Apply for the Sirzone Academic Acceleration Program

Complete the application below to help us understand the learner's goals, academic needs, and the best mentorship plan to support their progress.

This program is designed for learners who are ready to improve through consistency, accountability, and expert guidance.

Structured weekly mentorship sessions
Personalised guidance and accountability
Task-based learning with direct feedback
Ongoing WhatsApp support between sessions

Step 1 of 5

Tell Us About the Learner

Share the key details of the learner and parent or guardian so we can begin the application.

Learner Information

Learner Full Name * Please enter the learner's full name.

Date of Birth * Please enter the date of birth.

School Name * Please enter the school name.

Grade * Please select the learner's grade.

Parent / Guardian Information

Parent / Guardian Name * Please enter the parent/guardian name.

Contact Number * Please enter a contact number.

Email Address * Please enter a valid email address.

Step 2 of 5

Current Academic Profile

Help us understand the learner's current academic standing, goals, and areas that need support.

Current Maths Mark (%) * Please enter a mark between 0 and 100.

Current Physical Sciences Mark (%)

Subjects Needed *

Mathematics

Physical Sciences

Both

Key Challenges or Weak Areas * Please describe where the learner needs help.

Academic Goals

Step 3 of 5

Mentorship Commitment

Sirzone is built on structure, consistency, and accountability. Please confirm that both learner and parent understand the commitments required for this program.

"I understand that success in this program requires consistency, effort, accountability, and participation."
Please confirm each commitment below:

I understand that regular attendance is required.

I understand that tasks must be completed and submitted on time.

I understand that learner progress depends on effort, participation, and consistency.

I understand that parents/guardians may be contacted regarding learner progress where relevant.

I understand that payments are due upfront and are non-refundable.

Please confirm all commitments to continue.

Confirmation Signatures

Learner Full Name (as confirmation)

Parent / Guardian Name (as confirmation)

Step 4 of 5

Choose Your Plan

Select the mentorship plan that best matches the learner's academic needs and preferred starting point.

Foundation Plan

R1,200/mo

Best for: Steady support in one subject · Maths or Physical Sciences

1 weekly 1-hour session
Task submission and feedback
WhatsApp support (business hours)
Monthly progress report

Acceleration Plan

Review Your Application

Please review all learner, parent, plan, and payment details before submitting your application.

Learner Information

Academic Information

Selected Plan

I confirm that all information provided is accurate and I understand the commitment required to participate in the Sirzone Academic Acceleration Program.

Please confirm the accuracy of your information.

Application Received

Thank you for applying to the Sirzone Academic Acceleration Program. We will review your application and contact you shortly regarding placement, onboarding, and payment.

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