Data protection agreement
We value your privacy and take precautions to secure the information you provide.
In conjunction with your use of our website, we request and collect information such as your name, email address, postal address, and employment history, among other things. The information you give for this application will be used to select you for the Inkomazi Mentorship programme.
By clicking proceed and beginning the application process, you agree to the Terms of Service for this site.
Email
What is your current occupation ?
First Name
Last Name
Title
Mr
Ms
Miss
Mrs
Dr
Professor
Phone Number
South African ID
Please Upload your South African ID
Address Line 1
Address Line 2
City
Province
Other
Mpumalanga
Limpopo
Gauteng
North West
Free State
Kwa-Zulu Natal
Northern Cape
Eastern Cape
Western Cape
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan (ROC)
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Zip/Postal Code
If yes, may you please tell us a little bit more of your mentorship experience.
How many mentees would you be willing to mentor during the programme?
Introduction
What do you hope to gain by being on the Inkomazi mentorship programme?
In which Year did you Complete Matric?
Older
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Please upload your Matric Certificate
What's your level of qualification
Higher Certificate
National Diploma
Advanced Diploma
Bachelor's Degree
Honors Degree
Master's Degree
Doctoral Degree
Other
Field of Study
Institution
Cape Peninsula University of Technology
Central University of Technology
Durban University of Technology
Mangosuthu University of Technology
Mpumalanga University
Nelson Mandela Metropolitan University
North-West University
Rhodes University
Sefako Makgatho Health & Sciences University
Sol Plaatje University
Stellenbosch University
Tshwane University of Technology
University of Cape Town
University of Fort Hare
University of the Free State
University of Johannesburg
University of Kwa-Zulu Natal
University of Limpopo
University of Pretoria
Vaal University of Technology
Walter Sisulu University
University of South Africa (UNISA)
University of Venda
University of the Western Cape
University of the Witwatersrand
University of Zululand
Vaal University of Technology
Walter Sisulu University
Not Listed
Please Upload your Academic Record/Transcripts
Please Upload your Certified qualification
Other (please specify):
Job title
Organisation name
Occupational sector (i.e. the job role that you do, not what your organisation does)
Brief description of your current role and organisation. Please include the types of activities you do in your role e.g. admin, project management, presentations, teaching, etc.
What are the three things you love most about your job?
Please attach any additional certificates/ qualifications
Please attach your cv
Apply