City Year South Africa Application Form

This application must be completed by the applicant. Please provide as much detail as possible

Applications will only be reviewed if they are fully completed and include all the required documents listed at the end of the form.

Applying to be part of City Year is free of charge.

Due to the effect of Covid-19, successful candidates will be notified in January or early February 2021.

General Question

Please tick/check all the boxes that applies to you. *

18-25 years old

Have passed Matric

Plan to pass matric by the start of the programme

South African Citizen/Permanent Resident

No criminal record for violent crime

Not using any elicit drugs including marijuana/weed and you agree & willing to do a random drug testing.

Able to communicate well in English, both verbally and in writing

First name(s) *

Surname *

Preferred First name *

Gender *

Race *

ID Number *

Date of Birth * +

Age *

T-Shirt Size *

Trouser Size *

CONTACT DETAILS*Applicants who reside in our current service areas will be given first preference. City Year will not take any responsibility for rellocation and or change of primary residential address.

Physical Address *

Suburb *

City/Municipality *

Province *

Phone number *

Email address *

Alternative Contact Person *

Contact number *

Relationship

CURRENT OR HIGHEST LEVEL OF EDUCATION

Name of School/Institution *

Qualification Type *

Matric

Higher Certificate

Diploma

Degree Degree

Name of qualification

Qualification Status *

Not Yet Started

In progress

Completed

Dropped out

HOW DID YOU HEAR ABOUT CITY YEAR? *