Apply for SLP 11

Learner information

School:

Name:

Surname:

Date of birth:

Date and time

Gender:

Race:

ID Number:

Language preference:

Cellphone number:

Email address:

Dietary requirements:

Allergies:

If yes, please specify: 

Home Address:

Suburb:

Town:

Parent/Guardian information

Name:

Surname:

Email address:

Cellphone number:

Math & Science marks (2022)

Maths Mark:

Science Mark:

STEM in ACTION Code of conduct.

As a participant of the STEM in ACTION Program we require your serious commitment to attend and participate in the lab/online sessions and events we arrange. You have to realise that a lot has been invested in offering you this cost-free opportunity and should you not attend and perform to our satisfaction, you will jeopardise your chances of continuing with this program. We reserve the right to exclude you if necessary.

I commit to the STEM in ACTION Code of Conduct by undertaking to:

• Attend all the SLP11 Vacation Project sessions during the school holidays.
• Reply or communicate via WhatsApp/Email when requested to do so, with: School, Group, Name & Surname, Reply during office hours (8:30 – 16:00).
• Submit a copy of my previous term’s report at the start of a new term. Email or WhatsApp your report to stemadmin@mandela.ac.za.
• Inform the Admin Support timeously (24 hours in advance) if I am not able to attend a STEM in ACTION session or event.
• Bring a letter of explanation if I am unable to attend a session.
• I understand that if I miss (2) sessions I will be excluded from the program.
• Respect and support my fellow learners.
• Obey and respect the lecturer and/or other staff members in attendance.

STEM in ACTION Photo Release Form.

I agree to grant to STEM in ACTION and its authorized representatives permission to record on photography film and/or video, pictures of my participation in any of the activities facilitated by STEM in ACTION or departments of the Nelson Mandela University, for purposes of direct marketing and sharing of information with other invested parties. I further agree that any or all of the material photographed may be used, in any form, as part of any future publications, brochure,  reporting or other printed materials used to promote STEM in ACTION and/or the Nelson Mandela University, and further that such use shall be without payment of fees, royalties, special credit or other compensation, but only if the images are used responsibly and do not impair my dignity, reputation and/or privacy.

Please write a one-page (12 pt Arial, 1.5 line spacing) essay on your programming/computer skills/background as well as why you would like to join the SLP11 Vacation Project. What contribution (skills, personality, etc) can you make to the program?

Essay

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