ACHIEVEMENT EXCELLENCE

INTELLECTUAL IMAGINATION

PERSONALINITIATIVE

COURAGEOUSCOMMITMENT

SPIRIT OFSIGNIFICANCE

ACHIEVEMENT EXCELLENCE

INTELLECTUAL IMAGINATION

PERSONALINITIATIVE

COURAGEOUSCOMMITMENT

SPIRIT OFSIGNIFICANCE

Scholarship

Scholarship Application Form 2018 For high school placement in 2020

MINIMUM REQUIREMENTS

Completing Grade 6 in 2018

Minimum average of 70%

Minimum average of 70% for Mathematics and English

Clearly demonstrate financial need

South African citizen

Certified copies of ALL required documentation

Ambassador of the Foundation’s intended profile, demonstrated entrepreneurial attributes:

Intellectual Imagination: enjoys being creative and innovative

Achievement Excellence: sets high academic and non-academic standards for self

Courageous Commitment: must be courageous and determined, brave and persistent

Spirit of Significance: wants to impact others and make a difference

Personal Initiative: prepared to take action to address challenges

Compulsory cellphone number for SMS notifications of application status.

Please submit using the information below.

PLEASE NOTE: Post Office strikes may delay the delivery of your application form. Consider registered mail, fast mail and courier services to avoid disappointment.

APPLICATION DEADLINESUBMISSION DETAILS

Application Deadline: 20 September 2018

Post to:Allan Gray Orbis Foundation Freepost no: CB 11349Kloof Street, 8008

Hand Deliver to:46 Hof Street, Oranjezicht, Cape Town OR 8th Floor, Forum Building, 2 Maude Street, Sandton, Johannesburg, 2196

or

Application form

Interview

Psychometric Testing

Write an Exam

Candidates must not be older than 12 years of age and not younger than 11 years of age in grade 6.

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Divorced parents to provide divorce decreeLegal Guardian to provide proof of legal guardianship

both

(Please note, it is compulsory to complete every section of the form in full )

Do you have any form of disability? (If yes, please specify) Y N .............................................................................................................................................................

Failure to submit all required documentation will lead to disqualification.Allan Gray Orbis Foundation does not solicit funds from candidates.

All information requested by the Allan Gray Orbis Foundation will be kept confidential. The Foundation will not disseminateany personal information unless specifically authorised on page 9 of this application.

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Please complete every section in full

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Principal’s Details:

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Level of Education

Combined monthly household income of parent(s) and / or guardian(s) before deductions: (please tick the relevant box)

R0 - R4 799 R4 800 - R9 599 R9 600 - R19 199 R19 200 - R38 399 > R38 400

Market Value of Property: (please tick the relevant box)

R0 - R250 000 R250 000 - R500 000 R500 000 - R1000 000 > R1000 000 (above)

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8.5

8.3 Number of Family Members Dependant on Family Income and Living in the Home(Start with Applicant’s name - Do not include parents/guardians)

1.

2.

3.

Age Relationship(sister/aunt etc.)

4.

8.4 Loans/Debt/Credit Commitments (including retail accounts)

Name

5.

Employed(Yes/No)

Occupation Income

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2020

20th September 2018

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12. THE SELECTION PROCESSStep 1: Submit completed Application Form (20 September 2018)

Step 2: Write the Scholarship Exam

Step 3: Shortlisted applicants will be invited to attend an Interview (February-March 2019)

Step 4: Shortlisted applicants will be invited for Psychometric testing (April 2019)

Step 5: Scholar Recommendations will be made to our Placement schools ( May 2019)

Step 6: Awarding of Scholarships and sign Memorandum of Agreement with Foundation and Placement School (June 2019)

Placements for Grade 8 in 2018 are available at the following placement schools* only:

Eastern Cape: Western Cape:

Boys Girls Boys Girls

Selborne College Collegiate Girls' High School Bishops Diocesan College St Cyprian's School

Grey High School Clarendon High School For Girls Rondebosch Boys’ High School Rustenburg Girls' High School St. Andrew's College (Grahamstown)

Diocesan School for Girls(Grahamstown)

Gauteng: Kwazulu-Natal:

Boys Girls Boys Girls

St Alban's College St Andrew's School For Girls Michaelhouse Pietermaritzburg Girls' High School

King Edward VII School St Mary's School, Waverley Maritzburg College Epworth Independent High SchoolPretoria Boys’ High School Roedean School (SA)

St Stithians Girls’ College

* Schools are subject to change.

Possibility of Boarding

This opportunity includes the possibility of boarding. It would therefore be beneficial for you to commence discussions with the applicant about going to a boarding school. Furthermore, every effort is made to place our Scholars at a Placement School within their home province, however the number of places available to the Foundation is limited.

Please discuss the possibility of boarding with the applicant.

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St Stithians Boys’ College

Rhenish Girls' High School

13. CONSENT

By signing this application, you are giving the Allan Gray Orbis Foundation, consent to:

• Share your personal information with internal and external assessors for assessment purposes • To use your information for research purposes (full confidentiality will be observed) • To store your information on our data management system • Should you be invited to an interview, you give the foundation consent to take pictures and video recordings of you • Allan Gray Orbis Foundation, undertakes to protect your information and to ensure that is not used for any purpose outside of this application process

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