Heritage Panel Application Form

Heritage Panel Application Form

HERITAGE PANEL – APPLICATION FORM

  1. PERSONAL DETAILS

Title / First Name/s
Surname
Tel (home): / Date of birth
Tel (work):
Cell
e-mail
Address (physical)
Address (postal)
Name of employer
Designation
Please attach a copy of your ID
  1. ACADEMIC INFORMATION

Highest qualification obtained / Year
Institution Obtained from / Country
Majors or subject of research
Publications (book/s or articles in the last three years)
Opinion pieces published or columns written (last 3 years)
Please attach copy of qualification stated above.
Copies of your publications, articles and opinion pieces stated abovewill be preferred. Alternatively indicate on a separate page where your published work could be sourced or validated.
  1. SPECIALISATION

Area of expertise
  1. PROFESSIONAL KNOWLEDGE

Please choose areas in which you possess knowledge as an active practitioner or interested professional(you may tick more than one)
GENERAL / Traditions / Museums / Literature / Heritage Sites & memorials / Languages
Liberation history / Heritage names & totems (geographical/persons) / Indigenous knowledge Systems / Archives & Libraries / Symbols (national & other)
Arts heritage and history / Film / Performing Arts / Visual Arts / Music / Craft / Rock art
Sports heritage and history / Soccer / Rugby / Boxing / Other: specify
SCIENCE / Anthropology / Archaeology / Egyptology / Ethnography / Agriculture
Environmental management / Nature & conservation / Political Science
INDIGENOUS CULTURE / Food / Dance / Games / Ceremonies / Rituals
Spirituality / Rites of passage / Traditional wear / Traditional Healing
OTHER AREAS (History & Heritage) / Wars and battles / Architecture & Building / Arms & military / Money & Banking
ADDITIONAL / Please provide any other area that is not covered above and describe it. / Area / Description
  1. DECLARATION

I (name and surname) hereby confirm that the information above is true and correct. I give the National Heritage Council (NHC) permission to use the information in its business operations. The NHC may share/may not share my information with its stakeholders and agencies for the purposes of organisational operations and priorities. I also confirm that should my application be successful my appointment would be subject to the terms and conditions determined by the NHC which would be applicable to all selected members of the NHC Heritage Panel.

Signed:……………………………………………….…………………….………Date:……………………………………….

OFFICIAL USE

Received date / Received by / Completion status
Selection Status / Approval / Candidate correspondence notes
HERITAGE PANEL APPLICATION FORM 2016 | National Heritage Council of South Africa © / 1