gold grads sign up form
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
Clear selection
Date of birth *
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DD
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Gender *
BEE status (for those in South Africa)
Clear selection
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?
Clear selection
If you have got a certificate, diploma or degree since leaving school, what is your qualification in? (choose the closest option)
Clear selection
What best describes your current situation?
Clear selection
If you are currently studying, what are you studying? (choose the closest option)
Clear selection
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?
Clear selection
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?
Clear selection
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
MM
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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?
Clear selection
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