Corrections Learnership Application Form at a glance
What it is: This is the Department of Correctional Services Corrections Learnership Application Form.
Who signs: Write your Signature and the Date.
Please complete this form in black ink and in your own handwriting. Sections A to F should be completed in full by an applicant. Incomplete forms shall not be accepted.
Please attach copies of your identity document, proof of qualifications and residential address. Applications that do not comply to the requirements contained in this form shall not be considered.
A filled-in Corrections Learnership Application Form example: a first-time applicant for a learnership
How to fill out Corrections Learnership Application Form, box by box
Learnership name, region and reference number
Enter the name of the learnership you are applying for (as advertised).
Enter the Region in which the learnership workplace training shall take place.
Enter the Reference number.
Enter the Management Area (Correctional Centre) where you are applying for learnership.
Name, Date of Birth and SA Citizen
Enter your Title, Initials, Surname and First Name(s).
Enter your Date of Birth, mark Yes or No for Are you a SA Citizen, and enter your ID Number and Age.
Gender and race
Please mark the relevant block for Gender: Male or Female, and for Race: African, White, Coloured or Asian/Indian.
Criminal offence or case
Mark Yes or No to: Do you have a previous criminal offence or pending criminal case(s)? If yes, specify.
Addresses and contact
Enter your Residential Address. Enter your Postal Address (If different from Residential address).
Enter your Province and Contact Number. Enter your E-mail Address (If applicable).
Language proficiency
Under Languages, state 'good', 'fair' or 'poor' for each language you Speak, Read and Write.
High school, grade and qualification
Enter the name of the high school attended and province.
Enter your highest grade/standard passed and attach proof.
Mark Yes or No to: Do you have a completed post school qualification? If yes, specify (attach proof).
Mark Yes or No to: Are you currently studying? If yes, specify the Qualification and the Institution.
Disability and assistance
Mark Yes or No to: Do you have a disability as contemplated by the Employment Equity Act 55 of 1998?
Specify other conditions; if any.
Mark Yes or No to: Would you require the assistance of another person (aid) while attending the theoretical and practical training for the learnership?
Tick the nature of the disability: Deaf, Blind, Hard to hear, Visually impaired, Loss of Speech, Learning disability, Paralysis/Quadriplegic/wheelchair bound or Other (Specify).
Relationship to you and Contact Number
Under E. REFERENCES, enter the Name, Relationship to you and Contact Number.
Declaration and signature
By signing, you declare that all the information provided (including any attachments) is complete and correct to the best of your knowledge, and you understand that any false information supplied could lead to your application for the learnership being disqualified.
Sources
[1] Corrections Learnership Application Form 2022/23 (Updated: 05/10/2022), Department of Correctional Services (the Official source link on this page).