Summer School • Registration

Before you begin, please take a few minutes to create an avatar of yourself from this website, or if you already have an illustrated representation of yourself, have that handy.

Name *

First name*

Last *

Last name*

Suburb *

Where do you live?*

Identity number *

Your 13-digit ID number on your birth certificate or in your ID book, or your passport number.

Email *

Your email address*

Contact number *

Your cellphone number*

Ethnicity: *

Ethnicity:

Gender: *

Gender:

Upload your avatar *

Maximum file size: 268.44MB

Create an avatar of yourself from faceyourmanga.com, or use your own if you already have an illustrated representation of yourself. This will be your visual identity across the Summer School website.

I would like to learn more about:

My first choice: *

My first choice:

My second choice: *

My second choice:

My third choice: *

My third choice:

Subjects you would like to learn next year at Summer School: *

I am currently a: *

Learner in secondary school

Student at a tertiary institution

Other

Tell us more about your current status: *

I am in grade: *

I am studying towards the following qualification: *

at the following school: *

at the following tertiary institution: *

I graduate at the end of: *

2021

2022

2023

OtherOther

I am active on the following social networks:

and here are links to my profiles:

I would like to attend Summer School because: *

I am proudest of the following achievement: *

I am available from: *

to *

Here is more information about my availability (optional):

If you are going away on holiday, are attending interviews, or have other plans in the middle of the period you have specified, please let us know in this block.

My equipment: *

I have a laptop and will be able to use it for Summer School.

I do not have a laptop to use for Summer School.

My next-of-kin is: *

The person we can contact on your behalf in an emergency.

Direct phone number of my next-of-kin: *

The cellphone number of your contact person.

I heard about Summer School from: *

A classmate or friend

Someone from immedia who visited my educational institution

Social media

OtherOther

Someone I know works at immediaSomeone I know works at immedia

Disability needs:

Please share any special requirements you may have, in order for us to accommodate you at our office.

I would prefer to book a space for my Summer School experience::

For virtual school experience, please ensure that you have access to functional WiFi and laptop for the entire week.

Upload a copy of your ID smart card

Maximum file size: 268.44MB

Registration is now closed