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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.