GAP YEAR PROGRAM PROSPECTUS (JAN-DEC 2015) TOTAL PROGRAM COST: US$ 10 000.00 Date: Description: 4 Jan '15 Pick up from selected pick up points (any time after 14h00) 5 Jan '15 Opening, Weloming & Orientation. Starts @ 08h00 Includes - 5 Jan '15 Teambuilding & Orientation * Entire Prospectus 5-9 Jan '15 Facilitation, Adventure Activities & High Rope Training * All Accommodation * Meals (unless otherwise specified) Jan-Dec '15 ¹ See Calandar for excursions & tour slots: Participation in one of each tour, excursion and outing is included. * Transport on outings * Transport from pick up point (first day) 9 Jan-21 Dec '15 ² Camp Counselling & Facilitation thoughout (unless other activity) 9 Jan-21 Dec '15 Practical in Hospitality/Catering Department (unless other activity) 16 Jan '15 Hospitality & Catering Training 21 Dec '15 Early morning Drop off at designated venue * Transport to drop off point (last day) * Uniform (details on application) * Use of wifi connection at campus Excludes * Airplane tickets & taxes Optional Tours after closing (not included in price): * Medical Insurance & Expenses * * Accommodation before and 7-14 Day Tour to Cape Town (Quotation upon request) after arrival & departure dates * Meals during some outings (as specified on application form) * Activities not stipulated on tour itineraries. * Personal toiletries, clothes, and other belongings as stipulated on ¹ Participants will rotate between various slots given, as 2-4 pesons attend at a time. application form. ² Practical time will be spent facilitating (as Camp Counsellors) at our sister organisation, Maraneman on the Vaal , * Wifi Data/Cap at campus who specialises in teambuilding, leadership & environmental camps for schools and church groups. This facilitation * Drinks & Snacks on tours/outings will include presentation, arrangement, preparation and controlling of adventure/teambuilding activities of groups. * Personal transport for medical treatment/other outings not incl. Terms & Conditions Apply. Signature Applicant: _______________ MARANEMAN ADVENTURE ACADEMY (MAA) GAP YEAR PROGRAM PROSPECTUS (JAN-DEC 2015) IMPORTANT NOTICES 1. Kruger & Victoria Falls Tours: The tours to Kruger & Victoria Falls (included as stipulated) are operated by Selous Safaris & Tours. Your tour booking & payment will be made on your behalf by MAA, but please read their Booking Terms & Conditions and itineraries (see attached). On first day of tour, you will also be required to complete a separate indemnity form. If paying gap program fees by credit card, these payments will be processed by Selous Safaris & Tours. For more information or to view photos of tours, go to: www.seloustours.com 2. Pick up (Collection) & Drop off points on first and last day of gap program: Specific venues are listed below, where gappers will be picked up or dropped off from. These points must be specified upon application. Gappers are encouraged to book accommodation at these pick up and drop off points, and are responsible for their own transport before and after pick up & collection days. No collections and drop offs are done at OR Tambo Internation Airport (due to traffic), but many of these venues listed are closely situated to the airport with many transfer options available. Only transport to MAA (on collection day) and transport back to venues (on departure day) are included in the fees charged. Johannesburg Area: ► Venues situated closest to OR Tambo International Airport, Johannesburg. Africa Centre ► Airport Backpackers Bob's Bunkhouse Brown Sugar Ghandi's Mbizi Mufasa Ritz ► Shoestrings Zoo Lodge Melville International Rosebank Backpackers Mo Africa Airport Grand Balalaika (Sandton) City Lodge (Airport) Protea Wanderers Road Lodge (Airport) Road Lodge (Rivonia) Town Lodge (Airport) Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Backpackers Lodge Hotel Hotel Hotel Hotel Hotel Hotel Hotel +27 76 766 7041 +27 11 394 0485 +27 11 453 2294 +27 11 648 7397 +27 11 614 4815 +27 11 892 0421 +27 73 600 3185 +27 11 325 7125 +27 11 975 0474 +27 11 880 5108 +27 11 482 5797 +27 11 023 8747 +27 82 506 9641 +27 11 823 1843 +27 11 322 5000 +27 11 392 1750 +27 11 770 5500 +27 11 392 2268 +27 11 803 5220 +27 11 974 5202 9 Stymie Ave, Lakefields, Benoni 3 Mohawk street, Rhodesfield, Kempton Park 40 Saint Ann road, Hurleyvale, Edenvale 75 Observatory road, Observatory Extension 15 Doris Street, Kensington 288 Trichard road, Boksburg 21 4th Road, Benoni 1A North road, Dunkeld West 85 Gladiator str, Rodesfield, Kempton Park 233A Jan Smuts avenue, Parktown 37 First Ave, Melville 217 Jan Smuts Ave, Jhb 120 Sandham rd, Norton Home Estates, Benoni 100 North Road, Bardene, Boksburg 20 Maude street, Sandown, Sandton 4 Sandvale road, Edenvale Corner of Corlett drive & Rudd road, Ilovo Kruin Street, Harmelia Extension 2, Germiston Corner of 10th avenue & Rivonia rd, Rivonia Herman road, Harmelia, Extension 2, Germiston Lodge +27 12 362 3905 1322 Arcadia street, Hatfield Pretoria Area: 1322 Backpackers Intern WHEN PHONING FROM INSIDE SOUTH AFRICA: Don't Dial +27, and add a 0 before the rest of the following numbers. 3. Rules and Code of Conduct: Gappers are required to pay particular attention to the Rules and Code of Conduct when participating in the MAA gap programs. 4. Payment of fees: All payments must be made strictly according to the terms and conditions set out on this documents. Signature Applicant: _______________ Page 2 of 7 MARANEMAN ADVENTURE ACADEMY GAP YEAR PROGRAM PROSPECTUS (JAN-DEC 2015) Important notices (continued…) 5. Application process & Requirements: In order to apply for this gap program, please sign on every page of this document and complete all the relevant information required and send it through to our office for approval at [email protected] * All applications must include a CLEAR copy of the applicant's Passport Passport Number & Photo must be clearly visible. * Please send us every page of this application, as no pages can be left out. PLEASE COMPLETE CLEARLY & LEGIBLY A. PERSONAL INFORMATION OF APPLICANT / GAPPER SURNAME: INITIALS: FIRST NAMES: TITLE: NICK NAME: SEX: ID NUMBER: PLEASE PROVIDE YOUR CLOTHING MALE FEMALE SIZES IN NUMERICS FOR YOUR PASSPORT NUMBER: ACADEMY UNIFORM (IE. 34, 38, ETC): HOME LANGUAGE: T-SHIRT SIZE: OTHER LANGUAGES: JACKET SIZE: Please note that all course material will be provided in English only. * 2 T-shirts, Jacket & Cap included in price * Please make sure to pack the following, to wear: Blue Jeans, Jean Shorts, Brown/Black trousers/ COUNTRY OF CITIZENSHIP: shorts, closed hiking-like shoes, black jacket. If you are a Non-South African, please provide the following documentation with your application form: STUDY/HOLIDAY PERMIT RESIDENT PERMIT TLC OTHER PERMIT NR: PHYSICAL ADDRESS: AREA CODE: POSTAL ADDRESS: POSTAL CODE: CELL NR: E-MAIL ADDRESS: WHICH ADDRESS SHOULD YOUR ACCOUNTS BE SENT TO: PHYSICAL ADDRESS POSTAL ADDRESS EMAIL DO YOU HAVE ANY SPECIAL MEAL REQUIREMENTS? YES NO PLEASE ATTACH A COMPREHENSIVE DESCRIPTION OF YOUR FOOD REQUIREMENTS AND NEEDS. Signature Applicant: _______________ Page 3 of 7 MARANEMAN ADVENTURE ACADEMY GAP YEAR PROGRAM PROSPECTUS (JAN-DEC 2015) B. MEDICAL AID INSURANCE DETAILS OF APPLICANT (DETAILS MAY BE PROVIDED LATER) PLEASE NOTE THAT IT IS REQUIRED OF EVERY APPLICANT TO HAVE A FULL MEDICAL AID INSURANCE DURING THEIR PROGRAM AT MARANEMAN ADVENTURE ACADEMY . MEDICAL INSURER: TYPE OF SCHEME: MED AID NR: NAME AND SURNAME OF MAIN MEMBER: NAME AND SURNAME OF APPLICANT AS ON MEDICAL AID CARD: DEPENDANT NUMBER (OF APPLICANT): MED AID TEL NR: C. DETAILS OF PARENTS OR CLOSE RELATIVE RELATIONSHIP TO APPLICANT: TITLE: FATHER MOTHER OTHER MR MRS OTHER NAME & SURNAME: INITIALS: ID NO: POSTAL ADDRESS: POSTAL CODE: WORK ADDRESS: AREA CODE: PROFESSION: EMPLOYER: TEL (H): FAX: TEL (W): CELL: E-MAIL ADDRESS: DO YOU WISH TO RECEIVE OUR ELECTRONIC NEWSLETTER RE Gapper NEWS & EVENTS? YES NO Signature Applicant: _______________ Page 4 of 7 MARANEMAN ADVENTURE ACADEMY GAP YEAR PROGRAM PROSPECTUS (JAN-DEC 2015) D. 1st: CONTACT DETAILS OF RELATIVE/FRIEND/NEXT OF KIN (OTHER THAN SECTION H) TITLE: INITIAL: RELATIONSHIP WITH APPLICANT: NAME: SURNAME: POSTAL ADDRESS: CELL: POSTAL CODE: TEL (W): TEL (H): E-MAIL ADDRESS: E. 2nd: CONTACT DETAILS OF RELATIVE/FRIEND/NEXT OF KIN (OTHER THAN SECTION D) TITLE: INITIAL: RELATIONSHIP WITH APPLICANT: NAME: SURNAME: POSTAL ADDRESS: CELL: POSTAL CODE: TEL (W): TEL (H): E-MAIL ADDRESS: F. PROGRAM FEES & PAYMENTS The Applicant agrees to the following: 50% Non-refundable, Non-transferable Deposit is payable upon approval of application, to secure the Applicants' space in the program. 1. 2. 3. The remaining balance is payable upon collection on first day of program. No exceptions. Payments can be made via Electronic Transfer into the following bank account: ACCOUNT NAME: BANKING INSTITUTION: SWIFT code: BRANCH NAME: BRANCH CODE: ACCOUNT NUMBER: IMPORTANT REF: MARANEMAN ADVENTURE ACADEMY FIRST NATIONAL BANK FIRNZAJJ THREE RIVERS, VEREENIGING 251337 623 764 284 23 Gappers' Name & Surname Credit card payments may also be made, but will cost an additional 7.5% of transaction total. All credit card payments will be processed by Selous Safaris & Tours (Ideal Trading 300 CC). A credit card authorisation form must be completed upon approval and confirmation of date availability, in order for payment to be processed (see form attached). Please complete this form clearly. 5. No refunds are given if program is not completed for any reason whatsoever. 4. Signature Applicant: _______________ Page 5 of 7 MARANEMAN ADVENTURE ACADEMY GAP YEAR PROGRAM PROSPECTUS (JAN-DEC 2015) G. PROGRAM FEES & PAYMENTS PAYMENT CALCULATOR: JANUARY-APRIL 2015 PROGRAM FEE: US $10 000.00 TOTAL FOR PROGRAM: 50% Deposit due upon approval of application: Plus: 7.5% if paying by Credit Card: TOTAL DEPOSIT DUE: Remaining 50% due upon collection day: Signature Applicant: _______________ Page 6 of 7 MARANEMAN ADVENTURE ACADEMY GAP YEAR PROGRAM PROSPECTUS (JAN-DEC 2015) H. RULES & CODE OF CONDUCT Due to the nature of the responsibility of working with young people (during camp counselling) and wild animals, etc., extreme caution must be given in each applicants' conduct. We therefore require that each applicant/gapper abide by these rules and regulations fully. No exceptions. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. All gappers are to conduct themselves in a friendly and professional manner when participating in camp counselling, also including all codes of conduct included and taught during in-house training. Gappers are expected to participate in all activities as per set out program, including the maintaining of cleanliness and tidiness within the campus house and facilities. Gappers agree to at all times look tidy and presentable and to pay particular attention to personal hygiene. Gappers will be expected to not drink any alcohol throughout the duration of their program at MAA. All facilities are non-smoking and smokers are expected to smoke in allocated sections. Unfortunately no smoking is allowed during camp counselling at the camp venue (MARANEMAN ADVENTURE CAMPS) Male & Female accommodation and bathrooms are completely separate, and female gappers are under no circumstances allowed inside the male areas… and visa versa. In support of the integrity of our program, gappers are expected to behave and treat one another with the utmost respect and no fraternization is allowed between gappers, gappers & staff or gappers & clients, during their program. All gappers are expected to respect the property of MAA and to treat it carefully. Any damages caused by gappers, will be for that person's account to replace or repair. This includes equipment, facilities & property of MAA and Maraneman Adventure Camps. Payment for such damages are to be made immediately, before continuation in the rest of the program. All gappers are expected to respect each other's personal space and personal property inside rooms and in campus area at all times. No unauthorsied usage of personal belongings is allowed. Theft of any kind whatsoever will lead to immediate dismissal from the program. Gappers agree to avoid unauthorised areas, where they are not permitted access. These are stipulated clearly. Gappers may never enter camp rooms of children alone during camp, always have another gapper accompany you. Any additional medical expenses undergone by any gapper, including transportation costs, etc., is for the gappers' own account and is payable immediately, before continuation in the rest of the program. Gappers agree to abide by all rules and regulations set out by all organisations visited during their program. I, (full name & Surname), hereby acknowledge that I have read and fully understand the rules & code of conduct as set out in this section and I further agree to abide by these rules & codes of conduct. I understand and agree that if I fail to abide by these rules & codes of conduct, I may be expelled or refused to continue my participation in this program, without any refunds whatsoever. SIGNATURE OF APPLICANT: I. PASSPORT NR: DATE SIGNED: WITNESS: INDEMNITY I, (full name & Surname), hereby indemnify Ebotse Trading 77 CC (T/A Maraneman Adventure Camps) Reg nr: 2008/229213/23, Maraneman Adventure Academy NPO (Reg nr: 2012/181483/08), Ideal Trading 300 CC (T/A Selous Safaris & Tours, Reg nr: 2010/122652/23), its owners, directors, staff members or contract workers. I agree that in no way will they be held responsible for any loss to my personal property, injury or death. I am fully participating at my own risk and acknowledge this with my signature below: SIGNATURE OF APPLICANT: PASSPORT NR: DATE SIGNED: WITNESS: THANK YOU FOR YOUR APPLICATION! AS SOON AS YOUR COMPLETED APPLICATION IS RECEIVED, YOUR APPLICATION WILL BE PROCESSED FOR APPROVAL, WHEREAFTER YOU WILL BE NOTIFIED. THIS PROCESS TAKES AN ESTIMATED 3 DAYS (MAX), UNLESS APPLICATION IS SENT DURING DECEMBER. Signature Applicant: _______________ Page 7 of 7
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