Application Form

ATTACH RECENT PASSPORT SIZE PHOTO HERE _______________________________________________________________________________________________ Application Form Surname: .............................................................................. First Names: ........................................................................... Proposed Date of Entry: ...................................................... Form: ...................................................................................... Date of Birth: ........................................................................ Place of Birth: ......................................................................... ID No: ................................................................................. Religious Denomination: ........................................................ Present School: ................................................................... School’s Address & Tel No. ................................................... School Email: ...................................................................... ................................................................................................ Affiliation with Peterhouse: (please tick) SIBLING 1 – Name …………….................................................... Year left/current ….............. School….……. House……... SIBLING 2 – Name …………….................................................... Year left/current ….............. School….……. House……... COUSIN – Name ……………....................................................... Year left/current .................. School............. House……... OTHER SIBLINGS: Name..………………………………………………….….. Grade ……………… School …………………. FATHER (or Guardian) MOTHER (or Guardian) Petrean □ Year................□ House............................. □ Year......................□ House............................. Title & Initials: (Prof/Dr/Mr/Mrs/Ms) ………………………………………..…………. ………………………………………………..……. Surname: ....................................................................... ........................................................................... First Name: ...................................................................... ........................................................................... Marital Status: ...................................................................... ........................................................................... Name of Spouse: ...................................................................... ........................................................................... Home Address: ...................................................................... ........................................................................... ...................................................................... ............................................................................ Home Tel No. ...................................................................... ............................................................................ Work Tel No. ...................................................................... ............................................................................ Cellphone No. ...................................................................... ............................................................................ Email: ...................................................................... ............................................................................ Occupation: ...................................................................... ............................................................................ Employer/Company: …………………………………………………. ………………………………………………………. Non-Residents - If you are residing outside Zimbabwe – are you a Zimbabwean Citizen? □ Yes □ No If you are a Non-Resident you will require a Study Visa. Details of Applicant’s Guardian in Zimbabwe: Name: ………………………………………………………………………. Address: ……………………………………………………………………………………………………………………….... Telephone: ……………………………………………..……. Email: ……………………………………………………….. Signature of Parent/Guardian ....................................................................... Date ............................................................... Guidance on Admissions to Peterhouse Boys Form 1 Admission into Form 1 is dependent upon the following: i. Satisfactory performance in the CHISZ Common Entrance examination (written on the first Saturday in July of the applicant’s Grade 7 year); and ii. A satisfactory report from the Head of the applicant’s junior school. Parents of Form 1 applicants are encouraged to register their son with Peterhouse as he enters Grade 6. The deadline for applications is 30 April in the applicant’s Grade 7 year. Form 2, 3 and 4 Admission into Forms 2, 3 or 4 is dependent upon: i. Satisfactory performance in any relevant exams (e.g. Common Entrance or internal school exams); and ii. A satisfactory report from the Head of the applicant’s current school. Form 5 (Lower 6th) and Form 6 (Upper 6th) Admission into Form 5 or 6 is dependent upon: i. Satisfactory performance at IGCSE/O; (the applicant should have at least 6 B grades at IGCSE level and must have passes in English and Maths), and ii. A satisfactory report from the Head of the applicant’s current school. - At all levels, in deciding whether or not to admit an applicant to Peterhouse consideration is also given to: i. The applicant’s current school (preference is given to applicants who attend a CHISZ school); and ii. Any previous connection the applicant has with Peterhouse (Sibling/Petrean). - Parents of all applicants (together with the applicant himself) are invited to visit Peterhouse for a tour of the school and to meet the Rector. Development Places The Peterhouse Group continually improves its facilities in an attempt to better serve the education system in Zimbabwe. To this end, a scheme has been introduced for interested corporates/parents to assist in these developments by purchasing Development Places in any of the Group’s three schools. There are a limited number of Development Places available. Interested parties should contact Mr Mark Whitaker, Business Director, on [email protected]. Please note that the option to purchase a Development Place must be taken up and payment must be made before the writing of the Entrance Exam. The application should include the following: i. The completed application form; ii. A Registration Fee (non-refundable); iii. A copy of the applicant’s birth certificate; iv. A copy of the applicant’s most recent school report; and v. A passport sized colour photograph of the applicant. vi. Copy of passport for Non-Resident applicants PLEASE NOTE – Application Forms may be e-mailed through to - [email protected] Alternatively the application form and accompanying documents can be delivered to the school or sent via courier to: The Registrar Peterhouse Boys 82km Peg Mutare/Harare Road, Marondera Once the application has been approved a non-refundable Entry Fee equivalent to one term’s fees is required to secure the applicant’s place at Peterhouse. Reductions to the Entry Fee are awarded for: i. Applicants from Springvale House; ii. Applicants from Ruzawi School; iii. Siblings of pupils already within the Peterhouse Group; and iv. Applicants for Form 2 and above. Further details of these reductions are available on request. For further assistance please contact the Registrar: [email protected] 05052021 Peterhouse Boys, Private Bag 3741, Marondera, Zimbabwe: [email protected] Tel: +263 (0)65-2324951/2/3, 2322200/1/2/3/4, +263 (0)772-136470/1/2: www.peterhouse.co.zw .

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