gold grads sign up form
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First name as written on ID *
Surname as written on ID *
Any other names that you are known by
ID number *
Nationality *
Cell number *
Cell number of an alternate contact person
Email address - if you don't have one, you can ask a gold team member to create one for you! *
Country currently living in *
Region or province living in
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Date of birth *
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DD
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Gender *
BEE status (for those in South Africa)
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Name the school or site where you did the gold programme *
Are you, or were you, a Peer Educator, a Facilitator Intern or both? *
What year did you finish school? *
Highest qualification achieved *
If you don't have any post school qualifications, do you want to study after leaving school?
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If you have got a certificate, diploma or degree since leaving school, what is your qualification in? (choose the closest option)
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What best describes your current situation?
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If you are currently studying, what are you studying? (choose the closest option)
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If you are studying, were you made aware of this study opportunity through a gold contact/ the gold network or did your time in the gold programme increase your ability to find this opportunity yourself and support your ability to apply by yourself?
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Are you looking for work? *
What kind of work would you like to do? (choose the closest option)
Are you open to other job opportunities that are not in your main area of interest?
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If working, what line of work are you in? (choose the closest option)
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Name of the company you work for
Start date of job
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DD
/
YYYY
Did you find your job through a referral from gold?  If not, did your time in the gold programme increase your ability to research, apply for and conduct yourself well in the interview?
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