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UNIVERSITY of the WESTERN CAPEDEPARTMENT of PSYCHOLOGYFACULTY OF COMMUNITY HEALTH SCIENCESPrivate Bag X 17, Bellville 7535, South Africa,Telephone: 27 21 959 2453/2283 (Administrators)Fax: 27 21 959 3515B.A. HONOURS PSYCHOLOGYDEPARTMENTAL APPLICATION FORM (DAF) 2022Closing date: 30 September 2021 @ 16h00Correspondence should be addressed to:[email protected] fill in the details belowUWC APPLICATION NUMBER(NB: assigned via the UWC online application)Do you intend to study (please tick )Full-time (8753)Part-time (8751)Page 1 of 5

ADMISSION REQUIREMENTS AND PROCEDURESNB: Before completing this application, ensure that you have read the followingdocuments available on the UWC Psychology Webpagev   UWC Psychology Honours Prospectus 2022v   Frequently Asked Questionsv   How to Become a Psychologist1.   ONLY students who have obtained a minimum average mark of 65% inPsychology 3 modules, are eligible to apply for admission to the BA Honours inPsychology programme.2.   The closing date for Honours 2022 applications is 30 September 2021 @16h00. NO LATE or INCOMPLETE applications will be considered.3.   Below is a COMPULSORY checklist of forms to be completed, as well as theprocess that needs to be followed when applying.A)   Applicants currently enrolled at UWC, from other Universities, or UWC alumni   Complete an online application for the 2022 academic line-Applications.aspx.   Use the codes 8753 (full-time), OR 8751 (part-time) programmes.   AND Complete THIS form (Departmental Application Form – DAF)   Obtain and attach a full academic transcript to the DAF.   The completed application will include: (1) DAF, and (2) Academic Transcript(s),pdf as one document. Send to [email protected] with the subject heading:“Honours Application for 2022 (Insert Application Number)”B)   International/ Foreign-trained applicants   Obtain a SAQA evaluation (to be attached to completed application).   Apply for relevant student visa or amended work permit.   Obtain certified English translations of all transcripts.   Obtain quotes for required medical or healthcare insurance.   Complete an online application for the 2022 academic line-Applications.aspx.   Use the codes 8753 (full-time), OR 8751 (part-time) programmes.   Complete THIS form (Departmental Application Form – DAF)   Obtain and attach a full academic transcript to the DAF   The completed application will include: (1) DAF, (2) Academic Transcript(s), (3)additional documents, pdf as one document. Send to [email protected] the subject heading: “Honours Application for 2022 (Insert ApplicationNumber)”Page 2 of 5

NB: Failure to submit the completed Psychology DAF and supportingdocumentation will be construed as an incomplete application.NO proposals are required for Honours applications.4.   The Selection panel will only consider complete applications with all thenecessary documentation. Successful candidates will be selected provisionallysubject to compliance with all administrative requirements and submission offinal results for candidates currently enrolled in their third year of study.5.   Only register for the degree programme once you have received final, writtenconfirmation of acceptance into the programme.APPLICANT DEMOGRAPHIC INFORMATIONSurnameFirst NamesDate of birth (DD/MM/YYYY)Ethnicity/ Race(required for equity targets and legislativereporting)GenderDisability (Y/N)Institutions attendedE-mail addressContact no: HomeContact no: CellContact no: WorkHow do you plan to fund studies?Physical / Postal Address:Postal Code:Page 3 of 5

ACADEMIC HISTORYv   List ALL your Psychology 1, Psychology 2, and Psychology 3 modules with thefinal percentage obtained.v   Provide your final academic transcript to the Psychology Department as soon asyour final results become available.Module CodeName of ModuleMark (%)YearInstitutionv   Please provide your academic averages for ONLY Psychology 3 modules below.v   IMPORTANT: If your Psych 3 final year marks are not available at the time of yourapplication, only state your mid-year (i.e June/July examination marks) for Psych 3.v   To calculate your average for Psychology 3, add the SUM of all your Psychologymodules and then DIVIDE by the number of Psychology modules.v   If you repeated Psych 3 modules, for non-degree purposes, calculate your averageusing the most recent Psych 3 results.Average (%)YearInstitutionPsychology 3Academic and Professional QualificationsQualification (e.g. BA degree)InstitutionYear obtainedPage 4 of 5

OCCUPATIONAL EXPERIENCE(Give details of your position, the type of work, whether full or part-time, etc.)YearPosition/Type of workCOMMUNITY INVOLVEMENT OR EXPERIENCE(Briefly provide details of any community work that you have engaged in)REFEREES List the names and contact details of TWO referees (at least one academic),who could be asked by the selection panel, to report on your suitability forpostgraduate training in Psychology.Referees cannot be significant others (e.g. NO family, friends or partners).Notify your referees that they may be contacted at the discretion of thePsychology Department.REFEREE 1REFEREE 2TitleNameEmail addressTelephoneIn which capacity areyou known to them?How long are youknown to them?SIGNATURE OF APPLICANT: DATE:Page 5 of 5

AND Complete THIS form (Departmental Application Form – DAF) ! Obtain and attach a full academic transcript to the DAF. ! The completed application will include: (1) DAF, and (2) Academic Transcript(s), pdf as one document. Send to [email protected] with the subject heading