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INTERNSHIP PROGRAMME APPLICATION FORM Personal Information Surname Full names Identity number Nationality * only South African citizens / permanent residents can apply

Gender Marital status

 Male

 Female

 Single

 Married

 Divorced

 Widower

Languages Home language Other languages Speak

Contact Information Mobile number Email Address Other number * home, work etc

Residential Address * the address at which you currently reside

Postal Address *if not the same as residential

Read

Write


Education: Secondary Education (High school, college etc) School/Institution Name Duration * year started – year ended/obtained

Passed grade 12/matric Matriculation Exemption Achieved Subjects and Results * matric results as per matriculation certificate

 Yes

 No

 Yes

 No

Subject

Grade (HG/SG)

Result

Tertiary Education (University, Technikon, College etc) Institution Name Qualification Qualification Type

 Degree

 National Diploma

 Other Diploma

 Microsoft Certification – MCP No:..……………………………….  Other: …………………………………………………………………………… Duration * year started – year ended/obtained

State

 I have completed the qualification  I am completing my final year of the qualification

Courses/Subjects and Results * if completed provide the course/subject names, result and year for your final year of study in that course * if final year then provide the

Course/Subject

Result %

Year


course/subject names, results and year for the most recent exams finished

Other Courses/Subjects and Results

Course/Subject

Result

Year

* list other courses (max 5), including result and year, that you have completed as part of your qualification and that you believe have relevance to being considered for the graduate programme

Technologies Used in Qualification

Development Framework:  Microsoft .Net

 Java

 Other: …………………………………………………………………….

Programming Languages:  C#

 VB (.net)

 VB 6  C++  Java

 Other: …………………………………………………………………….

Mark-up and Scripting Languages:  HTML  VB Script

 JavaScript  PHP  Perl

 Other: …………………………………………………………………….

Databases:  Microsoft SQL  ORACLE  MySQL  PostgreSQL  Other: …………………………………………………………………….


Previous Graduate/Internship Programmes If you have taken part in any graduate or internship programmes previously, please list below Year

Company/Institution Name

Work Experience: Please list work experience, if any, below. Duration * start (year/month) – end (year/month)

Company/Institution Position Description of Duties

Duration * start (year/month) – end (year/month)

Company/Institution Position Description of Duties

Duration * start (year/month) – end (year/month)

Company/Institution Position Description of Duties

Programme Description


Provide a brief motivation as to why 3fifteen should consider you for our Graduate Programme ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ I certify that all the information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Signature:

_______________________________________________

Date:

_______________________________________________

Fax or email to 3fifteen or apply via our website:

Fax:

011 576 6301 (Attention: Lerato Nathane)

Email:

recruitment@3fifteen.co.za (Ref: Graduate Program)

Website:

www.3fifteen.co.za (Careers Page)

2012 Graduate Internship Program  

Applicants must be South African citizens with a valid South African ID number. Applicants must be under the age of 35. Applicants must be...

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