Website: www.uwc.ac.za/dll/. Division for ... If yes,
please attach a copy of your certificate to this application form. • If you do NOT ...
University of the Western Cape _____________________________________________________________ Private Bag x17 Bellville 7535 South Africa Telegraph: UNIBELL Telephone: (021) 959 2799 / 3792 Fax: (021) 959 3788 E-mail:
[email protected] Website: www.uwc.ac.za/dll/
Division for Lifelong Learning
GENERAL RPL TAP APPLICATION FORM CLOSING DATE 30 JUNE - 2014
DATE
:
__________________
SURNAME
:
FIRST NAME
:
ADDRESS
:
TELEPHONE
:
EMAIL
:
GENDER
:
AGE
: _____
Home:
Work:
MALE
Cell:
FEMALE
FORMAL EDUCATION: •
Do you have a Matric Certificate (without exemption) or a National Senior Certificate (diploma or certificate)? ………………Year…………….
•
If yes, please attach a copy of your certificate to this application form.
•
If you do NOT have matric, please state highest standard/grade passed at school ………….. and your last year ……… at school.
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OTHER POST-SHOOL QUALIFICATIONS AND TRAINING COURSES Please list any qualifications (certificates, diplomas) or training courses you have completed since leaving school. QUALIFICATIONS OR COURSES
COLLEGE OR TRAINING PROVIDER
DURATION and YEAR COMPLETED
EMPLOYMENT / WORK EXPERIENCE Please list your current and most recent working experiences. You may include voluntary work in this list Current work experience JOB TITLE EMPLOYER/ ORGANISATION
DURATION/YEAR(S)
Previous work experience JOB TITLE EMPLOYER/ ORGANISATION
DURATION/YEAR(S)
COMMUNITY DEVELOPMENT EXPERIENCE AND SKILLS Please describe your participation in community organisations and related activities and say what you have learned from these experiences.
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MOTIVATION TO STUDY. Write a short paragraph saying what course you wish to study at university and why?
INFORMATION SESSIONS Information sessions are compulsory if you wish to apply for admission to the RPL programme at UWC. Information sessions will commence in March 2014 and we will provide a date for your information session.
READY TO STUDY AT UNIVERSITY? Please confirm that you have read the document entitled “Ready for study at university”. I ……………………………………….(print your name) confirm that I have read the ‘Ready for study at university’ document and wish to attend an information session to find out more about the RPL programme at UWC.
SIGNATURE : DATE
:
Thank you
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