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Complete the Application form below:
Student Information:
Student First Name:
*
Student Middle Name:
Student Surname:
*
Date of Birth:
*
Year
Month
Day
ID/ Passport Number:
*
Gender:
*
Home Language:
*
Academic Year Applying for
*
Choose one
EduExcellence Campus Interested in:
*
Lynnwood, Pretoria
Online, International
Current Schooling
*
Choose one
Name of Current School:
*
Contact Number of School:
Last Grade Passed:
*
Choose one
Grade Applying For:
*
Choose one
Does your child have any disabilities?
*
None
Communication (Talk/Listen)
Emotional (Behaviour/Psychological)
Hearing (Even with hearing aid)
Intellectual (Learning etc.)
Physical (Move/Stand etc.)
Sight (Even with glasses)
Multiple Disabled but unspecified
Does your child have any formal diagnosis?
*
None
ADHD
ADD
Autism/ASD
Dyslexia
Dysgraphia
Dyscalculia
Cerebral Palsy
Current Education Interventions
None
Occupational Therapy
Play Therapy
Speech and Language Therapy
Neurodevelopmental Physiotherapy
Other
What is your main concern about your child, and why are you seeking enrolment at EduExcellence?
*
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