Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. AGSA Bursary Application Questionnaire 1. Getting to know you Question Title * 1. Please fill out the following details. Full Name City/Town State/Province Email Address Phone Number OK Question Title * 2. Please confirm your South African Identity Number. If you do not have a SA ID, please provide your passport number. OK Question Title * 3. Select your university from the dropdown list. University of Cape Town University of Witwatersrand Stellenbosch University University of KwaZulu-Natal North West University University of the Western Cape University of Pretoria University of Johannesburg Nelson Mandela Metropolitan University Rhodes University University of Fort Hare University of Free State University of South Africa (UNISA) University of Limpopo Other (please specify) OK Question Title * 4. Are you an AGSA family member?i.e. Do you have direct family members working at AGSA? Yes No OK Question Title * 5. What is your ethnicity? (Please select all that apply.) Coloured Black Asian Indian White / Caucasian OK Question Title * 6. Do you have a disability? Yes No OK Question Title * 7. After applying for your bursary, which region would you like to work in? Please select a preference as well as a second choice, should you not be granted your preference. First (Preferred) Choice Second Choice Eastern Cape Eastern Cape First (Preferred) Choice Eastern Cape Second Choice Free State Free State First (Preferred) Choice Free State Second Choice Gauteng Gauteng First (Preferred) Choice Gauteng Second Choice KwaZulu-Natal KwaZulu-Natal First (Preferred) Choice KwaZulu-Natal Second Choice Limpopo Limpopo First (Preferred) Choice Limpopo Second Choice Mpumalanga Mpumalanga First (Preferred) Choice Mpumalanga Second Choice North West North West First (Preferred) Choice North West Second Choice Northern Cape Northern Cape First (Preferred) Choice Northern Cape Second Choice Western Cape Western Cape First (Preferred) Choice Western Cape Second Choice OK Question Title * 8. Select your current year of study. Matric or School 1st Year 2nd Year 3rd Year Honours/CTA OK Question Title * 9. Select your range of grades for each applicable subject. If not applicable, please select N/A. Below 50% 50% - 55% 55% - 60% 60% - 70% 70% - 75% 80% and above N/A Mathematics (school applicants only) Mathematics (school applicants only) Below 50% Mathematics (school applicants only) 50% - 55% Mathematics (school applicants only) 55% - 60% Mathematics (school applicants only) 60% - 70% Mathematics (school applicants only) 70% - 75% Mathematics (school applicants only) 80% and above Mathematics (school applicants only) N/A English (school applicants only) English (school applicants only) Below 50% English (school applicants only) 50% - 55% English (school applicants only) 55% - 60% English (school applicants only) 60% - 70% English (school applicants only) 70% - 75% English (school applicants only) 80% and above English (school applicants only) N/A Financial Accounting (university applicants only) Financial Accounting (university applicants only) Below 50% Financial Accounting (university applicants only) 50% - 55% Financial Accounting (university applicants only) 55% - 60% Financial Accounting (university applicants only) 60% - 70% Financial Accounting (university applicants only) 70% - 75% Financial Accounting (university applicants only) 80% and above Financial Accounting (university applicants only) N/A Auditing (university applicants only) Auditing (university applicants only) Below 50% Auditing (university applicants only) 50% - 55% Auditing (university applicants only) 55% - 60% Auditing (university applicants only) 60% - 70% Auditing (university applicants only) 70% - 75% Auditing (university applicants only) 80% and above Auditing (university applicants only) N/A Taxation (university applicants only) Taxation (university applicants only) Below 50% Taxation (university applicants only) 50% - 55% Taxation (university applicants only) 55% - 60% Taxation (university applicants only) 60% - 70% Taxation (university applicants only) 70% - 75% Taxation (university applicants only) 80% and above Taxation (university applicants only) N/A Managerial Accounting (university applicants only) Managerial Accounting (university applicants only) Below 50% Managerial Accounting (university applicants only) 50% - 55% Managerial Accounting (university applicants only) 55% - 60% Managerial Accounting (university applicants only) 60% - 70% Managerial Accounting (university applicants only) 70% - 75% Managerial Accounting (university applicants only) 80% and above Managerial Accounting (university applicants only) N/A OK NEXT