Application Form for Workforce Recovery Initiative
The Department of Education, Innovation and Gender Relations invites you to take this opportunity to apply for a chance to enrol in one of several exciting online courses offered by Coursera. Those of you who are familiar with Coursera would know what the platform offers several courses at no charge. This opportunity however, is to take the course and to receive the certificate at no cost.

Please understand that if you are among the successful applicants, you will be contacted by a Help-desk to guide you through enrolment in a course that is most suitable for you.
Please make sure that you are providing accurate information for this application before submitting.
Email address *
Please enter you full name. *
What is your gender/sex? *
What is your age? *
Mobile Contact Number (optional)
Which district or community do you live in? *
More specific address (optional)
What is the highest level of education you have achieved so far? *
What is your experience or relationship with online courses? *
What is the main area that you are looking for training in? *
What industry or sector would you like to work in the near future? *
What is your present employment status? *
If you are unemployed, please state where you were last employed (or where you attended school if you have NEVER been employed). If you are employed, please type n/a. *
Are you presently unemployed due to the COVID-19 pandemic? *
What was your occupational status in February 2020? *
Do you have broadband Internet service at home? *
What type of computing devices do you own or have access to? (Select all that apply) *
Do you live within 2 miles of a government ICT centre? *
Please provide any additional information that you believe will help your application. For example, you can state briefly why this opportunity is important to you. You may also indicate any challenges that you may have, for example, financial challenges or any disabilities. (optional)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy