Exit GreenMatter Fellowship 2020 Application form Bursaries for Masters and PhD to study in 2020 PERSONAL DETAILS Question Title * 1. Title Dr Mr Mrs Miss Other (please specify) Question Title * 2. What are your full names? Question Title * 3. What is your date of birth? Question Title * 4. Are you a national of South Africa? Yes No Question Title * 5. If you are not a national of South Africa, Please specify your nationality; Question Title * 6. What is your gender? Male Female Question Title * 7. What is your your race? Black is inclusive of African, Coloured and Indian as per Employment Equity Act of South Africa. Black White Other (please specify) Question Title * 8. What is your personal email address? Question Title * 9. What is your cell number? Question Title * 10. What is your work phone number? Question Title * 11. What is your alternative cell number? Question Title * 12. What is your postal address? PREFERRED OPTION OF STUDY Question Title * 13. What is the proposed level of study? Taught masters Masters by dissertation PhD Question Title * 14. What is the proposed title of your degree? Question Title * 15. What is the name of the university you are intending to study at? University of Johannesburg University of Pretoria University of Mpumalanga University of KwaZulu-Natal University of Zululand University of Cape Town University of Western Cape University of of Fort-Hare Rhodes University Walter Sizulu University University of Limpopo University of Venda University of Freestate North-west University Sol-Plaatjie University Cape Penninsula University of Technology Tswane University of Technology University of South Africa Other (please specify) Question Title * 16. Please complete the following sentence ; I.... am already studying this course Got an offer from the university Got conditional acceptance am waiting for the response from the university have not yet applied Question Title * 17. How many years do you have to complete this qualification? One Two Three Four Other (please specify) Question Title * 18. What date will the course begin ? Question Title * 19. What date will the course ends? Question Title * 20. What will be the mode of your study; Full-time Part-time Other (please specify) Question Title * 21. What is the proposed title of your thesis? ALTERNATIVE OPTION OF STUDY Question Title * 22. What is the proposed level of study? Taught masters Masters by dissertation PhD Question Title * 23. What is the proposed title of your degree? Question Title * 24. What is the name of the university you are intending to study at? University of Johannesburg University of Pretoria University of Mpumalanga University of KwaZulu-Natal University of Zululand University of Cape Town University of Western Cape University of of Fort-Hare Rhodes University Walter Sizulu University University of Limpopo University of Venda University of Freestate North-west University Sol-Plaatjie University Cape Penninsula University of Technology Tswane University of Technology University of South Africa Other (please specify) Question Title * 25. Please complete the following sentence ; I.... am already studying this course Got an offer from the university Got conditional acceptance am waiting for the response from the university have not yet applied Question Title * 26. How many years do you have to complete this qualification? One Two Three Four Other (please specify) Question Title * 27. What date will the course begin ? Question Title * 28. What date will the course ends? Question Title * 29. What will be the mode of your study; Full-time Part-time Other (please specify) Question Title * 30. What is the proposed title of your thesis? EDUCATIONAL HISTORY Question Title * 31. Qualification 1 Name of a degree Average mark obtained Institution Completion date Who paid for your qualification? Question Title * 32. Qualification 2 Name of a degree Average mark obtained Institution Completion date Who paid for your qualification? Question Title * 33. Qualification 3 Name of a degree Average mark obtained Institution Completion date Who paid for your qualification? Question Title * 34. Qualification 4 Name of a degree Average mark obtained Institution Completion date Who paid for your qualification? EMPLOYMENT HISTORY Question Title * 35. Were you previously employed? Yes No Question Title * 36. Employment 1 The title of the position held Roles and Responsibilities Name of the employer Employers' contact details Duration of the employment Question Title * 37. Employment 2 The title of the position held Roles and Responsibilities Name of the employer Employers' contact details Duration of the employment Question Title * 38. Employment 3 The title of the position held Roles and Responsibilities Name of the employer Employers' contact details Duration of the employment Question Title * 39. Employment 4 The title of the position held Roles and Responsibilities Name of the employer Employers' contact details Duration of the employment FINANCIAL INFORMATION Question Title * 40. Are you currently employed ? Yes No Question Title * 41. If you are currently employed, what is your mode of employment? Full-time Part-time Other (please specify) Question Title * 42. If you are currently employed, please states your job title. Question Title * 43. What is the name of your employer? Question Title * 44. What is your monthly salary? Question Title * 45. How much are the annual tuition fees for your course? Question Title * 46. How much is your monthly rent? Question Title * 47. How much is your monthly transport cost? Question Title * 48. How much is your research cost? Question Title * 49. How much do your living expenses cost? Question Title * 50. Have you applied to any other organizations for bursary support for 2020? Yes No Question Title * 51. If you have applied to other organization for bursary support, what is your status? Successful Unsuccessful Still waiting for the response Other (please specify) Question Title * 52. How are you currently financing your studies? (working, parents, savings, loan etc). Question Title * 53. Please describe your financial situation and explain why you need this bursary (Maximum 150 words). MOTIVATION The focus theme for 2020 GreenMatter Fellowship is Biodiversity and Responses to Climate Change and the associated issues and risks around: 1) Biodiversity and Water Security 2) Biodiversity and Food Security 3) Biodiversity and Social Change/innovation. Question Title * 54. Please describe how your field of study relates to the 2020 GreenMatter focus theme (Maximum 500 words). Question Title * 55. GreenMatter wishes to adress both absolute and relative skills scarcity in the biodiversity sector. Please describe how the skills you are cultivating through your studies and research will contribute to the skills needed in the biodiversity sector (Maximum 500 words). Question Title * 56. GreenMatter believes that leadership is key to transformation in the biodiversity sector. Please describe how you have developed your leadership skills and give specific examples of where your leadership has made a difference. This may be in academia, at work or in your community (Maximum 500). Question Title * 57. GreenMatter seeks to develop a network of committed and able biodiversity ambassadors. Please use this section to tell us how you would contribute to the fellowship network and be a good ambassador for the sector (Maximum 500 words). Question Title * 58. Have you ever acted as mentor or tutor to others? Please give examples (Maximum 500 words). OTHER INFORMATION Question Title * 59. Please tell us any other information you think is relevant to your application, for example ways in which you contribute to your community other than through your studies and/or employment (Maximum 500 words). NETWORK AND MENTORING PROGRAMME Question Title * 60. GreenMatter recognises the importance of networking with peers and exposure to positive role models in supporting students to succeed in, and beyond, their studies. Fellowship participants will have access to various forums for networking and will also have the opportunity to be matched with a mentor. Please tell us what your particular mentoring and networking needs as well as what you would hope to achieve through accessing the programme (Maximum 500 words). Question Title * 61. How did you here about the GreenMatter Fellowship bursary opportunity? Internet search GreenMatter website At my workplace Word of mouth Print media Financial Aid Office Other (please specify) Question Title * 62. Please tick the appropriate circle; Yes No I confirm that the information I have given is accurate and complete I confirm that the information I have given is accurate and complete Yes I confirm that the information I have given is accurate and complete No I understand that if I have not included any of the required supporting documents, my application will automatically be rejected and I if I am not accepted to be registered for my course I will not qualify for this bursary I understand that if I have not included any of the required supporting documents, my application will automatically be rejected and I if I am not accepted to be registered for my course I will not qualify for this bursary Yes I understand that if I have not included any of the required supporting documents, my application will automatically be rejected and I if I am not accepted to be registered for my course I will not qualify for this bursary No I understand that if my application arrives late, it will not be considered I understand that if my application arrives late, it will not be considered Yes I understand that if my application arrives late, it will not be considered No I understand that GreenMatter cannot provide the return my documents I understand that GreenMatter cannot provide the return my documents Yes I understand that GreenMatter cannot provide the return my documents No I understand that if I am successful and accept the award,I will need to be available to attend the Fellowship Orientation workshop event I understand that if I am successful and accept the award,I will need to be available to attend the Fellowship Orientation workshop event Yes I understand that if I am successful and accept the award,I will need to be available to attend the Fellowship Orientation workshop event No Kindly upload all the required documents. If you have not uploaded all documents, your application will be disqualified. Name all the documents using your initial and surname. E.g M Mashangoane, proof of citizenship. Question Title * 63. Proof of South African Citizenship PDF file types only. Choose File Choose File No file chosen Remove File Proof of South African Citizenship Question Title * 64. Academic record PDF file types only. Choose File Choose File No file chosen Remove File Academic record Question Title * 65. Degree certificate PDF file types only. Choose File Choose File No file chosen Remove File Degree certificate Question Title * 66. Honours certificate PDF file types only. Choose File Choose File No file chosen Remove File Honours certificate Question Title * 67. Masters certificate PDF file types only. Choose File Choose File No file chosen Remove File Masters certificate Question Title * 68. Thesis proposal PDF, DOC, DOCX file types only. Choose File Choose File No file chosen Remove File Thesis proposal Question Title * 69. Reference letter 1 PDF file types only. Choose File Choose File No file chosen Remove File Reference letter 1 Question Title * 70. Reference letter 2 PDF file types only. Choose File Choose File No file chosen Remove File Reference letter 2 Question Title * 71. Additional document PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Additional document Question Title * 72. Please sign by writing your initials and the date. For any queries, please email janavi@greenmatter.co.za or moshadi@greenmatter.co.za Next