REGISTER FOR BUSINESS ACADEMY

Personal Details

Name:
Surname:
Age:
Sex:
Male      Female
Ethnic Group:
(Question Required by Department of Higher Education & Training)
Black      Coloured      Indian      White

Home Address:
Home District:
E-mail:
Repeat E-mail:
Mobile:
Repeat Mobile:

Questions

The Jan to April 2020 applications are full. Are you aware that this application is for the May 2020 class?
Yes      No
Have you attended a House of Louis Business Academy in the past?
Yes      No
Are you currently a student at a University?
Yes      No
Are you currently a student at a College, Technicon or other institution?
Yes      No
Do you hold a Degree from a University?
Yes      No
Do you hold an education certificate from a College, Technicon or other institution?
Yes      No
Kindly complete what degree or certificate you hold, if any?
Are you a business owner?
Yes      No
Are you a Director of a Company?
Yes      No
Are you in full-time employment?
Yes      No
Are you a full-time student?
Yes      No
Are you a full-time home executive?
Yes      No
If not a full-time student, are you unemployed?
Yes      No
Are you employed by a House of Louis member company?
Yes      No
Do you have your own transport?
Yes      No
Do you currently have difficulty to access transport to attend the course?
Yes      No
It is important to have access to internet and facebook for this course, will you always have such access?
Yes      No
Do you understand that should you not attend at least 4 sessions of the Academy, you will be liable to a penalty fee of R2,500?
Yes      No
In the event that your application is accepted, and you subsequently wish to withdraw, but do not notify us of your withdrawal within 14 days of acceptance, you will be liable to a penalty fee of R2,500?
Yes      No
If the course was not held on a Saturday, and given its location, on what day would you have preferred the course?
At what time would you have preferred the course?
In less than 150 words, which additional topics would you have preferred to be included in the course material?
In less than 100 words, why do you wish to attend the
Academy?
Where did you hear about us?
The Academy subscribes to the principle of ‘pay it forward’. Would you, within reason, freely share your potential (given the opportunity) with others less fortunate and in this way positively contribute to the South African economy?
Yes      No
ID Number:
Tel (Home):
Tel (Work):
Date of Birth: (yyyy-mm-dd)
Home Language:
English    Afrikaans    Other
Occupation:
Qualifications:
 
Current
Previous
Employer:
Industry:
Job Title:
What does your present job description require you to do?
On which evenings would you be able to attend classes? *
(Please tick all the appropriate boxes.)
February 2015 Intake
Wednesday      Thursday
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