Candidate Application Form
(Learning Programmes)
Personal Details
Full Name
*
First Name/s
Surname
Title
Please Select
Miss
Mr
Ms
Mrs
Gender
*
Please Select
Male
Female
Other
Ethnicity
*
Please Select
African
Coloured
Indian
White
Home Language
What is your current Socioeconomic Status?
*
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Employed
Unemployed
Casual Worker
Are you living with a disability?
*
Please Select
Yes
No
What is the nature of your disability?
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
WhatsApp Number
*
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Alternative Phone
*
Please enter a valid phone number.
Next of kin Phone
*
Please enter a valid phone number.
Next of kin Name and Surname
*
Are you a South African Citizen?
*
Please Select
Yes
No
Please indicate Nationality
SA ID Number
*
No spaces; SA ID must have 13 digits
Country ID Number
Driver's License Code
*
Please Select
08
10
14
Learner's license
No driver's license
Own Transport
Please Select
Yes
No
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Schooling and Work related Information
Have you Completed Matric?
*
Please Select
Yes
No
What is the highest grade you completed?
Please Select
Grade 9
Grade 10
Grade 11
Year Completed
*
-
Month
-
Day
Year
Date
High School Name where you completed Matric
*
High School Name where you completed your highest grade
Did you take Mathematics as subject
*
Please Select
Yes
No
What is your Mathematics mark on the National Senior Certificate?
*
Did you take English as subject
*
Please Select
Yes
No
What is your English mark on the National Senior Certificate?
*
Municipality Name where your High School is located
*
Name of qualification post Matric
Do you have a smart phone?
*
Please Select
Yes
No
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Learning Programme Application
I would like to be considered for the following programme/s (you can select more than one option)
*
Internship
Work Integrated Learning
Learnership
Internal Reference
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Upload Documents
Upload CV
*
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Upload visible ID
*
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For a ID card both back and front must be submitted
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Copy of the National Senior Certificate (or SOR)
*
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Copies of qualifications obtained
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Permissions
Where did you hear about us?
*
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Facebook
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Indeed
Instagram
Referral
Other
I hereby give the company permission to do a CREDIT, CRIMINAL, QULAIFICATION and REFERENCE CHECKS
*
Please Select
Yes
No
POPIA
Our Privacy Policy explains why and how we collect, use, process and store your personal information. It also outlines your choices and your rights regarding your personal information. Personal information is required to carry out actions for the conclusion or performance of a contract between us or a service that we provide to you. If you would like to access, correct, amend, or delete any of your personal information that we have on record, please contact our Information Officerby emailing privacy@groupmeridian.co.za
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