APPLICATION FORM 2013
Complete the application form in Word or print it
out. Read through the contract and hand it in
together with the registration fee later. E-mail, fax
or post the completed application form to Target
Life, together with the required attachments (scan
other documents and photo for e-mail). If the forms
are faxed, the original forms must also be posted or brought with to the interview. We will call
a student for an interview after we have received the forms and will e-mail the letter of
acceptance after selection.
The registration fee is payable before the end of November (to ensure your place), or as soon
as possible, if you enrol after November. Enrolments close on 25 January 2013 or as soon as
the maximum amount of students have enrolled. Thereafter all enrolments are placed on a
waiting list. Please register as soon as possible to avoid disappointment. If you only come to
hear of us in January 2013 you are welcome to contact us to find out whether there is still
Target Life will have 2 campusses in Pretoria for 2013:
Centurion – All enrolments from the Centurion area, Midrand, the Rand, the Vaal Triangle and
the sports academy. A Maximum of 40 enrollments will be accepted
Brummeria (Headcampus) – Enrollments north of Magaliesberg, Limpopo and Mpumalanga.
All enrolments from Pretoria East and Central, as well as the rest of the country. A Maximum of
160 enrollments will be accepted. Montana Campus will no longer exist as from 2012, but will
now fal lunder Brummeria.
Enrolment can be submitted at any campus. You are also welcome to fax or email it to us.
Interviews will take place at the campus of your choice. Region classifications for placement at
a specific campus are merely a guideline and not a requirement, until a campus is full of
course. “First come, first serve!”
Head Leadership for 2013
Head of Target Life Abel Loedolff - 082 859 1519
Family Head 1 - Brummeria Chris van Deventer - 082 799 3012
Family Head 2 - Brummeria Chanine du Toit - 082 924 6860
Campus Head - Centurion Ernie de Meyer - 084 555 4799
Sport Academy Bierman Smit - 073 524 1136
Administration Office - 012 845 8370
There will be 1 leader for every 8 students on this course.
The costs for the year 2013 amount to R 26,000. This includes class fees, most of the camps,
a T-shirt, blazer, a buff, the borrowing of a backpack for the hike and 3 DVDs for the year.
Students must raise their own money for the Journey (R3000) and Wiklelspruit (R2500).
Target Life projects will help students to raise the money. Food for the hike (R500), snacks for
excursions, and pocket money for The Journey (R800) and Winkelspruit (R600) are not
included in the amount.
A registration fee of R4, 000 must be paid after the selection interview or before 16 November
2012 in order to ensure a student’s place. If a student enrols after 16 November the
registration fee must be paid immediately. Admission closes on 25 January 2013 or as soon as
the course is full. The registration fee is non-refundable upon cancellation. Further payments
for the year must be done before or on the 3 rd of the months February to September 2013 at R
2,750 per month.
The monthly amount of R2, 750 can be paid in one of the following ways:
1. Electronic payment with sufficient references (Student Nr.)
2. Once-off payment
3. Monthly by cheque/cash
NB! Upon payment of the registration fee a contract must be signed, in which the person
responsible for the payment commits him/herself to pay the rest of the year’s class fees in
case of a student leaving the course earlier than expected.
Communes are within walking distance from class and are neat, well-equipped and safe. The
cost for a single room is R1600 – R2000, and less for shared rooms. The student rents the
room, but buys his/her own food. Communes have rules, but students mostly do their own
thing. Contact numbers for communes:
Brummeria: Hannie 082 574 2755 (Outside commune)
Dot 082 777 3486 (Inside commune)
Centurion: Bierman 073 524 1136
Target Life policy and rules
Rules is a functional tool and should always be the minimum. Freedom of choice is for us a
value and therefore it is important that students fully commit to the Target Life concept and
value sistym. Students who participate fully will experience remarkable growth in their life. The
year presents many challenges as part of a very successful process.
All values of Target Life is bases on biblical principles, uncompromising character and
uncompromising moral standards. We understand that students are still struggling with some
bad habits, but this should not exclude you from the course, but we'll definitely challenge you
so that you can experiance the victory. An example of this is smoking. It will not prevent
selection if you smoke, but you will have to commit, with our help to stop smoking within the
first semester so that you can experience victory over this habbit. It is adviced that every
student count the cost of the commit they are about to make. We do not allow clubbing,
immorality, drunkeness, drug abbuse or any other such activities during the time of this
course, it can lead to direct suspension. Target Life develop young people with a passion to
follow God and to sort out their lives.
Friday, 25 January 2012 from 16:00 Registration and Information session
25 – 28 January “Kickstart”-camp
February (3 days) “Fusion”-Camp – Delmas
March (5 days) “Staptoer”-– Fanie Botha
April (2 days) High ropes
August (7 days) “Survivor”
September (9 days) The Journey
November (8 days) Winkelspruit – South coast
Contact Details: Banking Details:
Tel: 012 - 845 8370 ABSA
Cell: 082 859 1519 (Abel) Account name: Lewende Woord
Fax: 012 - 804 7256 Account nr: 4076806527
Branch code: 632005
Cheques addressed to: Lewende Woord
(012) 845 8370
(012) 804 7256
Datum van onderhoud:……………………….
Brummeria Centurion Montana
APPLICATION FORM 2013 Aanhangsels
Surname Full names
Name Gender M / F Date of Birth Y Y Y Y M M D D
Home Language ID Nr
Cellphone Home Tel
School of matriculation Year Matric Exemption Yes / No
Which Campus? Brummeria Centurion Commune accomodation Yes / No
You intend to... Work after hours / Practise sport / Study?
Farthers’ name & surename
Email adress ID Nr
Cellphone Home Work
Mothers’ name & surename
Email adress ID Nr
Cellphone Home Work
Person liable for payment of the course
Name & Surename
Email adress ID Nr
Cellphone Home Work
Parents Happily married/ Married/ Divorced
Father deceased / Mother deseased/ Brother or sister deseased
Relationship with Father Intimate / Good/ Bad/ very bad/ Very little contact
Relationship with Mother Intimate / Good/ Bad/ very bad/ Very little contact
Placement in the family (e.g. 2nd of three children)
Number of brothers / sisters Ages
What do they do when they are older than you? (Only applicable if they have completed metric)
Relationships No relationship / Currently in a relationship
How long have you been together? Is this your husband/wife
After school (if applicable)
Hobbies and interests
Any chronic diseases (e.g Asthma or diabetes)
Motor License No / Learner’s license / Driver's License
Why do you want to do Target Life?
How and when did you become reborn (gave your hart to the Lord)?
What do you intend to do after Target Life?
Describe your personality
What are your strengths?
What are your weaknesses
In which areas of your life do you still want to grow?
What we need from you:
A Recent and clear photo
A recent academic progress report or matric certificate;
A recommendation or testimonial with contact numbers of the reference person.
For office use:
Remarks during interview