Alumni Registration Form
* Required
Title
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Female
Male
Other
Required
Email Address
*
Your answer
Would you like to subscribe to our Alumni email newsletter?
*
Yes
No
Required
ID Number
Your answer
Mobile Number
*
Your answer
Address
*
Your answer
City
*
Your answer
State/Province
*
Your answer
Zip/Postal Code
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Your answer
What is your ethnicity?
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African
Coloured
Indian
Mixed race
White
Other:
Which programmes did you take part in or access while you were at Afrika Tikkun?
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Early Child Hood Development Programme
Child and Youth Development Programme
Youth Skills Development & Placement Career Development
Family support services
Empowerment
Nutrition & Food Security
Primary Health Care
Afrika Tikkun Services (Recruitment & Placement)
YES Programme
Bursary Programme
Learnerships
Internships
Other:
Which centre did you attend?
*
Alexandra- Phuthaditjaba
Braamforntein- Uthando
Braamfontein- Belron
Diepsloot- Wings of Life
Orange Farm- Arekopaneng
Mfuleni- Zolile Malindi
Delft Centre- Cape Town
Required
What year did you graduate from Afrika Tikkun?
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1994-1999
2000-2005
2006-2010
2011-2015
2016-2019
2020
YES Programme
Learnership 2020
Internship 2020
Other:
Required
What is your highest qualification?
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Grade 9-11
Matric
Ready to work graduation
Certificate
Diploma
Degree
Post graduate degree
Other:
Required
What is your current employment status?
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Employed full time
Employed part time
Self-employed
Studying at FET college or instution
Rewriting matric subjects
Unemployed
Other:
Required
If you are working or studying, what is the name of the company or university/ college?
Your answer
How would you like to stay connect to Afrika Tikkun?
E-Newsletter
Alumni Website Updates
Class Reunions
Programme Major Renunions
Regional activities
Annual Event/ Festival
Coaching & Inspirational Workshops
Other:
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