Tel: 021 – 794-2103

Spaanschemat River Road Fax: 021 – 794-1105

7806 Constantia

South Africa

email: Admissions: Carol Higgo

www.waldorfconstantia.co.za

2012 APPLICATION FOR ADMISSION – PRIMARY & HIGH SCHOOL

Please read through carefully and note that until we receive all the requirements listed below, this application will not be processed.

a)  Complete all questions and both parents to sign this confidential application form.

b)  This page and the Conditions of Entry detailed information on page 8 are intended for your records and should be retained, not returned with your application.

c)  Application fee - R350. This is not refundable.

d)  Certified copies of your child’s 2 most recent full school reports, including 1 end of year report.

e)  Certified copies of any/all remedial and/or psychological assessments (include from younger years).

f)  A certified copy of your child’s birth certificate/identity document/passport.

g)  A recent identifying photograph of your child.

h)  Optional: letter of motivation, should you feel this to be beneficial/your situation warrants further elaboration.

Please note that any relevant non-disclosure will result in nullifying this application.

Application Process:

1)  Applications are pre-assessed and, after discussion, are considered for interviewing. Acceptance is not guaranteed and is subject to there being a vacancy and successful interviews with the Class Teacher/Guardian and a financial interview with the office, including a consumer credit check. You will be advised if/when interview/s can be arranged accordingly - or your application will remain waitlisted.

2)  Your child will be required to attend the Teacher interview with parent/s.

3)  Payment for the costs of any further testing and/or assessment required by the school may be at an extra cost.

4)  Acceptance, with a routine term’s probation, will be confirmed after interview and subsequent discussion with relevant Faculty.

5)  If successful, a set of Acceptance of Place and Conduct of Behaviour forms will be issued for completion, to be returned before pupil commences.

6)  A deposit of R2,750 for Primary School and R3,500 for High School will be payable on acceptance as a contingency fee prior to commencement, as well as the first month’s school fees. The deposit may not be refunded in the event of your cancellation prior to commencement, subject to date and circumstances. It will however be refundable at the end of the pupil’s period of enrolment at the school, on written application and interest kept by the school.

7)  Transfer and financial clearance certificates from the previous school are required prior to entry.

8)  Study permits, or proof of application, will be required prior to entry of all non-South African pupils.

CONDITIONS OF ENTRY – detailed information to be retained by parents

FEE POLICY

The financial liquidity of the Constantia Waldorf School is dependent on the prompt payment of school fees by parents/guardians. Fees are subject to an annual increase and all monthly fees are to be paid in advance on or before the 2nd working day of every month. Interest on advance payments will be kept by the school. The Board of Trustees of the Constantia Waldorf School reserves the right to make adjustments to the school fees and related charges from time to time, as it may deem fit.

METHODS OF PAYMENT

1.  Monthly Debit Order payments over 12 months, January to December 2012.

2.  Monthly Electronic Funds Transfer or Stop Order methods of payments, may only be done over 10 months (January to October 2012).

3.  Your child’s full name and account reference number should appear on the deposit slip and the details faxed to us on 021 794 1105 or emailed on , so that we are able to identify your payment.

4.  We prefer not to accept cash at school.

Bank details: Absa, Branch Code 505309, Account number, 1079140534 “Constantia Waldorf School” or “Waldorf Schools Association”

Cheques to be made out to “Constantia Waldorf School”.

Foreign fee payments: Swift Code: ABSA ZAJJ

EARLY PAYMENT of FEES

A 3% rebate is offered for fees paid annually in advance, before 31 January 2012 and interest on fees paid in advance will be retained by the school.

ADMIN CHARGES

1.  Failure by parents/guardians to make fee payments by the 2nd working day of every month will result in a late payment charge of R250 per month.

2.  Repeated late payments will not be tolerated

NON or SHORT PAYMENT OF MONTHLY/TERMLY/ANNUAL FEES – POLICY and PROCEDURES

1.  Outstanding fees of the previous MONTH/TERM/YEAR will be handed over to the attorneys of Constantia Waldorf School for collection. Parents/Guardians will be liable for payment of costs on the scale as between attorney and client, including collection charges.

2.  Parents/Guardians will be required to immediately remove the children from school.

(Only in exceptional circumstances, and at the discretion of the Board of Trustees in conjunction with the Debtors Mandate Group, will a pupil be allowed to enter a new term if any portion of the fees of the previous term is unpaid.)

WITHDRAWAL NOTICE If the pupil is accepted, a routine two terms probation period automatically applies. Should the pupil remain in our school thereafter, a minimum of one clear term’s written notice (3 months) of withdrawal and request for the refund of the acceptance deposit must be given to the school if the parent wishes to terminate this contract for any reason and to withdraw the pupil prior to the final exit examination, with the exception of the end of Primary School when 2 term’s written notice applies. If such notice is not given, a full term’s fees (3 months), at the rate applicable for the next term in which the pupil would have been, shall be paid in lieu thereof. Likewise, if the school elects for any reason to terminate this contract, then it may do so, on giving the parent a clear term’s written notice (3 months) of its decision to terminate the contract, at which time the parent must withdraw the pupil. A CEMIS transfer certificate will issued on the pupil’s last day of school or when the fee account has been fully settled.

Admission from Primary to High School is not automatic, and is subject to a term’s probation.

PARTICIPATION, SUPPORT It is important to maintain regular contact between parents and teachers. General information is emailed through our weekly newsletter “The Grapevine”, keeping families up to date with happenings at school. You will be expected to attend all termly Class Parent evenings, talks, the Annual General Meeting and festivals so that you can meet the teachers and learn more about the children and their education. From time to time we have introductory courses in Waldorf Education and parents are asked to attend, if they have not previously done so, in order that our methods and expectations can be explained. The school holds at least one major annual fundraising event and families are expected to play an active part in all such events. Parents are held responsible for their part in supporting our expectations, behaviour code and punctual attendance of their children at school on a daily basis and for all school functions.

If your child is accepted, a CEMIS transfer certificate and Financial Clearance certificate must be obtained from the previous school and handed in before the pupil’s first day at our School. Failure to comply will result in the pupil having only a limited visiting status until this requirement is met, as full registration is not possible without the transfer certificate.

DISCLAIMER: Constantia Waldorf School accepts no responsibility for any personal property brought to school.

PS & HS Application

CONSTANTIA WALDORF SCHOOL – PRIMARY & HIGH SCHOOL 2012 APPLICATION

Surname of Child: ______First Name: ______

Preferred Name: ______Date of Birth: ______Nationality: ______

Home Language: ______Religion: ______I.D. No.:______

Class Applying for: ______From when: ______Male/Female Age: ______

Any further information: ______

______

Siblings: Name Age School Grade Teacher______

1.  ______

2.  ______

3.  ______

Parents:

Marital Status: single/married/divorced/separated/remarried/common-law relationship

(If divorced, a copy of your consent paper, is required)

Is child from: this marriage/previous marriage/adopted/this relationship/other? ______

With whom does the child live: ______

Father

Surname: ______First Names: ______Preferred Name: ______

Residential Address: ______Code: ______

Do you own/rent this property? _____ Other (details): ______

Postal Address: ______Code: ______

Occupation: ______Business Name: ______

Type of Business: ______

Business Address: ______Code: ______Business Phone: ______

Home Phone: ______Cell No.: ______Fax No: ______

Email: ______ID/Passport No: ______Nationality: ______

Mother

Surname: ______First Names: ______Preferred Name: ______

Residential Address ______Code: ______

Do you own/rent this property? _____ Other (details): ______

Postal Address: ______Code: ______

Occupation: ______Business Name: ______

Type of Business: ______

Business Address: ______Code: ______Business Phone: ______

Home Phone: ______Cell No.: ______Fax No: ______

Email: ______ID/Passport No: ______Nationality:______

PS & HS Application

1. SCHOOL HISTORY

Has child been at a Crèche/Nursery School/Day Mother/Home? Name:______from what age? ______for how long _____

Present School ______Current class ______

Address ______Telephone no.______

Date and Grade of Entry ______Current teacher ______

Previous Schools attended:

SCHOOL YEARS GRADES______

______

______

______

Reasons for change of school(s) ______

Why have you chosen to apply to Constantia Waldorf School:______

______

Through whom/how have you heard of our school? ______

Has child been asked to leave a previous school? Yes/No If yes, state when and why: ______

Has child ever been suspended from school? Yes/No If yes, state when and why: ______

______

Has child failed/repeated any class? Yes/No If yes, please elaborate:______

______

Describe child’s specific problems, if any, at any of the above schools ______

2. DOMESTIC SITUATION

a) In what environment did child grow up? ______

b) Please describe your home atmosphere ______

c) Do parents supervise homework? Yes/No ______

d) Does child have own bedroom? Yes/No. If no, with whom does child share? ______

e) Sleep: Normal/Heavy/Restless/Sleepwalking/Nightmares/Bedwetting: _____ Wakes: immediately/slowly.______

f) Mood on awakening ______

g) Any other comments ______

h) Has child been separated from parents for any reason? Yes/No For how long ______

i) Change of country/ies? ______Which? ______

Age/s? ______How long? ______

j) Child’s regular home tasks ______

k) Special abilities, hobbies, interests etc. ______

l) Does child watch TV regularly? Yes/No. How many hours? ______per day/week

Which Programmes/Music? ______iPod/MP3? Yes /No

m) Special interests/hobbies of parents ______PS & HS Application

3. PRENATAL AND BIRTH HISTORY

a) Pregnancy: Was it a planned pregnancy? Yes/No

Air flights during pregnancy? Which months? Where? ______

b) Health during pregnancy: Illness/Infections/Prolonged morning sickness/Medications?

Describe: ______

c) Birth: Full term/Premature/Slow/Quick? Birth Weight? ______

Labour: Induced/Epidural/Caesarean? Why? ______

Type of Birth: Normal/Breech/Forceps ______

Complications? Describe______

At birth baby cried immediately/delayed crying. Difficulty in breathing / Jaundice / Blood Transfusion / Incubation? Any other comments ______

d) Feeding: How long? Breast ______Bottle ______Solids: When?______Meat: When? ______Egg: When? ______

e) Please describe as a baby: Happy/Contented/Difficult/Colicky ______

f) General feeling towards baby at birth ______

Postnatal Depression or other problems? Describe ______

g) Immunisations: Please list which and at what age______
______

h) Air flights after birth - what age, how often and destination ______

______Any discomfort? e.g. crying ______

4. DEVELOPMENT

a) When did child first: Sit ______Crawl ______

b) Did you use a: Table carrier: Yes/No. How often ______

Walking Ring: Yes/No. How often ______

Jolly jumper: Yes/No. How often ______

c) Would you describe child as clumsy? Yes/No/Sometimes ______

d) Would you describe child as hyperactive/too dreamy? Yes/No/Sometimes ______

e) Were teeth late to appear? Yes/No. When? ______

f) Ages of: Bladder control ______Bowel control ______

g) Age of first words ______Full sentences ______

h) Has child had ear trouble? ______Hearing loss? ______

Difficulty in Clarity/lisp/stutter/stammer/difficulty with any sounds? Describe ______

______

i) Has child had any eye problems? Specify ______

5. HEALTH

a) Has child ever been to a Specialist/Psychologist/Psychiatrist/Other? ______If so, who? ______At what age/s? ______Why ______

______

PS & HS Application

b) Treatment/Medication ______

c) Is child still under medication? ______If so, what ______

d) Operations? ______

e) Any injuries or accidents involving head/eyes/spine? ______

f) Specify any serious falls ______

g) Any other traumatic experiences? ______

h) Childhood and other diseases: eg Mumps/measles/meningitis/encephalitis/aids/hepatitis etc. If so, what ______Age/s? ______Medication? ______

i) Chronic illnesses? Frequent colds/asthma/allergies/bronchitis etc. ______

j) Has child had any convulsions/seizures? Yes/No. Type? ______If so, how often ______EEG ______

Was this associated with high temperature? Yes/No. When was the first seizure? ______

Was this controlled by medication? Yes/No. Type ______

k) Does child become feverish quickly: Yes/No. Reason ______

l) Is child prone to headaches? Yes/No. How often ______

m) What is the condition of teeth? ______

Tonsils? ______Adenoids? ______

n) Present eating habits: Appetite – eg Eager/faddy/disinterested/overeater ______

Does child ever have stomach ache? Yes/No. ______

Does child chew food well? Yes/No. ______

Digestive disorders? Please describe ______

Does child have strong food preferences: eg Salty/sweet/sour ______

o) Current G.P./doctor ______Telephone: ______Medical Aid & number: ______

6. SENSORY SYSTEM

a) Does child seem to lack normal awareness of being touched? Yes/No.

b) Does child seem overly sensitive to being touched/held or cuddled? Yes/No.

c) Does child pay attention to what is being said to him/her? Yes/No.

d) Is child easily distracted by sound? Yes/No.

e) Does child talk excessively? Yes/No.

f) Can child follow through instructions? Yes/No.

g) Handedness: Hand - L/R; Foot - L/R; Eye - L/R; Ear - L/R

7. BEHAVIOUR

a) Is there any tension-related behaviour, such as nail biting/tongue showing/excessive blinking/rubbing of the eyes/tantrums etc.? ______

b) Is child excessively shy/aggressive/restless/moody? ______

c) Does child have friends? Many/few? ______

d) Does child tend to play with children of the same age? Yes/No? ______

e) Has child used drugs/alcohol/other substances that you are aware of? ______

PS & HS Application