Roodies Prefects 2021
Please complete the form below to apply to become a Prefect or LTSM Prefect at Hoërskool Roodepoort.
Make sure you fill in every required field. Your personal information will not be shared with anyone.
Scroll down to see all the info you will need, (e.g. Medical Aid details and Parent's phone number.)
[Note: You can edit the form if you want to make changes after submitting it.]
If you need more information, please consult Ms van Schalkwyk (LTSM) or Mr Breytenbach (Prefects).
Email address *
Your first name? *
Your surname? *
Gender? *
Applying for Prefect or LTSM Prefect? *
Gr 11 Register Class? *
Date of birth? *
How old are you? *
ID Number? *
Your phone number? *
What was your average mark for Term 1 of 2020? (Answer = 00 if reports are still unavailable)
Physical Street Address *
Tell us why you want to become a Prefect: *
List all your extra-curricular activities for 2020, 2019 and 2018 at Hoërskool Roodepoort: *
Name and surname of PARENT (choose ONE parent or guardian who will be responsible for your documentation and financial contributions) *
Your Parent's phone number: *
Do you have the permission of your parent(s) to become a Prefect?
Clear selection
Medical Aid Scheme Name (Ignore if not applicable)
Medical Aid Number (Ignore if not applicable)
Name and Surname of Main Member of your Medical Aid Scheme (Ignore if not applicable)
List all your allergies and food preferences (e.g. halaal etc.) *
Are you willing to accept the terms, conditions and regulations of the Prefects Policy of Hoërskool Roodepoort? *
A copy of your responses will be emailed to the address you provided.
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