ACASAI (After School Study Assistance Initiative) – NPO 249-313 Application Process 1) Applicants must complete the ACASAI Application form, together with their parents or guardian 2) Learners have to submit their most recent 2022 results 3) Completed application forms must be submitted via email or hand delivered to Cecilia Arendse 4) The program is free but monetary donations will be requested from time to time. *Application forms without all the necessary documents OR incomplete forms will not be considered* ACASAI PROGRAM CONCEPT 1) University students and retired teachers will assist learners with daily revision, homework, assignments and incorporate the application of study methods. 2) The learner must display willingness and a desire to want to study. 3) A copy of their results and a copy of their ID or birth certificate must be included with the application form. Applications without the most recent reports will not be processed. 4) Lessons take place between 15:00 to 17:00 from Monday to Thursday and 13:00 to 15:00 on Fridays. 5) Venue is the Parow Library Hall, Cnr McIntyre street and First avenue. 6) Learners must use their own transport to and from the program. APPLICANT DETAILS First Name * Last Name * Cell Number * Contact Number (home) * Email Address I.D Number * Date of Birth * DaySelect day12345678910111213141516171819202122232425262728293031 MonthSelect month123456789101112 YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926 Gender *MaleFemale Street Address * Apartment, suite, etc * ZIP / Postal Code * Postal Address (if different) Apartment, suite, etc ZIP / Postal Code School Details Name Of School School Contact Number * School Address * Apartment, suite, etc * ZIP / Postal Code * Current Grade *Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11 List Subject Chioce * PARENT/GUARDIAN DETAILS PrefixMr.Mrs.Ms.Mx.MissDr.Prof. Parent Name * Parent Last Name * Relation to Applicant *MotherFatherGuardian Cell Number * Contact Number Work Email Address Occupation Company Name * Copy of Latest Results * Choose FileNo file chosenDelete uploaded file Certified Copy of ID/Birth Certificate Choose FileNo file chosenDelete uploaded file Consent * I hereby declare that the information submitted on this form is true and accurate, and Yes, I agree with the terms and conditions. Submit Info
