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FOUNDATION PROGRAMME (1 year)……………………..

APPRENTICESHIP PROGRAMME (3 years)………………

SECTION A: PERSONAL INFORMATION

FIRST NAME

SURNAME

DATE OF BIRTH

IDENTITY DOCUMENT No.

AGE:

SEX: M F

ADDRESS:

POSTAL CODE:

PROVINCE

HOME PHONE:

CELL PHONE:

EMAIL:

(

)

ETHNIC GROUP (MARK ONE)

 AFRICAN

 COLOURED

 INDIAN

 WHITE

CITIZENSHIP

 SOUTH AFRICA

 OTHER (SPECIFY)

MOTHER TONGUE

MARITAL STATUS (MARK ONE)

 SINGLE

 MARRIED  SEPERATED  WIDOWED

 DIVORCED

DO YOU HAVE A CAR

 NO

 YES (If yes attach driver’s license)

PARENT/GUARDIAN DETAILS

CONTACT DETAILS

PHYSICAL ADDRESS (Not a Postal Box number)

Name:

Tel & Cell No.:

Email:

RELATIVE CONTACTS (NOT LIVING WITH YOU)

RELATIONSHIP:

PHYSICAL ADDRESS (Not a Postal Box number)

Name:

Tel & Cell No.:

Email:

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SECTION B: EDUCATION

WHAT IS YOUR HIGHEST SCHOOL QUALIFICATION PASSED?

6

7

8

9

10 - STANDARD

WHAT IS YOUR HIGHEST SCHOOL QUALIFICATION PASSED?

8

9

11

12 – GRADE

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WHAT IS YOUR HIGHEST NATED QUALIFICATION PASSED?

N1

N2

N3

N4

N5 N6 - NATED QUALIFICATION

WHAT IS YOUR HIGHEST NCV QUALIFICATION PASSED?

NCV2

NCV3

NCV4 - NCV QUALIFICATION

NAME OF SCHOOL/ INSTITUTION ATTENDED RELATED TO YOUR HIGHEST QUALIFICATION : (Please attach copy of the latest statement of results)

POST SCHOOL EDUCATION

NAME OF INSTITUTION

LOCATION

FROM

TO

STUDIES

MAJOR SUBJECTS

COMPLETED

OTHER PROFESSION CERTIFICATE

TITLE

SECTION C: HEALTH

ARE YOU TAKING ANY MEDICATIONS?

YES

NO

DO YOU HAVE ANY HEALTH PROBLEMS OR DISABILITY THAT WOULD AFFECT YOU WORKING ON CERTAIN JOBS?

YES

NO

If yes, please supply full details: _________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

HAVE YOU EVER BEEN DIAGNOSED FOR A LEARNING DISABILITY?

YES

NO

If yes, please supply details: ____________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

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SECTION E: STUDENT INTEREST FORM

This section consists of two (2) parts. Complete ALL sections.

PART 1: How will you successfully plan – COMPULSORY

PART 2: Letter of interest – COMPULSORY

(a)Student OR

(b)Incumbent

PART 1

1. HOW WILL YOU SUCCESSFULY PLAN FOR THE FOLLOWING:

1.1.Balancing study time into your daily activities

______________________________________________________________________________________________

______________________________________________________________________________________________

1.2.Commitment to be on time and attend all training sessions

______________________________________________________________________________________________

______________________________________________________________________________________________

1.3.Commitment to complete this training

______________________________________________________________________________________________

______________________________________________________________________________________________

1.4.Transportation to the training centre

______________________________________________________________________________________________

______________________________________________________________________________________________

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PART 2

2.USE THE FOLLOWING QUESTIONS TO COMPLETE YOUR LETTER OF INTEREST FOR THE TDM POWERED APPRENTICESHIP PROGRAMME.

∙Why are you interested in the programme?

∙What related skills and experience do you bring to the field?

∙What do you feel makes you stand out from other individuals?

∙What drives your passion to pursue this programme?

∙Attempt to persuade us why you are an excellent candidate for this training opportunity.

_________________________________________________________________________________________________________

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SECTION F - 1: REFERRAL FORM

Student Applications

This form must be submitted by all applicants who are NOT currently employed and must be

completed by an authorised person

Applicant you are referring:

Referral’s Name:

Organisation/Institution:

Relationship to Applicant:

Phone:Email:

1.Indicate how long and how well you know the applicant:

2.Comment on your knowledge of the applicant’s ability to arrange for:

a.Reliability/ time commitment for this training (attendance, meeting, deadlines):

b.Ability of applicant to make plans and review them:

3.Please comment on skills/abilities which are strength of the applicant: a. Highly motivated:

b. Quick learner:

c. Mathematical skills: d. Leadership skills: e. Other:

4.How well does the applicant speak, read and write English? (1 = Poor, 2 = Fair, 3 = Good)

ENGLISH 1	2	3	SCHOOL/ORGANISATION OFFICIAL STAMP
			AND SIGNATURE
Speak
Read
Write
5. Other factors to be considered in selecting this applicant:

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SECTION F - 2: REFERRAL FORM

Incumbent Applications

This form must be submitted by all applicants who currently employed and must be completed by an

authorised person

Applicant you are referring:

Supervisor / Manager Name and Title:

Company:

Phone:Email:

1.Applicant’s current title:

Service at current employer (Years)

2.Indicate how long and how well you know the applicant:

3.Comment on your knowledge of the applicant’s history / ability to arrange for:

a.Time commitment for this training:

b.Reliability (attendance, meeting deadlines):

c.Transportation:

d.Child/Family Care:

4.Please comment on interests / abilities which are strengths of the applicant: a. Strong work history:

b. Highly motivated: c. Quick learner:

d. Technical related skills / abilities:

5.How well does the applicant speak, read and write English? (1 = Poor, 2 = Fair, 3 = Good)

ENGLISH 1 2 3

Speak

Read

Write

6.Reasons for selecting this applicant to participate in the programme:

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