[SELECTION APPLICATION FORM FOR SOCIAL WORK 2016]

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GENERAL INFORMATION PLEASE TAKE NOTE OF THE FOLLOWING IMPORTANT INFORMATION 1. APPLICATION FORM FOR ADMISSION TO THE UNIVERSITY (Form DV1A) FOR 2016 1.1 Please complete the DV1A form and attach all the necessary documents as requested. 1.2 The application form is also available on the website:http://www.ufs.ac.za. 1.3 Pay the necessary application fee (R235 for SA students). Attach the proof of payment. 2. APPLICATION FORM FOR SOCIAL WORK SELECTION FOR STUDY IN 2016 2.1 Complete the application from for the Department of Social Work in full.see pages 3 5 attached. 2.2 The application form is also available on the website:http://www.ufs.ac.za. 2.3 Attach copies of the following documents: A certified National Senior Certificate (NSC). If you are still at school, the most recent progress report.please ensure that the NSClevel of achievement is indicated. Any other post-matric qualifications obtained (e.g. diplomas, certificates) as well as a complete academic record. If you have studied at another institution, certified copies of your latest academic record and a certificate of good conduct from that institution. If you are a current student of the University of the Free State, your latest academic record and a certified copy of your Matriculation Certificate. 2.4 Pay the non-refundable application fee for Social Work Selection of R380 separately into the University s account. Attach your proof of payment to this document. The account details are as follows: Branch: Absa Brandwag Account number: 1570850071 Branch code: 630734 Reference: Social Work selection 2.5 The closing date for applications is 30 September 2015. 1

3. SEND BOTH APPLICATION FORMS TO THE UNIVERSITY 3.1 Insert the completed application forms, proof of payments and additional documents as requested in ONE envelope and post it to the university, using the following address: The Director: Student Academic Services: Applications P.O. Box 339 Bloemfontein 9300 Or by hand: Room 163, George du Toit Administration building University of the Free State Bloemfontein 4. MINIMUM REQUIREMENTS FOR SOCIAL WORK SELECTION 4.1 Please take note that the minimum selection requirement for school-leavers is an AP score of 30 points. (The table below may be used to determine your score.) 4.2 Your Matriculation Certificate should indicate that you qualify for admission to a Bachelor s degree. 4.3 You also need a minimum of 60% (level 5) or higher in your preferred language of tuition. Formula for calculating the AP score NSCLevel of Achievement UFS Admission point (AP) 7 (90% - 100%) 8 7 (80% - 89%) 7 6 (70% - 79%) 6 5 (60% - 69%) 5 4 (50% - 59%) 4 3 (40% - 49%) 3 2 (30% - 39%) 2 How should you perform in your school subjects to obtain an AP score of 30? Example: An achievement level of at least 5 (60%) in 5 academic subjects is required. An achievement level of at least 4 (50%) in 1 further academic subject is required. An achievement level of 5 (60%) or higher in the subject, Life Orientation, is required to score a maximum of 1 point. 2

5. PLEASE NOTE OF THE FOLLOWING 5.1 Incomplete selection and application forms will not be considered. 5.2 If you do not receive any acknowledgement that the University of the Free State has received your selection form within four weeks, you are requested to contact the Applications Department at 051 401 9538/3696/3098, please. 5.3 Remember that acknowledgement of the received application does not mean that you have been selected for the programme in Social work. 5.4 It is expected from the applicant who has successfully passed the first phase of the selection process to undergo an academic literacy test as well as a psychometric test in Bloemfontein. Information regarding these tests will be communicated to applicants who have passed the first phase of selection. 5.5 All candidates will be notified by letter or email about the outcome of their applications. 6. CONTACT DETAILS FOR INQUIRIES Department Social Work University of the Free State PO Box 339 (34) Bloemfontein 9301 Tel: 051 401-2325 Fax: 051 401-3581 Email: socialworkselection@ufs.ac.za Enquiries: Ms. M. Masiloane 3

STUDENT NUMBER: PERSONAL DETAILS 1.1 SURNAME:... 1.2 NAMES (In full):... 1.3 FIRST NAME:... 1.4 GENDER: Male ( ) Female ( ) 1.5 CORRESPONDENCE ADDRESS:............ (Postal code) 1.6 TELEPHONE NUMBER: (...)...(Home) TELEPHONE NUMBER: (...)...(Cell) 1.7 HOME LANGUAGE:... 1.8 LANUAGE OF STUDY:... 1.9 IDENTITY NUMBER:... 1.10 EMAIL ADDRESS:.. For administrative purposes: Application acknowledged [ ] Application complete[y ] [ N ] Incomplete SMS [ ] Further selection [ Y ] [ N ] Date of testing [ ] Selected for the programme?[ Y ] [ N ] Final letter [ ] AP SCORE: LANGUAGE: 2. PARTICULARS OF PARENT/GUARDIAN 2.1 TITLE, INITIALS AND SURNAME:... 2.2 POSTAL ADDRESS:............(Postal code) 2.3 TELEPHONE NUMBER: (...)... 3. PREVIOUS TRAINING/WORK SITUATION 3.1 Are you currently busy with an Extended Program at the University of the Free State? YES ( ) NO ( ) (If YES, attach results.) 3.2 Have you or are you currently busy studying in a mainstream program at a University? YES ( ) NO ( ) (If YES, attach results.) 4

3.3 If you have not entered any post-school studies, clearly state what situations you were engaged in (year by year) and substantiate this by attaching 4. DO YOU HAVE A VALID DRIVER S LICENCE? YES ( ) NO ( ) 5. HAVE YOU EVER BEEN FOUND GUILTY OF ANY CRIMINAL TRANSGRESSION? YES ( ) NO ( ) If YES, an explanatory document should accompany your application. 6. HOW DO YOU PLAN TO PAY FOR YOUR STUDIES? I/my family will pay I am going to apply for a bursary I am going to apply for a study loan 7. ACCOMMODATION DURING STUDY PERIOD I am going to apply for accommodation on campus I am going to stay off campus Private - With parents 5

8. PERSONAL STATEMENT 8.1 Are there any circumstances you wish to mention that will help the selection committee in their evaluation during their consideration of your application? (Any attached testimonial can be used for your benefit).... 8.2 Are there any aspects related to your physical or mental health condition that you wish to bring to the attention of the selection committee?... 8.3 I understand that my selection for this programme is dependent upon the minimum academic requirements as stipulated by the Department of Social Work and that my selection could be revoked if I do not have good results. I shall also send my final Matriculation Certificate to the Department of Social work as soon as it becomes available (see fax number and/or address on page 3). 8.4 I understand that final admission into this programme is subject to the admission requirements of the University of the Free State and the results of the selection tests. 8.5 I understand that selection is subject to the full completion of the application forms and the inclusion of all the necessary documents. I have paid the necessary application fees for selection to the University of the Free State. 6

8.6 I declare that the above information is correct, that I have carefully studied the general information and that, should I be accepted for the course, I shall adhere to the Departmental Rules. I unconditionally accept the results of the selection. Signed at. on the. day of.....20. Signature of applicant 7