Opportunity Seeker Enrolment Form

OPPORTUNITY SEEKER ENROLMENT FORM

1. First Names: *
2. Surname: *
3. Date of Birth: *
4. Nationality: *
5. Province: *
6. Municipality: *
7. Identity number: *
8. Highest qualification: *
9. Residential Address: *
10. Cell Number: *
11. Email: *
12. Please mark your current employment status with an "X": *

Employed

Unemployed
13. Race and Gender: *

African

Other

Female

Male
14. Preferred type of training: (tick preferred below) *

Agriculture

Welding

Panelbeating

Diesel Mechanic

Auto Electrician

Electrical

Engineering

Other (Specify)

Business skills

15. Work experience (For Recognition of prior learning purposes. Tick the experience you have and number of years): *

Industry	Agriculture	Welding	Panelbeating	Diesel Mechanic	Auto Electrician	Electrical	Engineering	Other (Specify)
Number of years

16. Details of Experience: Attach CV (Compulsory)

Name of workplace	From	To	Detail of practical tasks

Highest Education Level *

Work Experience * Please provide details of your previous work experience.

Skills & Interests

Skills * List your key skills relevant to the opportunity.

Interests * What are your career interests and goals?

PREVIOUS EDUCATION

Name of previous skills development provider	From	To	Course

Attach CV (Compulsory)

Note: Completing this form does not guarantee any form of employment or opportunity. The information is used to select candidates for future funded opportunities. Your information will not be used for any purpose other than as proof of development needs in the community. It will only be used by Try Easy Electrical Solutions and any potential funder. By completing this form, you authorize us to use the information to source development opportunities from which you could also benefit.