Job Shadowing Opportunity

Morne Coetzee Test

Introduction

Welcome to the GoodX Career Academy application for shadow placement. This form should only be completed after receiving your GoodX Career Academy Course Certificate of Completion.

Please have the following documents ready before starting to complete the form:
1. Proof of payment of the R200 application fee*.
2. Copy of ID document.
3. A good-looking photo of yourself - an ID photo is seldom complementary
4. Proof of residence - we must know which practice would be accessible for you.
5. Completed and signed Terms and Conditions - please download, complete and sign this document: CLICK HERE TO DOWNLOAD THE PDF
6. Grade 12 certificate (if you are still in school, you can add your latest report card).
7. Certificate of completion of the GoodX Career Academy Phase 1 course.
8. A YouTube link to a short video in which you introduce yourself.
9. A 300-word story about any topic in your handwriting - please do not type the story. Add a photo of the handwritten story to the application form.

*The application fee can be paid by EFT into the following account:
Quant Engineering Solutions (Pty) Ltd
Nedbank Current Account
Acc nr: 1216823685
Code: 198765
Reference: GCA - Name And Surname

We wish you all the best for a bright future!

Your Email

Contact Information

Surname

Nick Name

Full Name/s

Preferred Email Address for Communication

Cell Number

ID Number

Do you have any health conditions that will impact your ability to fulfil any duties in general or in a healthcare environment?

Documentation And Uploads

Please upload proof of payment of the application fee.

Please upload a copy of your ID document.

Please upload a good-looking photo of yourself.

Please upload your proof of residence.

Please upload the completed and signed Terms and Conditions. Remember to initialise every page at the bottom and provide your full signature at the end of the document.

Please upload your Grade 12 certificate, or if you are still in school, you can add your latest report card.

Please upload your certificate of completion of the GoodX Career Academy Course.

Please provide the YouTube link / URL to a short video (maximum 3 minutes) in which you introduce yourself.

Please upload a 300-word story about any topic in your handwriting - please do not type the story. Add a photo or PDF scan of the handwritten story to the application form.

Wish list and Confirmation

Do you have a specific preference in which location/area you would like to shadow?

Is there anything we should know when trying to place you in a shadowing position?

Please select "yes" if you understand that it is necessary to share the information you have submitted with this form with 1. healthcare practices that are willing to participate in our shadowing program and 2. practices that are looking for candidates for possible employment via our talent bank to fulfil the aims of the GoodX Career Academy program in which you participate. This is not consent for the processing and sharing of your personal information but an acceptance of our processing requirement toward program participants. If you feel it necessary to remove your information from our shadow program or talent bank, you can apply for the removal by sending an email to courses@goodx.co.za.

I understand and accept.