Hydro International College Course Application Form  
 home page   Please do NOT submit this form unless you have 1. Submitted an Inquiry email 2. Attended an appointment.
  Please note that fields marked with an asterisk * are compulsory.		  
     
Section A   
  Personal Details  
  Title * :  
    Surname * :  
    First Name(s) * :  
    Address * :  
    Postal Code * :  
    Telephone : Cellular * :  
    Email :  
    Age : Please Select * :  
    Date of Birth * :  
       
Section B  
   Present or most recent education:  
    Name of Institution :  
    Highest Level Attained: :  
    Contact Details/Address :  
       
Section C  
   Nationality    
    Please Select :  
    If other, Please Specify :  
    Home Country : Only if not South Africa
    If you weren't born in South Africa, How long have you or your parents resided here?  
    Years :  
Section C (1)  
   (Only for non-South African Applicants)  
    Are there any restrictions on you length of stay within South Africa? Yes / No  
    Was the purpose for entering South Africa to receive full-time Education?  
    Date of Entry :  
   
Section D     Equal Opportunities
  Hydro International College is committed and equipped to equality of opportunity. To assist us in the
  endeavor, please complete the following:		 Only for People Living with Impairments
    Nature of Impairment :  
    Special Equipment and/or
  Assistive Devices		 :  
    Additional Information :  
       
Section E  
   Career Direction  
    Occupational Area * : e.g. Somatology, Hairdressing, Makeup, Reflexology, etc.
    Please take some time to briefly explain why you have chosen your Occupational Area. We ask you to do
  this only to check that you will achieve the appropriate qualifications for what you would want to achieve in
  the future.		  
   
   
Section F     Employment
  If you are currently employed, or know of a company who may want to employ you, please provide
  details below:		  
    Company Name * : Please state "NONE" if not known
    Contact Person :  
    Telephone Number :  
    Company Address :  
    Postal Code :  
       
Section G     Pertinent Qualifications
  If you have any qualifications you think are pertinent to your application, please list them below:		  
 
Course
Level
Month/Year completed
Result
Predicted Result
Course:
Description or course name

Level:
 Level attained e.g. Matric

Month/Year Completed:
e.g. Dec 2008

Result:
 Pass or Fail or 80%

Predicted Result:
Pass or Fail
   
Section H     Declaration
  Please ensure that you have read and understood out privacy policy before submitting this form.		  
         
    I hereby declare that the information on this form is correct * Please Tick
  Do you wish to be contacted about our courses or learning opportunities? Please indicate below which
  format you prefer:
  None :
  Email :
  SA Postal Service :
  SMS Text Message :
       
  We would like to thank you for taking the time to apply with us on-line.
  A career counselor will  be communicating with you shortly.
           

© 2008: Hydro International College. All rights reserved.
 Powered by Imaginet ISP. Designed by Designer Solutions CC. +27 79 516 6464