ONLINE APPLICATION GENERAL INFORMATION Type of application NationalInternational Application for selection and admission for the year in which you want to commence your studies: If you have previously applied to or registered at Equine-Librium, state your student number Language preference for correspondence May Equine-Librium contact you via SMS? YesNo May Equine-Librium contact you via Email? YesNo APPLICANT PERSONAL INFORMATION Title Name & Surname ID Number Email Address Contact Numbers (required) CONTACT IN CASE OF AN EMERGENCY (Mandatory for ALL applicants) South African postal code / Zip code (international) City / Suburb Contact Name Number Email Address Relation to Student THE FOLLOWING IS REQUIRED BY CENTRAL GOVERNMENT FOR STATISTICAL PURPOSES Home language AfrikaansEnglishGermanFrenchIsiNdebeleIsiXhosaIsiZuluSesothoSepediSetswanaSiSwatiTshivendaXitsongaOther If Other, please specify Marital status Please SelectNever MarriedMarriedDivorcedWidow or widower Gender MaleFemale Population group WhiteIndianColouredBlackOther Religious denomination What is your current main activity? Learner presently in Gr 12Learner presently in Gr 11University studentCurrently employedOther If Other, please specify Disability: Please specify PREVIOUS AND CURRENT TERTIARY STUDIES (Degrees and diplomas only) Name of Education Facility 1 Final study year City/town Academic level Please SelectBaccalaureusHonours MagisterDoctorate Diploma Name of Education Facility 2 Final study year City/town Academic level Please SelectBaccalaureusHonours MagisterDoctorate Diploma EXAMINATION AUTHORITY CambridgeInternational BaccalaureatMatriculation BoardIndependent BoardOther If Other, please specify DETAILS - SCHOOL EDUCATION Name of school Final school year City/town Examination no Examination location GautengKwaZulu-NatalMpumalangaLimpopoNorthern CapeNorth WestEastern CapeFree StateWestern CapeBVCOForeign Please write the percentage and level obtained alongside the subject Accounting Afrikaans 1st Additional Language Afrikaans Home Language Business Studies Civil Technology Computer Applications Technology Consumer Studies Design Dramatic Arts Economics Engineering Graphics and Design English 1st Additional Language English Home Language Geography History Information Technology Life Orientation Life Sciences Mathematical Literacy Mathematics Mathematics Paper 3 Music Physical Sciences Religious Studies Tourism Visual Arts Other Subjects NB: The final year mark of your last completed school year is required and a copy of your report must accompany your application. Students with qualifications, other than specified on the application form, may only be admitted if they arejudged equivalent by the designated equivalence-setting bodies (Government Gazette Vol 928, No 30353, October 2007). CAMBRIDGE Please write the percentage and level obtained alongside the subject Accounting Afrikaans 1st Language Afrikaans 2nd Language Biology English 1st Language English 2nd Language Geography History Physical Sciences Other Subjects - write the subject name in CAPITAL letters on the lines and write the percentage and level in the blocks next to it. Subject 1 % and Level Subject 2 % and Level Subject 3 % and Level Subject 4 % and Level SPORT ACCOMPLISHMENTS Please list any sport accomplishments in the space provided, type of sport & level competed. DECLARATION I confirm that a. The information contained herein is in all respects correct and true. b. There is no legal obligation on Equine-Librium College to accept me as student and I will only be admitted as a student if I comply with all the regulations and requirements that The College may set. Date Title, initials and surname Important note: It is compulsory for ALL prospective first-year students at Equine-Librium College, regardless of the matriculation year, studies at another higher education institution, or examination system followed, to write the National Benchmark Tests (both the AQL test and Mathematics (MAT). The NBT results will be used for selection purposes. BSc Veterinary PhysiotherapyGENERAL COURSE INFO DOWNLOAD BSc Veterinary PhysiotherapyAPPLICATION FORM DOWNLOAD
