Investec 2011 bursary

application form

Dear applicant

We have received your request for an Investec bursary administered by Study Trust for 2011 and have pleasure enclosing an application form.

When completing the form, please take note of the following:

• Read the instructions carefully before filling in any information

• Return the application form to Study Trust before 30 September 2010. This will ensure that you are able to send us your latest June

examination results which must be returned with the application form (see 1.1 below)

• Send the form, together with the required documents, to Study Trust, PO Box 29192, Melville, 2109

• You must be a South African citizen in order to apply

1. Instructions for submission of application forms

Applications will only be considered if completed in full and if all the supporting documents have been included and signed by the applicant.

Documents that accompany the application form must be certified:

1.1 Your final Grade 11 results

1.2 A copy of your May/June 2010 exam or an appropriate progress report if no examination was written. If you are not studying this year,

send a copy of your latest exam results, together with an explanation of what you are doing this year. This is essential as the exam

results play an important role in the selection process.

1.3 Matric/NSC results: If you have already completed matric/NSC, include your results, together with your latest tertiary (June 2010)

results. This is compulsory for all tertiary students.

1.4 Two testimonials: One testimonial from a senior educational official like your principal or lecturer and the other by a community, political

or spiritual leader. Use the testimonial forms included (sections 5 and 6) or attach suitable testimonials.

1.5 Write an essay on your life on the page included (section 7). Use additional pages if necessary. This must be written by you. Your

parent, guardian or friend may write a letter of recommendation.

1.6 Proof of salaries* of parent(s), guardian or spouse (*e.g. payslip, letter from employer, sworn statement or tax return statement).

1.7 A copy of your South African ID.

2. Selection criteria for selected educational institutions

2.1 The main criteria for the selection of applications are financial need and academic potential.

2.2 Bursary applications are invited from young people who aim to study full time towards an undergraduate university (academic) degree

in Commerce (Economics, Business Economics, Accounting, Investments and Finance), Business Science, Science and Mathematics,

Engineering and IT or a commercial LLB. Applicants in Grade 12 should have pass marks of at least 50% in all their subjects with

a minimum of 60% in Mathematics (not Maths Literacy) and 60% in English. Applicants who wrote Matric (Grade 12) prior to 2008

have to have a minimum of 60% in both Maths (HG) and English (HG).

Please apply timeously for admission to the educational institution of your choice.

2.3 Important - Clearly specify the exact degree programme for which you need a bursary, the name of the educational institution where

you plan to study and the year of study when completing the application form.

2.4 Bursaries will only be offered to applicants who are currently in Grade 12 or in their first year of University.

2.5 If you change your degree programme after submitting your application form, this may lead to a cancellation of the bursary.

2.6 No bursaries are available for private tertiary institutions.

3. Bursary amounts

The bursary amounts are reviewed and are subject to change every year. To give you an idea, for the 2010 academic year:

3.1 Investec offered a partial bursary of R50 000 towards study related expenses.

3.2 Successful candidates could apply through the Financial Aid Office of their university of choice or through Study Trust for a study loan

from the National Student Financial Aid Scheme (NSFAS). The maximum amount awarded for 2010 was R47,000 to cover the shortfall.

Terms and conditions apply.

4. Completed application forms: acknowledgement of receipt

Study Trust (Investec’s bursary administrator) receives thousands of application forms each year and it is therefore not possible for us to

acknowledge receipt of all completed forms. All applications will be considered and selection will take place from September to December

2010. All applicants will be notified of the outcome not later than 15 December 2010.

Please ensure that your applications are submitted timeously to The National Director, Study Trust, PO Box 29192, Melville,

2109 Telephone: (011) 726 5604, email: info@studytrust.org.za.

Bursary application form

Please mark answer with a “✓ ”

Section 1: Applicant’s information

Identity number

Are you a South African cit izen? Yes No Gender Male Female

Surname (block letters)

First names

Date of birth Day Month Year

Telephone number (area code) Number Applicants cell number

Alternative cell number (family)

Postal address (parents)

E-mail address

Postal code

Do you l ive in a rural or urban area? Rural Urban Dwell ing Formal / Informal

Marital status Never married Married

Population group* Asian Coloured / Black White

Any disabil ity?* Yes No If yes, please specify:

*Gender, population group and disabil ity information required to monitor the success of our equity policy.

Section 2: Applicant’s study details

What are you doing this year? Nothing in particular School Full-t ime tertiary studies Full-t ime working

If employed ful l t ime, provide monthly income: R

Highest educational qualif ication obtained (e.g. NSC)

Name the institution or school you are currently studying at

Have you matriculated/obtained your NSC? Yes No If yes, please attach a certified copy of your matric/NSC certificate

If no, please provide ful l details of your current study program (e.g. grade 12)

School results: If you are currently in Grade 12 please fi l l in your most recent results in the table to the left, i.e. your June/ mid year

Grade 12 examination results. Please start with your Mathematics and English marks and then l ist results for other subjects. If you

completed Grade 12 prior to 2008 please fi l l in your f inal matric/ NSC results in the table to the right. Please start with your Mathematics

and English marks and then l ist results for other subjects clearly indicating whether subject marks are higher or standard grade. If you

are currently a tertiary student, please fi l l in your end of year matric/ NSC results and attach your most recent June/ progress marks for

tertiary subjects.

National Senior Certif icate (NSC) % Matric results pre-2008 % HG SG

Gr 12: June/mid 2010 results

Subjects Subjects

Mathematics Mathematics

English English

Section 2: Applicant’s study details (continued)

Proposed degree programme for next year

First year students

First choice (e.g. B Com Accounting) Institution Campus

Second choice (e.g. B Com Finance) Institution Campus

Proposed degree programme for next year

Second year students

Registered degree Institution Campus

Provide your student number if you have one

Year of study next year

Which career do you intend fol lowing on completion of your studies?

Mention any other bursaries you have applied for as well as any bursaries that have been granted to you?

Where did you hear about the Investec bursary administered by Study Trust?

Bursary register Study institution Internet Newspaper Teacher Radio Magazine Friend

Section 3: Details of parents/legal guardian and family (l iving in one home)

Father/Stepfather Surname First names

Marital status Divorced/Separated Married Never married Deceased Widowed

Employed Yes No Pensioner Yes No

Total income (salary, wages, pension) per month R Please provide proof of income

Mother/Stepmother Surname First names

Marital status Divorced/Separated Married Never married Deceased Widowed

Employed Yes No Pensioner Yes No

Total income (salary, wages, pension) per month R Please provide proof of income

Guardian (not mentioned above) Surname First names

Marital status Divorced/Separated Married Never married Deceased Widowed

Employed Yes No Pensioner Yes No

Total income (salary, wages, pension) per month R Please provide proof of income

Other members of your family who are living at your home and not mentioned above

Name Relationship Category Income Type of income

(use additional page) (e.g. brother, grandparent) (child, student, adult) (rand value per month) (wages, grant, pension)

Section 4: Supporting documents

The following supporting documentation must accompany your application

Please tick “✓” on Yes if you have included the specific document. (Your application will not be considered without the relevant documentary proof)

1. Have you included a certified copy of your Grade 11 and this year’s June results or your latest results if you are not studying this year? Yes

2. If you have matriculated/obtained your NSC, have you included a certified copy of your matric/NSC results? Yes

3. Have you included a certified copy of your ID document? Yes

4. Have you included original or certified copies of payslips for your parents/guardian? Yes

If your parents/guardian are self-employed, have you included a copy of the latest financial statements or a sworn affidavit? Yes

If parents/guardian are unemployed, have you included sworn affidavits? Yes

In the case of deceased parent(s)/guardian/spouse, have you included a certified death certificate or a sworn affidavit? Yes

If your parents are still alive but you reside with a guardian, have you included a payslip of your guardian? Yes

If your parents or you are divorced, have you included a certified copy of the divorce certificate? Yes

If your parents are separated, have you included a sworn statement from one of them confirming their separation? Yes

Note: Don’t fold each document separately. Put the required documents in the application form, fold them all together, and

insert into an envelope.

Section 5: Testimonial by education official

I, the undersigned, testify as follows concerning the bursary applicant:

Academic potential of applicant

Personality and leadership qualit ies

I recommend this applicant for a bursary because

This testimonial was given by me, the undersigned, in my capacity as

of the school/college/technikon/university (name)

I can be contacted at the fol lowing telephone/cell number

Surname and init ials in block letters

Signature Date

Official stamp

Section 6: Testimonial by a community leader1

I, the undersigned, testify as follows concerning the bursary applicant whom I have known for (number) of year(s)

Describe the applicant’s home circumstances

Describe in detail the applicant’s involvement and participation in the activit ies of your organisation/community

I recommend this applicant for a bursary because

This testimonial was given by me, the undersigned, in my capacity as

of the organisation / community (name)

I can be contacted at the fol lowing telephone / cell number

Surname and init ials in block letters

Signature Date

1 Community leader is anyone who holds a signif icant position in the community, example head of local council, NGO head, head of local

police forum, rel igious leader, traditional leader or polit ical leader

Official stamp

Section 7: Essay on your life

Write this essay in your own hand and include the following:

1. Tell us about yourself and your family, including your parents’ current circumstances.

2. How would your fr iends describe you?

3. What is your greatest passion, your major strengths and weaknesses?

4. Give a short overview of your school (and post-matric/tertiary) career thus far.

5. If your studies have been interrupted for a year or more, tel l us what you did in between.

6. Mention the committees/organisations you belong(ed) to and any community service projects you have been involved with.

7. Mention any books you read that have impressed you.

8. Tell us about one event or person that influenced you deeply.

9. Tell us about your further study plans and ideals for the future.

10. Describe the South Africa you want to see in the next 10 years.

Section 7: Essay on your life (continued)

(Use additional pages if necessary)

I hereby declare that al l the information given in this form and the included documents are true and accurate.

Applicant’s signature: Date:

Please scan the form thoroughly for mistakes and make sure everything is completed and that all required documents are included