Work-integrated learning/experiential learning Application

 (Applications due by 30 April 2018)

(only for students registered for ND Horticulture)

PERSONAL INFORMATION	
SURNAME:		
FIRST NAME(S):		
PHONE:  CELL:		
                HOME:		
ADDRESS:		

ID NUMBER:		
E-MAIL:		
ARE YOU A SOUTH AFRICAN CITIZEN?	YES  	NO  	
RACE:	          AFRICAN                  COLOURED                    INDIAN                  WHITE	
GENDER:	                                   MALE                                        FEMALE	
NAME OF UNIVERSITY OF TECHNOLOGY:		
DURATION OF WORK INTEGRATED LEARNING
(Attach letter from the University)		
LIST PREVIOUS WIL PLACEMENT
(if applicable)		

SELECT ONE GARDEN ONLY  
(Please refer to the advert)	                     
         Kirstenbosch NBG                                                  Karoo Desert NBG 

            Lowveld NBG

          

- 2 -
HIGHER EDUCATION	
QUALIFICATION:
(e.g. ND HORTICULTURE)		
INSTITUTION OF LEARNING:		
YEAR:	

(Indicate the year of study, e.g. second, third)
(Provide certified copies of latest academic results.   Also provide all details of results on next page.)	
SPECIAL HORTICULTURAL / CONSERVATION
INTERESTS:	

	
HAVE YOU PREVIOUSLY ATTENDED A WIL PROGRAMME WITH SANBI?	                 YES    (Please indicate garden and dates)

                   NO	
REFERENCES:	Please submit the names and telephone numbers of three of your lecturers and (if applicable) previous/current employer	

		
		
DATE:		
SIGNATURE:		

The following originals are required to complete your file for application:
•	Your letter of interest in applying for this programme
•	A short updated CV reflecting your education and experience
•	Certified copy of your ID
•	Your goals while training at the South African National Biodiversity Institute
•	Recent letter from your academic institution indicating that you still need to complete work-integrated learning, reflecting the requirements and duration of the programme.
•	Letter of reference (academic) from your supervisor.
•	Your results as per attached form.  Please, also include certified copies of your latest results.

3/….

- 3 - 
SUMMARY OF STUDIES 
 (Please also supply certified copy of results from University of Technology).
QUALIFICATION:		
INSTITUTE:		
SUBJECT	RESULT	YEAR PASSED	

			

			

			

			
			
SUBJECTS CURRENTLY STUDYING
SUBJECT	EXPECTED DATE OF COMPLETION	

		

SUMMARY OF PREVIOUS WORK-INTEGRATED LEARNING
ORGANISATION	DATES