Trinity by Holy Trinity 9 October, 2022 Trinity House Application APPLICATION FOR RESIDENCE ADMISSION PERSONAL INFORMATION PLEASE USE BLOCK LETTERS PLEASE COMPLETE THE APPLICATION AND EMAIL TO resmanager@trinityjhb.co.za REFERENCES AND OTHER REQUIRED DOCUMENTS MAY BE SENT LATER. Accommodation required for what year: _____________________ 2023 etc Name in full: Surname : ___________________________________________ First names ____________________________________________ Date of birth ___/___/_________ (DD/MM/YYYY) Academic Institution Studying at: ______________________ (e.g. WITS, UJ,) Degree/diploma applied for: ______________________ (e.g. BA, BSc, HDE) Academic year when in Res: ______________________ (e.g. 1st, 2nd, 3rd, 4th, Honors) Student number ______________________ Home address _____________________________________________________ _____________________________________________________________________________ Home telephone number: ________________________Cell No.: _______________________ Contact tel.no:.______________________ (We will phone here to arrange an interview) Email address_______________________________________@________________________ Religious affiliation: ___________________________ (Catholic, Anglican, Baptist, No Affiliation etc) Are you a member of the ACTS branch on your campus? (+ 2nd yr.) _____________ If NO – What chaplaincy / parish activities have you been involved in previously? Please mark with x Monday Soup kitchen: , Wednesday Soup kitchen: , Come Home Bible: , Lunch Soup kitchen: , Hospital visit: Other: __________________________________________________________________________ What chaplaincy activities will you be or hope to be involved in whilst in residence? Please mark with x Monday Soup kitchen: , Wednesday Soup kitchen: , Come Home Bible: , Lunch Soup kitchen: , Hospital visit: Other:___________________________________________________________________________ Extra-curricular activities: School Prefect:: , Alter Server: , Soccer :, Netball: Volleyball: , Captain: , Other: ___________________________________________________________________________ Have you been in another residence? Yes No Which one? ___________________________________________ Why have you decided to move from that residence? ___________________________________________________________________________ ___________________________________________________________________________ List any importance illnesses/allergies you are or may be suffering from: – ___________________________________________________________________________ ___________________________________________________________________________ Your doctor’s telephone number: ______________________ Have you been Covid-19 Vaccinated: ___________________ Dietary requirements: No dietary restriction: . Vegetarian: Vegan: PAYMENT DETAILS How are your fees to be paid? ___________________________________________________ Give details of any bursary or scholarship which you will have for residence. Include the name, address and telephone number of the person or organisation supplying the bursary or scholarship. ___________________________________________________________________________ ___________________________________________________________________________ If no bursary is available to you please give the name and details of the person responsible for paying your fees below: A letter of guarantee from the person responsible for your fees is also required to accompany this application. Credit checks will also be carried out on the person responsible for the account. Name: __________________________________ ID Number: _________________________ Relationship (e.g.. father, mother, uncle etc.): _________________________________________ Physical Address: ______________________________________________________________ ___________________________________________________________________________ Contact Number 1) ____________________ Contact Number: 2) ______________________ Email Address: _______________________________________________________________ Do you intend to bring a car to Trinity House? Yes No Details of your parents or guardian (in case of emergency while resident at Trinity House): Name _____________________________________________________________ Address _ ____________________________________________________________ Contact number: _____________________ Email Address: ______________________________________________________________ Please include the following: 1) A written reference from your Parish Priest 2) A written reference from your last High School (1st year students) 3) A written reference from a person who knows you well 4) A letter (of at least one A4 page in length) stating why you want to stay in Trinity House (include a short history of yourself, how you have been involved in your community) Signed: _________________________________________ Date: _________________________ PLEASE EMAIL THIS COMPLETED FORM, TOGETHER WITH YOUR MOTIVATION LETTER AND OUT-REACH REPORT TO: resmanager@trinityjhb.co.za YOUR PROOF OF PAYMENT FOR YOUR REGISTRATION/ADMINISTRATION FEE MAY BE EMAILED TO resmanager@trinityjhb.co.za FOR YOUR ATTENTION: We cannot stress enough that Trinity House is a community oriented residence for committed Catholic Christians. Space at Trinity is limited so we strongly recommend that you apply to other residences as well, just in case you cannot be offered a place in Trinity House. Accommodation fees range from R46,000 – R55,000 for the academic year depending on the available room at the time of acceptance and deposit payment. This information will be made available with your acceptance into Trinity House. . A registration/administration fee of R1500.00 is required with your application. This registration/administration fee can be deposited to: Trinity House Catholic Chaplaincy & Residence Nedbank Braamfontein, account number 1965338593; Branch code 196505. Prevailing terms and conditions are: The full R1500.00 will be forfeited if you are accepted but turn down the offer. The full R1500.00 will be refundable if your application is unsuccessful.