MINISTRY OF EDUCATION

[Pages:21]FORM 4

REPUBLIC OF NAMIBA

MINISTRY OF EDUCATION

EDUCATION ACT 2001

APPLICATION FOR REGISTRATION OF A PRIVATE SCHOOL

SECTION A (INFORMATION ABOUT SCHOOL AND OWNER OR CONTROLLING BODY)

A1. Name of the private school.................................................................................................................................

A2. Starting date of school.........................................................................................................................................

A3. How will school function: As a normal school for full-time candidates using face-to-face methods?

As an institution for part-time candidates using distance education methods?

Other: ............................................................................................................................................................ ......................................................................................................................................................................... .........................................................................................................................................................................

A4. Postal Address ....................................................................................................................................................................................... ....................................................................................................................................................................................... ....................................................................................................................................................................................... .......................................................................................................................................................................................

A5. Will this be the only site of the private school or will there be satellite schools at other places? ....................................................................................................................................................................................... .......................................................................................................................................................................................

A6. Educational region and magisterial district in which school is situated ........................................................................................................................................................................................ ........................................................................................................................................................................................

A7. Full name, address and contact details of the legal owner of the private school Name ................................................................................................................................................................... Address ................................................................................................................................................................. .................................................................................................................................................................. Contact details Tel code.................... no.................................................................... Fax code................... no.................................................................... Email ................................................... Cell..........................................

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A8. Full name, address and contact details of the applicant if the applicant is not the owner Name ............................................................................................................................................ Address...........................................................................................................................................

Contact details

Tel code............... no................................................................... Fax code.............. no................................................................... Email ............................................................................................. Cell ................................................................................................

A9. Capacity of applicant (e.g. owner: board member, etc) ................................................................................................................................................................................ .................................................................................................................................................................................

A10. Names and addresses of any other educational institutions or schools, and their current status, operated by or that were operated by, the same owner or controlling body of which the owner was a member

........................................................................................................................................................................................ ....................................................................................................................................................................................... ....................................................................................................................................................................................... .......................................................................................................................................................................................

A.11 Competence and experience of owner or controlling body of school

A11.1 Owner of school QUALIFICATIONS*

EXPERIENCE IN EDUCATION OTHER RELEVANT EXPERIENCE

(*Certified copies of qualifications must be attached to application form.)

A11.2 Members of controlling body (if established)

NAME 1.

QUALIFICATIONS

ADDRESS

RELEVANT EXPERIENCE

2.

3.

4.

5.

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A12. Is the private school registered as a Namibian taxpayer? Yes

No

If yes, provide the name and address under which the school is registered and the tax reference number of the school. Registered name as taxpayer: ................................................................................................................................. .......................................................................................................................................................................................

Tax reference number: ............................................................................................................................................

SECTION B (APPLICATION FOR A PRIVATE TUITION CENTRE)

B1. Details of curriculum teaching and learning materials and extra curricular activities

B1.1 Pre-Primary

Yes

No

Government Curriculum

Yes

No

If a curriculum is different from that applicable to state schools should be followed please see paragraph B3. If a government curriculum will be followed provide details of the teaching and learning materials the school will use to deliver the curriculum ........................................................................................................................................................................ ........................................................................................................................................................................ ..........................................................................................................................................................................

Duration of pre-primary phase: .........................................................Years

B1.2 Junior Primary

Yes

No

(Grades 1 ? 3)

Government Curriculum

Yes

No

If a curriculum is different from that applicable to state schools should be followed please see paragraph B3. For a government curriculum provides details of the subjects that will be offered.

SUBJECTS

GRADES

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For a government curriculum attaches the list of the learning materials (textbooks, worksheets, writing pads, etc.) learners will need and a list of the teaching materials teachers will use.

Will the school provide the learners and teachers with the abovementioned materials or must they buy their own materials?:

Learners: ....................................................................................................................................................

Teachers: ...................................................................................................................................................

Provide the extracurricular and extramural activities the school will provide to the junior primary learners.

........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................

Duration of junior primary phase: ...........................................years

B1.3 Senior Primary

Yes

No

(Grades 4-7)

Government Curriculum

Yes

No

If a curriculum is different from that applicable to state schools should be followed please see paragraph B3. For a government curriculums provide details of the subjects that will be offered.

EXAMINATIONS SUBJECTS

NON-EXAMINATION SUBJECTS

(Indicate with an asterisk the compulsory subjects.)

For a government curriculum attaches the list of the learning materials per subject (textbooks, worksheets, writing pads. etc) which learners must have and a list of the teaching materials teachers must use. Will the school provide the learners and teachers with the above mentioned materials or must they buy their own materials?

Learners:.......................................................................................................................................................

Teachers:......................................................................................................................................................

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Provide the extramural activities the school will offer in this school phase. ........................................................................................................................................................................ ........................................................................................................................................................................ Are you aware of the ministerial policies on assessment and will the school as minimum requirement implement these policies? Provide details. ........................................................................................................................................................................ ........................................................................................................................................................................

Duration of senior primary school phase: ............................................. years

B1.4 Junior Secondary

Yes

No

(Grades 8 ? 10)

Government Curriculum

Yes

No

If a curriculum is different from that applicable to state schools should be followed please see paragraph B3. For a government curriculum provides details of the subjects that will be offered.

CORE SUBJECTS

OPTIONAL AND NON EXAMINATION SUBJECTS

How many subjects will a learner offer?

Examination subjects ..................................... Non examination subjects............................. For a government curriculum attach the list of the learning materials per subject (textbooks, worksheets, writing pads. etc.) learners will need and a list of the teaching materials teachers will use. Will the school provide the learners and teachers with the abovementioned materials or must they buy their own materials?

Learners:....................................................................................................................................................

Teachers:...................................................................................................................................................

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Provide details of the extracurricular and extramural activities the school will offer in this school phase. ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ..........................................................................................................................................................................

Are you aware of the ministerial policies on assessment and will the school as minimum requirement implement these policies? Provide details. ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................

Duration of junior secondary school phase:..............................................years

B 1.5 Senior Secondary

Yes

No

(Grades 11 ? 12)

Government Curriculum

Yes

No

If a curriculum is different from that applicable to state schools should be followed please see paragraph B3. For a government curriculum at which level will the NSSC subjects be offered? (tick as applicable)

Ordinary Level

Higher Level

Combination of Ordinary and Higher Level

List the Ordinary and Higher Level subjects that will be offered.

ORDINARY LEVEL

HIGHER LEVEL

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For a government curriculum provide details of the languages, the field of study subjects and the optional subjects for each of the fields of study offered.

Language subjects

1. 2. 3.

Field of Study Subjects

1. 2. 3.

Optional Subjects (one of the following)

1.

1.

2.

2.

3.

3.

For a government curriculum attaches the list of the learning materials per subject (textbooks, worksheets, writing pads, etc) which learners must have and a list of the teaching materials teachers must use.

Will the school provide the learners and teachers with the abovementioned materials or must they buy their own materials?

Learners:.........................................................................................................................................................

Teachers:........................................................................................................................................................

Provide details of the extracurricular activities the school will offer in this school phase. ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................

How many subjects will a learner offer?

Examination subjects................................................. Non Examination subject..........................................

Duration of senior secondary school phase: ....................................years.

Will the school accommodate learners with impairments? ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................

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If yes which impairments? ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................ ........................................................................................................................................................................

Does the school have the facilities and resources, and the teachers with the qualifications and experience to implement the compulsory Course Work/School Based assessment specified in the following NSSC Ordinary and Higher Level syllabuses?

NSSC ORDINARY LEVEL Agriculture Home Economics Fashion and Fabrics First Languages Second Languages Design and Technology

YES NO

NSSC HIGHER LEVEL Physical Science Biology First Languages Second Languages Design and Technology

YES NO

B2 Medium(s) of instruction and assessment

Pre-Primary

........................................................................................................................................

Junior Primary

........................................................................................................................................

Senior Primary ..........................................................................................................................................

Junior Secondary .........................................................................................................................................

Senior Secondary ......................................................................................................................................... B3. *Please note, the application for approval of a curriculum, languages as medium of instruction, or

examining body for a private school which is different from that applicable to state schools, as referred to in section 50 of Act No. 16 of 2001, the application must be accompanied by ?

a) a full motivation and reasons for the use of a different medium of instruction, curriculum or examining body;

b) a full broad curriculum document or documents, examples of subject syllabuses, principles of assessment and examples of subject textbooks, in the case of different curriculum; and

c) the credentials of the examining body, proof of regional and international recognition of the certificates issued by the examining body, in the case of different examining body.

(The documents must accompany the application)

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