College of Modern Montessori

Teacher Training Course

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Online Studies Application Form


Click here for more information before filling in the application form.


If you have difficulties completing and sending this form, or would prefer to apply by physical postal services, please send the Registrar an email with your request: modmont@global.co.za.


Name:
Identity Number:
Name of Parent/Guardian:
Postal Address:
City:
Postal Code:
Country:
Home Address:
City, Country (if different):
Email Address:
Home Telephone:
Work Telephone:
Educational Background and Qualifications:
Study Method:
How Did You Hear About the Course? (If you were referred, indicate who referred you; and if you heard about the course via advertising, mention the source)

Course Fee:
(South African Rand) ZAR 5,400 payable by cash, cheque, credit card or eight postdated cheques of ZAR 600 dated consecutively.

The fee includes three text books, eight workbooks in electronic format, lecturing, marking and internationally accredited certification.

Please note that international applicants from outside of the South African economic borders need to draw cash or cheques in ZAR, or should pay by recognised credit card to avoid delays in acceptance. Full payment should be made on application. If you are not paying by credit card, or would prefer not to give your credit card details over the Internet, please write a short note below indicating your preferred means of payment, or complete the credit card details section below.



Credit Card applicants:
Amount to be paid:
Credit Card Number:
Expiry Date:
3 Digit code at end of number on magnetic strip (if applicable):
Card Type:
Card Holder's Name:
Identity Number:

By sending this application I indicate my understanding of the fact that the full fee will be refunded if I am not accepted. Once I am accepted, the fee will not be refunded. I agree to restrict the copyright material to myself. For applicants who are below the age of 21, this application form must be approved by your guardian, and sending it is acknowledgement of such approval.





If you have difficulties completing and sending this form, or would prefer to apply by physical postal services, please send the Registrar an email with your request: modmont@global.co.za. For postal address, fax and telephone numbers, click here.



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