College of Modern Montessori

Teacher Training Course

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Part-time 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:
The fee can be paid in any of the following currencies. The preferred method is to pay by credit card.

CountryAmount
South African RandsR16 800 (Deposit of R1680.00)
United States Dollars$ 2250
British Pounds£ 1350

(South African Rand) ZAR 16,800 payable by cash, cheque, credit card or twelve postdated cheques of ZAR 1260 dated consecutively and deposit of R1680.00.
Click here for a currency converter to convert the above amounts into your own currency.

The fee includes three text books, eight workbooks, lecturing, marking, examinations 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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