Make your application today.

Contact a social worker if you have more questions, or scroll down to access the application forms.

An application fee

of ZAR 250.00 is payable before an application is considered.

Pay by EFT to:
Highlands House Current | Absa
Branch Code: 632 005
Account Number: 40 5368 6861
Swift Code: absazajj
Reference: App[Surname]

Proof of Payment to: socialwork@highlandshouse.co.za

Apply now.

Our applications can be completed and/ or downloaded by clicking on the below links. All forms can be completed digitally.

All forms are required completed in full to lodge application.

*Please note Declarations & Consent needs to be printed and commissioned by a Commissioner of Oaths. It can then be scanned and returned.

Application - Personal Details

Application - Medical Report (give this to your GP)

Application - MOCA (also medical)

Application - Applicant Financial Assessment

Application - Family Financial Assessment

Application - Declarations and Consent* (Print this 1!)

Application - Advanced Directive

Application - Service Level Agreement

Application - Accommodation Guidelines (just FYI)

Download Application Forms

Press the button below to download all digitally fillable application forms in .pdf format.

We can’t wait to meet you.

Upon receipt of your application forms, you will be contacted by a Social Worker who will coordinate your application and schedule a home visit with you.

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We look forward to seeing you at 234 Upper Buitenkant Street.

You can otherwise find us online with any of the handy buttons below

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