Application Form For Teacher-Internship Bursaries - 2022 Academic Year


Identification details
Surname:
First name(s):
RSA ID Number:
Confirm RSA ID Number:

Demographic details
Age:
Gender:
Ethnicity:
Home language:
Religious affiliation:

Your contact details
Mobile phone:
Landline:
Email address:
Province (where you currently live):
Physical address:
Postal address:

Education details
Please make sure you provide accurate information. Any discrepancies will result in immediate disqualification. If you meet our qualifying criteria, we will contact you for your academic records.
University attended:
Last year of study:
Undergraduate degree completed:

SAMSTIP Programme
Where did you first hear about this programme:
Please note that you may only consider teaching our priority subjects (Mathematics, Physical Sciences, Life Sciences or Natural Sciences) as a PGCE - Senior & FET phase candidate if you have related modules from at least 2 nd year level in your undergraduate qualification.
Sports played:
Sports coached:
Any post-graduate qualification(s):

Additional contact details
Filling this out will make it easier for us to contact you.
Name of additional contact 1:
Relationship (ie: Aunt, Brother, Friend):
Phone number and / or Email:
Name of additional contact 2:
Relationship (ie: Aunt, Brother, Friend):
Phone number and / or Email:

Additional personal information
Number of dependants:
Driver's license:
Hobbies and interests:
Disabilities and medical conditions: