Bursary Application Form
BURSARY APPLICATION FORM /
Document ID:
JGAFRM40.37 / Page:
1 / Version:
Ver. 0.2, 07-15
Business:
UNDERGROUND /
SURFACE / Region:
AFRICA / Site:
ALL / Form
FOR OFFICE USE ONLY / Colour ID/PassportPhoto
Discipline: ______
Category: ______
CLOSING DATE: 30 September
Please complete the application form thoroughly using BLACK INK and in BLOCK LETTERS.
Application forms to be posted or hand delivered to the following address:
BURSARY APPLICATIONS e-mail to:
P O BOX 4070
JOHANNESBURG
2000
Attention: Hlekani Macheve
INSTRUCTIONS:
§ Please read these notes carefully before completing the application form.
§ Make sure you read every section and that the information you provide is accurate.
§ Mark your choice with a cross in the appropriate block where applicable
PLEASE NOTE:
1. Incomplete forms will not be accepted
2. If Joy Global (Africa) (PTY) Ltd has not responded the 31st of January, consider your applications unsuccessful. Correspondence will be limited to shortlisted applicants only.
3. Please supply ALL information requested or give good reasons why you cannot provide it. Your application will not be considered if you do not have university exemption. External students pursuing Engineering related field of study should meet the minimum requirements for Bachelor of Science admission.
Please see online document for current version / UNCONTROLLED COPYForm:
JGAFRM40.37 / Page:
6 / Version:
Ver. 0.2, 07-15 / Form
4. The following should accompany this application form:
§ Certified proof of your results
§ Full details of your academic transcript
§ A certified copy of your personal identity document
§ Your curriculum vitae / resume
5. Any changes of address or contact details must be forwarded in writing.
6. Please note that all our Bursaries are dependent on our future manpower requirements, we are not always able to consider ALL applications. As this situation differs from year to year, we would advise you to re-apply the following year should your application be unsuccessful for this reason.
7. Joy Global (Africa) (Pty) Ltd is committed to meet its Socio-Economic Development target as specified in the DTI Codes of Good Practice, recognition based on 75% beneficiaries from previously disadvantaged groups.
Note: We wish to advise you that our selection process on acceptance and consideration of your application will be followed by an assessment and an interview.
1. BURSARY INFORMATION
In which discipline would you like to study?
EXTERNAL APPLICATIONS
o Mechanical Engineering
o Electrical Engineering
o Industrial Engineering
INTERNAL APPLICATIONS - CHILDREN OF EMPLOYEES
o Accounting / Finance o Industrial Engineering
o Human Resources o Mechanical Engineering
o Marketing o Electrical Engineering
o Supply Chain/ Logistics o Mining Engineering
o Production / Operations Management o Metrology
2. PERSONAL DETAILS
Surname:First names:
Gender: / Male / Female
Do you have a disability?
Joy Global supports initiatives for people with disabilities / If yes, specify:
ID Number: / Date of birth:
Nationality:
Race (for employment equity purposes only) / Indian / Chinese / African / White / Coloured
Postal address:
Postal code:
Your contact number:
Fax number:
Other contact telephone number:
3. PARENT/GUARDIAN DETAILS
Initials: Surname:Postal address:
E-mail address:
Telephone number:
Occupation:
Is your parent/guardian currently employed by Joy Global (Africa) (Pty) Ltd?
If yes, by which unit/department: / Period of employment:
4. EDUCATIONAL PARTICULARS
Are you presently / In Grade 11? / In Grade 12? / Have completed Grade 12?Name and Address of school:
Telephone number of school:
Period attended – From: To:
5. ACADEMIC RESULTS
Should your Grade 12 results not be available, provide symbols or percentages achieved in the most recent examination and specify which examination they represent (e.g. April 2006)
Subjects / Grade 11 year-end
symbols / HG / SG / Grade 12
Interim results / HG / SG
· Please attach Certified proof of your results/ full details of your academic transcript as proof.
· Matriculants writing exams in the current year, to submit statement of results by the 8th of January the next year.
6. PROVISIONAL REGISTRATIONS
Field of StudyName of Institution
7. ESTIMATED FEES
Tuition fees: / Residential fees:Meal fees: / Books:
TOTAL:
Have you applied with other companies for a bursary or a sponsorship?
If yes please specify:
8. DECLARATION
§ I confirm that the information supplied is accurate and truthful.
§ I hereby consent to undergo all mandatory medical or other assessments as required by Joy Global (Africa) (Pty) Ltd.
§ I understand that all the information provided in my application may be followed-up and I authorise Joy Global (Africa) (Pty) Ltd to contact any relevant person or institution for relevant references.
§ I authorise any school / university / employer to provide Joy Global (Africa) (Pty) Ltd with relevant information that may be useful in making a decision.
§ I hereby indemnify Joy Global (Africa) (Pty) Ltd or any of its companies or staff against any claim for illness or accidental injury sustained by me during a visit to their operations, should I be invited to their premises.
______
Signature of Applicant Date
______
Signature of Guardian/parent Date
______
Witness Date
IF YOU DO NOT HEAR FROM US BY THE 31 JANUARY CONSIDER
YOUR APPLICATION UNSUCCESSFUL.