Afrika Tikkun Alumni Registration Form
What is your ethnicity:
Please add 3 phone numbers below so we can always have a way to contact you. These could be your cellphone number, a number of your close family member or neighbour, or a phone number of a close friend. These should be people who can get in touch with you easily, should one of the other numbers not work.
Phone Number 1:
Phone Number 2:
Phone Number 3:
Where do you live now? Please state the area.
Your Afrika Tikkun Experience
Which Programme(s) did you take part in or access while you were at Afrika Tikkun?
Early Childhood Development
Child & Youth Development
Youth Skills Development & Placement (Career Development)
Family Support Services
Nutrition & Food Security
Primary Health Care
Afrika Tikkun Services (Recruitment & Placement)
Which Afrika Tikkun Centre(s) did you attend?
Alexandra - Phutaditjaba
Braamfontein - Uthando
Braamfontein - Belron
Diepsloot - Wings of Life
Orange Farm - Arekopaneng
Mfuleni - Zolile Malindi
Delft Centre - Cape Town
What year did you graduate from Afrika Tikkun?
1994 - 1999
2000 - 2005
2006 - 2010
2011 - 2015
2016 - 2018
How old were you when you graduated from Afrika Tikkun?
Under 16 years old
16 - 18
19 - 21
22 - 25
26 - 30
31 - 35
36 and above
How satisfied are you with the overall experience you had at Afrika Tikkun?
Tell us about your life after Afrika Tikkun
What is your highest qualification?
Grade 9 - 11
Ready to Work Graduate
Post Graduate Degree
What is your current employment status?
Employed Full Time
Employed Part Time
Studying at University
Studying at FET College or Institute
Rewriting Matric subjects
If you are working or studying, what is the name of the Company or University/College?
Get involved, make a difference
Considering your experience with Afrika Tikkun, would you consider contributing in any of the following ways:
Becoming an Afrika Tikkun Ambassador
Donating to Afrika Tikkun
None of the above
How would you like to stay connected to Afrika Tikkun? (Tick all that apply)
Alumni Website Updates
Programme / Major Reunions
Annual Event / Festival
Coaching & Inspirational Workshops
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