w): Nationality:

MODULE/STUDY DETAILS
Name of qualification you would like to study?
Start Term: Term 1
(February):
 Term 2(May):
 Term 3(September):
Prefered mode of study:
Face-to-Face:
 Distance Education:
How do you want to study?
Full-Time:
 Part-Time:
Campus

Cape Town

EDUCATION AND QUALIFICATIONS
What is your highest qualification? Grade 12/Matric:
 Other:
If other please specify the qualification
In which year did you complete your highest qualification?
Are you applying as a Mature Age Student (23) years and older? Yes
 No
Do you want to apply for Recognition of Prior Learning (RPL)? Yes
 No

*Separate application form required for Recognition of Prior Learning. Please call SACAP for further information

EMPLOYMENT
Occupation:
Relevant work experience:

LANGUAGE
Do you speak a language other than English at home? Yes
No
If yes please specify the language spoken

PRIOR EXPERIENCE:
Have you ever had an experience of counselling/therapy or coaching and how was this experience for you?

TELL US ABOUT YOURSELF!:
A statement describing how your interest in the programme relates to your career aspirations:
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