BURSARIES AND GRADUATEAPPLICATION FORM
Application period 1 September to 30 November
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State the reason for your applicationInternship(Workplace experience post qualification for a year in the country of your origin)
Bursary(Financial assistance to complete studies with the opportunity of part-time work or internship)
For bursary applications: Name of degree
Year of study (1st, 2nd or 3rd)
Course cost
Accommodation cost
Period bursary required
For internships Name of degree
Year of study (1st, 2nd or 3rd)
Date of qualification
In-service Training Diploma name
P1 or P2 or both
Do you aim to study further? Please state the course
1. APPLICATION FORM
2. PERSONAL INFORMATIONFull name
Contact address
Contact telephone number(s) Cell:
Landline:
South African citizen Yes No
If not, state country of origin
State country where you would like to obtain an internship
Computer skills Level of competence:
List computer programs used and experience, e.g. Windows, MSWord, Excel, PowerPoint, Accounting, Internet, Email, Acrobat, etc.
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3. EDUCATION HISTORY
4. EMPLOYMENT HISTORY
Name of Secondary school:
Subjects in Grade 12:
Name of University:(If currently at university)
Highest qualification:
Subjects completed:
Please give two or three employer or personal references if possible
Company Contact person Address Telephone number
a
b
c
Please indicate why you should be considered for any of the offerings TOTAL is providing
DECLARATION
I declare that the information I have written on this application form is true and complete. I hereby grant the company permissionto follow up on my references and to do whatever checks might be deemed necessary.
Signature Date
Head Office3 Biermann Avenue, Rosebank, 2196,
Johannesburg, South AfricaHead Office: +27 (0) 11 778 2000
National Customer Contact Centre:0860 111 111www.total.co.za
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