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WIL Application Form

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uyazi409
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25 views3 pages

WIL Application Form

Uploaded by

uyazi409
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

LOVEDALE WIL APPLICATION

PERSONAL INFORMATION

FULL NAMES: __________________________________________________________

ADDRESS: _____________________________________________________________
Street Address

_____________________________________________________________
Closest Town or City Province

E-MAIL: __________________________________ CELL No: ____________________

NATIONAL IDENTIFICATION NUMBER:_______________________________________

QUALIFICATION (COURSE): _________________

YEAR AND MONTH COMPLETED: __________

POSITION APPLIED FOR: _________________________________________________


DO YOU HAVE A WORKPLACE WILLING TO HOST YOU?

IF YES, SPECIFY AND PROVIDE CONTACT________________________________

EMPLOYMENT ELIGIBILITY

HAVE YOU COMPLETED ALL YOUR SUBJECTS? ☐ YES ☐ NO

HAVE YOU EVER BEEN PLACED? ☐ YES ☐ NO


If yes, Why are you applying for this: _______________________________

HAVE YOU EVER BEEN CONVICTED OF A FELONY? ☐ YES ☐ NO

IF YES, PLEASE EXPLAIN: ____________________________________________________

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EDUCATION

PRIMARY SCHOOL: _____________________ PROVINCE _____________________

FROM: _____________________ TO: _____________________

NAME OF HIGH SCHOOL OR NCV: _____________________________________

PROVINCE: _______________________________________________________

FROM: _____________________ TO: _____________________

BACKGROUND CHECK CONSENT

IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? ☐ YES ☐ NO

DISCLAIMER

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this
application leads to my placement, I understand that any false or misleading information in my
application or interview may result in my placement being terminated. I also understand that if
given the opportunity to sign a SETA contract, the project only start/end when the SETA
and the college say so, no deduction (in form of UIF) will be made and I am ready to take
every pre-caution as recommended by the National Department of Health and DHET in
the prevention of Covid19.
In-line with the POPI Act, I hereby give permission to Lovedale WIL office to share my
personal information with prospective: Host Employers, Funders and College partners.

SIGNATURE _________________________________ DATE _____________________

PRINT NAME _________________________________

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Send your Completed form along with:
1. Letter of confirmation of completed qualification (issued by your campus)
2. Certified copy of ID
3. CV
4. Certified copy of Matric or NCV Level 4 certificate,
5. Certified copy of N4 to N6 Certificate or a signed completed academic record,
6. Confirmation Letter from host employer (if applicable),
7. Letter of rejected diploma application (for learners that were placed before)

Page 3 of 3

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