HISTORIC SCHOOLS RESTORATION PROJECT
Towards Centres of Cultural and Educational Excellence

Historic School Application

If you believe secondary school – past or present – qualifies as a historically significant school , please complete this form and fax it to 021 713-2093 or e-mail it to secretary@historicschools.org.za

SCHOOL NAME		
YOUR TITLE		
SURNAME		
FIRST NAME/S		
POSITION		
PHONE (including dialing code)		
FAX (including dialing code)		
MOBILE PHONE		
E-MAIL		
WEBSITE		
POSTAL ADDRESS		

STREET ADDRESS		

CITY / TOWN		
POSTAL CODE		
PROVINCE		

	
DESCRIPTION AND HISTORY OF THE SCHOOL	

	

	

	

	

	

	
	
MOTIVATION TO BE IDENTIFIED AS A HISTORIC SCHOOL	

	

	

	

	
PROMINENT PEOPLE EDUCATED AT THE SCHOOL	

	

	

	

	

Thank you for completing this form.

For more information visit the website: www.historicschools.org.za