{"id":5323,"date":"2023-09-21T10:43:55","date_gmt":"2023-09-21T10:43:55","guid":{"rendered":"http:\/\/www.dyslexia.org.bw\/\/?page_id=5323"},"modified":"2026-11-03T06:07:52","modified_gmt":"2026-11-03T06:07:52","slug":"main-application-form-student-details","status":"publish","type":"page","link":"https:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/","title":{"rendered":"Main Application form &#8211; Student Details"},"content":{"rendered":"<div class=\"brz-root__container brz-reset-all brz brz-root__container-page\">\n<section id=\"_kwaqzidaekhjjierfiddaolfoggfweddwxwr\" class=\"brz-section brz-css-12ag06j brz-css-xsy11w\">\n<div class=\"brz-section__content brz-section--boxed brz-css-1r35bxm brz-css-15d60x8\" data-brz-custom-id=\"sosicqzycutbehvbagymxezyvnedqrvzeifg\">\n<div class=\"brz-container brz-css-s73kcx brz-css-eyhwv5\">\n<div id=\"\" class=\"brz-css-grzp6e brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-317whl\" data-brz-custom-id=\"qsaycdswvqiameqofrbivpxzzwmmtymyztou\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-lh-lg-1_5 brz-ls-lg-m_0_5 brz-fw-lg-700 brz-fss-lg-px brz-fs-lg-30 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-text-xs-center brz-text-lg-center brz-tp-sm-empty brz-fs-sm-25 brz-fss-sm-px brz-fw-sm-700 brz-ls-sm-m_0_5 brz-lh-sm-1_4 brz-fss-xs-px brz-fw-xs-700 brz-ls-xs-0 brz-lh-xs-1_4 brz-tp-xs-empty brz-fs-xs-20 brz-css-lU0Wy\" data-generated-css=\"brz-css-tkror\" data-uniq-id=\"ebsfi\"><span class=\"brz-cp-color2\" style=\"opacity: 1\">Main Application Form<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-grzp6e brz-css-hpjmgs brz-css-1d62z96 brz-wrapper\">\n<div class=\"brz-spacer brz-css-1adezr3\"><\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-1lml23j\" data-brz-custom-id=\"mgqlxxvqgpkmqtcratuwvijjpojyojunujhe\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-row brz-css-1hucc41 brz-css-1e6gy85\">\n<div class=\"brz-columns brz-css-1o02jtm brz-css-12ru21m\" data-brz-custom-id=\"ontarsjymvkwzecwdunfopazralrzdjpvywq\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-column__items brz-css-1jmhq3a brz-css-ad29zd\">\n<div class=\"brz-wrapper-clone brz-css-qjk5s8\">\n<div class=\"brz-d-xs-flex brz-flex-xs-wrap brz-css-i1kqx4\" data-brz-custom-id=\"\">\n<div class=\"brz-wrapper-clone__item\" id=\"wrbsmrwgpgsxmdejgqwehjsgxnzyaimdghyy\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"wrbsmrwgpgsxmdejgqwehjsgxnzyaimdghyy\"><span class=\"brz-icon brz-span brz-css-vhjmae brz-css-ma0cmg\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-grzp6e brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-317whl\" data-brz-custom-id=\"kpikaqimxyxawmtpkurdbggjpmnhkvqvaxrv\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-lh-xs-1_4 brz-ls-xs-0 brz-fw-xs-700 brz-fss-xs-px brz-fs-sm-18 brz-tp-sm-empty brz-lh-sm-1_4 brz-ls-sm-m_0_5 brz-fw-sm-700 brz-fss-sm-px brz-tp-lg-heading4 brz-text-xs-center brz-text-lg-center brz-tp-xs-empty brz-fs-xs-18 brz-css-zuIK1\" data-generated-css=\"brz-css-paejr\" data-uniq-id=\"ddmmg\"><span class=\"brz-cp-color6\" style=\"opacity: 1\">Student&#8217;s Details<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-grzp6e brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-317whl\" data-brz-custom-id=\"iufcknihugiydcntyirevdbtygkncxdhhndj\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-text-lg-center brz-lh-lg-1_5 brz-ls-lg-m_0_5 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-14 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-text-xs-center ql-align-center brz-tp-sm-empty brz-fs-sm-13 brz-fss-sm-px brz-fw-sm-400 brz-ls-sm-m_0_5 brz-lh-sm-1_4 brz-ls-xs-0 brz-lh-xs-1_4 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-css-wb7MI\" data-uniq-id=\"ghdqk\" data-generated-css=\"brz-css-xvhqw\"><span class=\"brz-cp-color6\" style=\"opacity: 1\">The completed form should be<\/span><\/p>\n<p class=\"brz-text-lg-center brz-lh-lg-1_5 brz-ls-lg-m_0_5 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-14 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-text-xs-center ql-align-center brz-tp-sm-empty brz-fs-sm-13 brz-fss-sm-px brz-fw-sm-400 brz-ls-sm-m_0_5 brz-lh-sm-1_4 brz-ls-xs-0 brz-lh-xs-1_4 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-css-yVwbr\" data-uniq-id=\"lwqyg\" data-generated-css=\"brz-css-tocti\"><span class=\"brz-cp-color6\" style=\"opacity: 1\">submitted along with a <\/span><strong class=\"brz-cp-color6\" style=\"opacity: 1\">copy of your student\u2019s<\/strong><\/p>\n<p class=\"brz-text-lg-center brz-lh-lg-1_5 brz-ls-lg-m_0_5 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-14 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-text-xs-center ql-align-center brz-tp-sm-empty brz-fs-sm-13 brz-fss-sm-px brz-fw-sm-400 brz-ls-sm-m_0_5 brz-lh-sm-1_4 brz-ls-xs-0 brz-lh-xs-1_4 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-css-nu77a\" data-uniq-id=\"rknwg\" data-generated-css=\"brz-css-xsfqu\"><strong class=\"brz-cp-color6\" style=\"opacity: 1\">B\/C, <\/strong><span class=\"brz-cp-color6\" style=\"opacity: 1\">and <\/span><strong class=\"brz-cp-color6\" style=\"opacity: 1\">reports given by a<\/strong><\/p>\n<p class=\"brz-text-lg-center brz-lh-lg-1_5 brz-ls-lg-m_0_5 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-14 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-text-xs-center ql-align-center brz-tp-sm-empty brz-fs-sm-13 brz-fss-sm-px brz-fw-sm-400 brz-ls-sm-m_0_5 brz-lh-sm-1_4 brz-ls-xs-0 brz-lh-xs-1_4 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-css-kYbug\" data-uniq-id=\"ybjju\" data-generated-css=\"brz-css-azolp\"><strong class=\"brz-cp-color6\" style=\"opacity: 1\">psychologist, occupational therapist or speech and language therapist (if any)<\/strong><span class=\"brz-cp-color6\" style=\"opacity: 1\">,<\/span><\/p>\n<p class=\"brz-text-lg-center brz-lh-lg-1_5 brz-ls-lg-m_0_5 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-14 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-text-xs-center ql-align-center brz-tp-sm-empty brz-fs-sm-13 brz-fss-sm-px brz-fw-sm-400 brz-ls-sm-m_0_5 brz-lh-sm-1_4 brz-ls-xs-0 brz-lh-xs-1_4 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-css-tJZur\" data-uniq-id=\"xukrh\" data-generated-css=\"brz-css-beexl\"><span class=\"brz-cp-color6\" style=\"opacity: 1\">to:<\/span><\/p>\n<p class=\"brz-text-lg-center brz-lh-lg-1_5 brz-ls-lg-m_0_5 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-14 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-text-xs-center brz-tp-sm-empty brz-fs-sm-13 brz-fss-sm-px brz-fw-sm-400 brz-ls-sm-m_0_5 brz-lh-sm-1_4 brz-ls-xs-0 brz-lh-xs-1_4 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-css-sZcVw\" data-uniq-id=\"rvmdq\" data-generated-css=\"brz-css-ecctw\"><span class=\"brz-cp-color6\" style=\"opacity: 1\">Dyslexia and social support services Botswana<\/span><\/p>\n<p class=\"brz-text-lg-center brz-lh-lg-1_5 brz-ls-lg-m_0_5 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-14 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-text-xs-center brz-tp-sm-empty brz-fs-sm-13 brz-fss-sm-px brz-fw-sm-400 brz-ls-sm-m_0_5 brz-lh-sm-1_4 brz-ls-xs-0 brz-lh-xs-1_4 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-css-ufZla\" data-uniq-id=\"hpwnk\" data-generated-css=\"brz-css-wbvja\"><span class=\"brz-cp-color6\" style=\"opacity: 1\">(DSSSB)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-grzp6e brz-wrapper\">\n<div class=\"brz-wp-shortcode brz-css-74yuou brz-css-8gdd0a\" data-brz-custom-id=\"yfhcoobctwmxacdkutrzvfqwodylqbqrmrhd\">\n<div><div class='fluentform ff-default fluentform_wrapper_6 ffs_default_wrap'><form data-form_id=\"6\" id=\"fluentform_6\" class=\"frm-fluent-form fluent_form_6 ff-el-form-top ff_form_instance_6_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_6_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Main Application form - Student Details<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='5323' \/><input type=\"hidden\" id=\"_fluentform_6_fluentformnonce\" name=\"_fluentform_6_fluentformnonce\" value=\"56c25c7a94\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/\/wp-json\/wp\/v2\/pages\/5323\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_names_first_name_' id='label_ff_6_names_first_name_'>Surname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_6_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Surname\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_names_last_name_' id='label_ff_6_names_last_name_'>Given Name(s)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_6_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Given Name(s)\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_5' id='label_ff_6_input_text_5'>Date of Birth<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" placeholder=\"DD\/MM\/YY\" data-name=\"input_text_5\" id=\"ff_6_input_text_5\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_6' id='label_ff_6_input_text_6'>Age<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" placeholder=\"Age\" data-name=\"input_text_6\" id=\"ff_6_input_text_6\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_1' id='label_ff_6_input_text_1'>B\/C No.<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"B\/C No.\" data-name=\"input_text_1\" id=\"ff_6_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text' id='label_ff_6_input_text'>Religion<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Religion\" data-name=\"input_text\" id=\"ff_6_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_7' id='label_ff_6_input_text_7'>Nationality<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_7\" class=\"ff-el-form-control\" placeholder=\"Nationality\" data-name=\"input_text_7\" id=\"ff_6_input_text_7\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown' id='label_ff_6_dropdown'>Gender<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_6_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_6_dropdown\"><option value=\"\">- Select -<\/option><option value=\"Male\"  >Male<\/option><option value=\"Female\"  >Female<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_3' id='label_ff_6_dropdown_3'>Ethnicity<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_6_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_6_dropdown_3\"><option value=\"\">- Select -<\/option><option value=\"Chinese\"  >Chinese<\/option><option value=\"Malay\"  >Malay<\/option><option value=\"Indian\"  >Indian<\/option><option value=\"Caucasian\"  >Caucasian<\/option><option value=\"Others\"  >Others<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_9' id='label_ff_6_input_text_9'>If Others, then specify<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_9\" class=\"ff-el-form-control\" placeholder=\"Others (Please specify)\" data-name=\"input_text_9\" id=\"ff_6_input_text_9\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_3' id='label_ff_6_input_text_3'>Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" placeholder=\"Address\" data-name=\"input_text_3\" id=\"ff_6_input_text_3\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_input_text_10' id='label_ff_6_input_text_10'>School \/ Employment<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_10\" class=\"ff-el-form-control\" placeholder=\"School \/ Employment\" data-name=\"input_text_10\" id=\"ff_6_input_text_10\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_11' id='label_ff_6_input_text_11'>Level<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_11\" class=\"ff-el-form-control\" placeholder=\"Level\" data-name=\"input_text_11\" id=\"ff_6_input_text_11\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_1' id='label_ff_6_dropdown_1'>Session<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_6_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_6_dropdown_1\"><option value=\"\">- Select -<\/option><option value=\"am\"  >am<\/option><option value=\"pm\"  >pm<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_2' id='label_ff_6_dropdown_2'>Secondary<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_6_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_6_dropdown_2\"><option value=\"\">- Select -<\/option><option value=\"Express\"  >Express<\/option><option value=\"Normal (Academic) \"  >Normal (Academic)<\/option><option value=\"Normal (Technical)\"  >Normal (Technical)<\/option><\/select><\/div><\/div><div class='ff-form-inline-style' hidden><style>form.fluent_form_6 .wpf_has_custom_css.ff-btn-submit { background-color:rgba(242, 153, 75, 1);border-color:rgba(242, 153, 75, 1);color:#ffffff;border-radius:-51px; }form.fluent_form_6 .wpf_has_custom_css.ff-btn-submit:hover { background-color:#ffffff;border-color:#1a7efb;color:#1a7efb; } <\/style><\/div><div class='ff-el-group ff-text-center ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-lg ff_btn_style wpf_has_custom_css\"  aria-label=\"Continue\">Continue<\/button><\/div><\/fieldset><\/form><div id='fluentform_6_errors' class='ff-errors-in-stack ff_form_instance_6_1 ff-form-loading_errors ff_form_instance_6_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_6_1 = {\"id\":\"6\",\"ajaxUrl\":\"https:\\\/\\\/www.dyslexia.org.bw\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_6_1\",\"form_id_selector\":\"fluentform_6\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text_5\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text_6\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text_7\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_3\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text_9\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text_3\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text_10\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"input_text_11\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_2\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}}},\"debounce_time\":300,\"file_upload_settings\":[]};\n                            <\/script>\n            <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<p>    <!-- version:1737317320 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Main Application Form Student&#8217;s Details The completed form should be submitted along with a copy of your student\u2019s B\/C, and reports given by a psychologist, occupational therapist or speech and language therapist (if any), to: Dyslexia and social support services Botswana (DSSSB)<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"brizy-blank-template.php","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-5323","page","type-page","status-publish","hentry","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Main Application form &#8211; Student Details - Dyslexia Support Botswana<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Main Application form &#8211; Student Details - Dyslexia Support Botswana\" \/>\n<meta property=\"og:description\" content=\"Main Application Form Student&#8217;s Details The completed form should be submitted along with a copy of your student\u2019s B\/C, and reports given by a psychologist, occupational therapist or speech and language therapist (if any), to: Dyslexia and social support services Botswana (DSSSB)\" \/>\n<meta property=\"og:url\" content=\"http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/\" \/>\n<meta property=\"og:site_name\" content=\"Dyslexia Support Botswana\" \/>\n<meta property=\"article:modified_time\" content=\"2026-11-03T06:07:52+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/www.dyslexia.org.bw\\\/\\\/main-application-form-student-details\\\/\",\"url\":\"http:\\\/\\\/www.dyslexia.org.bw\\\/\\\/main-application-form-student-details\\\/\",\"name\":\"Main Application form &#8211; Student Details - Dyslexia Support Botswana\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.dyslexia.org.bw\\\/#website\"},\"datePublished\":\"2023-09-21T10:43:55+00:00\",\"dateModified\":\"2026-11-03T06:07:52+00:00\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/www.dyslexia.org.bw\\\/\\\/main-application-form-student-details\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/www.dyslexia.org.bw\\\/\\\/main-application-form-student-details\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/www.dyslexia.org.bw\\\/\\\/main-application-form-student-details\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.dyslexia.org.bw\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Main Application form &#8211; Student Details\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.dyslexia.org.bw\\\/#website\",\"url\":\"https:\\\/\\\/www.dyslexia.org.bw\\\/\",\"name\":\"Dyslexia Support Botswana\",\"description\":\"Dyslexia Support Botswana\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.dyslexia.org.bw\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Main Application form &#8211; Student Details - Dyslexia Support Botswana","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/","og_locale":"en_US","og_type":"article","og_title":"Main Application form &#8211; Student Details - Dyslexia Support Botswana","og_description":"Main Application Form Student&#8217;s Details The completed form should be submitted along with a copy of your student\u2019s B\/C, and reports given by a psychologist, occupational therapist or speech and language therapist (if any), to: Dyslexia and social support services Botswana (DSSSB)","og_url":"http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/","og_site_name":"Dyslexia Support Botswana","article_modified_time":"2026-11-03T06:07:52+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/","url":"http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/","name":"Main Application form &#8211; Student Details - Dyslexia Support Botswana","isPartOf":{"@id":"https:\/\/www.dyslexia.org.bw\/#website"},"datePublished":"2023-09-21T10:43:55+00:00","dateModified":"2026-11-03T06:07:52+00:00","breadcrumb":{"@id":"http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/www.dyslexia.org.bw\/\/main-application-form-student-details\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.dyslexia.org.bw\/"},{"@type":"ListItem","position":2,"name":"Main Application form &#8211; Student Details"}]},{"@type":"WebSite","@id":"https:\/\/www.dyslexia.org.bw\/#website","url":"https:\/\/www.dyslexia.org.bw\/","name":"Dyslexia Support Botswana","description":"Dyslexia Support Botswana","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.dyslexia.org.bw\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"brizy_media":[{"id":57,"url":"https:\/\/www.dyslexia.org.bw\/wp-content\/uploads\/2023\/06\/IMG_20211130_160809.jpg","name":"IMG_20211130_160809.jpg","meta":{"brizy_attachment_uid":"wp-90fbb15edce12e78a7c22d2246816e03.jpg","brizy_post_uid":["d5264af5e3451fd88643a1169635c92a","fd1837934f7c3dcb1121a07d91d59fe0","5b5ceff9f8f45522d0d997fffb0b456e"]}},{"id":265,"url":"https:\/\/www.dyslexia.org.bw\/wp-content\/uploads\/2023\/06\/20220413_163117-Copy-1.jpg","name":"20220413_163117-Copy-1.jpg","meta":{"brizy_attachment_uid":"wp-2b256644f4465c548789612551483319.jpg","brizy_post_uid":["894c938c16791eee8f1185f087c4a9d8","d5264af5e3451fd88643a1169635c92a","fd1837934f7c3dcb1121a07d91d59fe0","5b5ceff9f8f45522d0d997fffb0b456e"]}},{"id":1648,"url":"https:\/\/www.dyslexia.org.bw\/wp-content\/uploads\/2023\/07\/debonirs.jpg","name":"debonirs.jpg","meta":{"brizy_attachment_uid":"wp-fa08462267e6ade5eba24e28b9ba241f.jpg","brizy_post_uid":["fd1837934f7c3dcb1121a07d91d59fe0","5b5ceff9f8f45522d0d997fffb0b456e"]}},{"id":2139,"url":"https:\/\/www.dyslexia.org.bw\/wp-content\/uploads\/2023\/07\/b074e209-1764-45cb-b133-ac427bd1d333.jpg","name":"b074e209-1764-45cb-b133-ac427bd1d333.jpg","meta":{"brizy_attachment_uid":"wp-9ae6d01f27876c50b11be7251706af20.jpg","brizy_post_uid":["d5264af5e3451fd88643a1169635c92a","fd1837934f7c3dcb1121a07d91d59fe0","5b5ceff9f8f45522d0d997fffb0b456e"]}},{"id":2200,"url":"https:\/\/www.dyslexia.org.bw\/wp-content\/uploads\/2023\/07\/4300fbcf-d932-4994-9121-25c5bd558989.jpg","name":"4300fbcf-d932-4994-9121-25c5bd558989.jpg","meta":{"brizy_attachment_uid":"wp-fc61a5ad8bde6b0168097de5e279f79d.jpg","brizy_post_uid":["d5264af5e3451fd88643a1169635c92a","5b5ceff9f8f45522d0d997fffb0b456e"]}},{"id":3196,"url":"https:\/\/www.dyslexia.org.bw\/wp-content\/uploads\/2023\/08\/b074e209-1764-45cb-b133-ac427bd1d333.jpg","name":"b074e209-1764-45cb-b133-ac427bd1d333.jpg","meta":{"brizy_attachment_uid":"wp-6ef5a36b6c5c88c2076cc034d63dfa65.jpg","brizy_post_uid":["5b5ceff9f8f45522d0d997fffb0b456e"]}},{"id":4549,"url":"https:\/\/www.dyslexia.org.bw\/wp-content\/uploads\/2023\/08\/FNB.png","name":"FNB.png","meta":{"brizy_attachment_uid":"wp-2c5fe02c8acb6969a99f0b5c893bf450.png","brizy_post_uid":["5b5ceff9f8f45522d0d997fffb0b456e"]}},{"id":4581,"url":"https:\/\/www.dyslexia.org.bw\/wp-content\/uploads\/2023\/08\/FNB-LOGO.png","name":"FNB-LOGO.png","meta":{"brizy_attachment_uid":"wp-9cff65804a41ac1684e4292213f6a0b5.png","brizy_post_uid":["5b5ceff9f8f45522d0d997fffb0b456e"]}}],"_links":{"self":[{"href":"https:\/\/www.dyslexia.org.bw\/\/wp-json\/wp\/v2\/pages\/5323","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dyslexia.org.bw\/\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dyslexia.org.bw\/\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dyslexia.org.bw\/\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dyslexia.org.bw\/\/wp-json\/wp\/v2\/comments?post=5323"}],"version-history":[{"count":18,"href":"https:\/\/www.dyslexia.org.bw\/\/wp-json\/wp\/v2\/pages\/5323\/revisions"}],"predecessor-version":[{"id":6231,"href":"https:\/\/www.dyslexia.org.bw\/\/wp-json\/wp\/v2\/pages\/5323\/revisions\/6231"}],"wp:attachment":[{"href":"https:\/\/www.dyslexia.org.bw\/\/wp-json\/wp\/v2\/media?parent=5323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}