Title: Kirstenbosch Information Desk
Author: Struys
Last saved by: Bulelani Mgodeli
Company: SANBI

Work-integrated learning/experiential learning Application

 (Applications due by 21 October 2019)

(only for students registered for Diploma 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, Cape Town                                Karoo Desert NBG ,Worcester 
                        
	Lowveld NBG, Nelspruit                                           Pretoria NBG, Pretoria
                                                        	 
             Walter Sisulu NBG, Roodepoort	KwaZulu-Natal, Pietermaritzburg
		         
             Thohoyandou NBG, Limpopo                                  Free State NBG, Bloemfontein

- 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