Vaal University of Technology Co-operative Education Application form for in-service training Faculty: Management Sciences Name Type here Surname Type here Student Number Type here Postal Address Type here Province Select One ID Number Type here Telephone No Type here E-mail Type here Gender Select One Home Language Type here Drivers Licence Type here Course Select One Present level of Select One Study Academic History Average 1st Year Type here Average 2nd Year Type here Average 3rd Year Type here Work Experience Type here References Name Relationship Contact No 1. Type here Type here Type here 2. Type here Type here Type here 3. Type here Type here Type here 4. Type here Type here Type here 5. Type here Type here Type here It is essential that the personal particulars you place on this form is available, correct and detailed so that we (or companies) can contact you at any time. The Vaal University of Technology will authenticate the student’s information. We will appreciate it if you can inform us once you find an experiential learning opportunity. The student will be requested to submit a detailed CV, academic results and other information directly to companies if considered for an interview. I accept the terms and conditions as stipulated above Please tick NB: The responsibility to find an experiential learning opportunity lies with the student, however, the Co-operative Education Department will assist students in this process.
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