Final Live Assessment Form

The final step to finalise your application. Please only complete this with your parent present

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Student First Name*

Student Last Name*

Student Email-We recommend you dont use a school email as these usually end up being blocked by school servers*

Student Phone Number*

High School Grade/Class/Level*

High School Name*

Parents/Guardian 1 Name*

Parent/guardian 1 Email*

Parent/guardians 1 Phone*

Parent/guardian Name 2*

Parent/guardians 2 Email*

Parent/guardians 2 Phone*

Please list any allergies, medication, or injuries you currently have.*

Please list why VISA was denied? Simply insert NA if not relevant

THE FOLLOWING QUESTIONS MUST BE ANSWERED BY PARENTS/ GUARDIANS

ATTENTION PARENTS*

We have confirmed we wish to continue with the application

We do not wish to continue

ATTENTION PARENTS-If you continue with this application and your child is awarded a Gold Scholarship AND you do not return forms and discounted payment on time, your child will not be eliible to reapply for ISAM360 Scholarships ever again. Even though we have spent several hours to now explaining this all to every student, on the odd times students and parents continue knowing they cannot commit financially. Please do not do that as it just hurts your childs future chances. By simply opting out not, at least he/she can reapply for the program * NOT GOLD/SILVER/BRONZE. Please note though this would incur full fee costs of 155k ZAR with no budget saving pathway option. At least they still get the chance *Not a gold - though so I simply ask mum and dad here to be honest and not waste even more time and hurt their childs future. Marco*

We have confirmed we wish to continue with the application

We do not wish to continue

ATTENTION PARENTS*

We have confirmed we can afford the costs involved and can abide by the due dates

We cannot confirm we wish to continue

ATTENTION PARENTS*

We are happy and wish to continue

We wish to cancel the application

Please Note

Please note that once this form is submitted, it cannot be changed or updated. Take your time to complete it properly.