. Please print ... 4.1 If your bursary applica
Jones & Wagener Engineering & Environmental Consultants 59 Bevan Road PO Box 1434 Rivonia 2128 South Africa Tel: 00 27 (0)11 519 0200 Fax: 00 27 (0)11 519 0201 email:
[email protected]
Recent colour photograph (Compulsory)
Please print clearly in black ink.
BURSARY APPLICATION 1. Personal details 1.1
Surname
__________________________________________________
1.2
First names
__________________________________________________
Known as
__________________________________________________
1.3
(if different to 1.2)
1.4
Date of birth
__________________________________________________
1.5
Sex
1.6
Ethnic origin
__________________________________________________
1.7
Languages
__________________________________________________
1.8
Health status
__________________________________________________
1.9
Citizenship
________________________________________________________
1.10
ID number
________________________________________________________
1.11
Drivers licence (e.g. R.S.A. Code 8 etc.)
1.12
Residential address
M
F
(please indicate)
________________________________
__________________________________________________ __________________________________________________ __________________________________________________ ________________________________ Post code _________
1.13
Postal address
__________________________________________________ __________________________________________________ __________________________________________________ ________________________________Post code__________
1.14
Email address
__________________________________________________
1.15
Contact telephone number(s) ____________________________________________
2. Academic record (Secondary education) 2.1
High School where matriculation examination was taken/ is being taken
2.1.1
Name of School
__________________________________________________
2.1.2
City/Town
__________________________________________________
2.2
Matriculation results/ latest academic term results for current matric students Subject Percentage Achievement level 1 2 3 4 5 6 7 8 9 10 11 12 Average
2.3
Prizes and awards (Please list any prizes and awards you have received during your High School career, indicating the criteria according to which they were awarded. Please use an extra sheet if necessary.) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
2
2.4
Extra-curricular activities (Please list extra-curricular activities and achievements.) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
3
3. Academic record (Tertiary education) (PLEASE ATTACH FULL OFFICIAL ACADEMIC RECORD) VERY IMPORTANT
3.1
Name of tertiary institution
____________________________________________
3.2
Qualification enrolled for (e.g. B.Eng (Civil) etc.)
___________________________
3.3
Current year of study (e.g. first, second etc.)
___________________________
3.4
Prizes and awards (Please list any prizes and awards you have received during your tertiary education, indicating the criteria according to which they were awarded. Please use an extra sheet if necessary.) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
3.5
Extra-curricular activities (Please list extra-curricular activities and achievements.) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
4
4.
Financial situation
4.1
If your bursary application to Jones & Wagener is unsuccessful, how will your studies be funded? ____________________________________________________________________ ____________________________________________________________________
4.2
Do you currently hold any other bursaries
Y
N
(please indicate)
If you answered No in question 4.2 please go to Section 5.
4.3
Please name the institution from which you currently hold a bursary. ____________________________________________________________________
4.4
Are you required to work for the institution named in question 4.3 after completion of your studies? Y
N
4.5
For how many years? ___________________________
4.6
Should your bursary application to Jones & Wagener be successful, do you wish Jones & Wagener to take over your financial responsibility towards the institution named in question 4.3? Y
4.7
N
What is the value of your financial responsibility towards the institution named in question 4.3? ____________________________________________________________________
5
5.
General information
5.1
Why have you chosen your direction of study? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
5.2
Hobbies and interests (Please list any hobbies and/or special interests.) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
5.3
What would you like to achieve in the next ten years? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
6
I declare that the information contained in this application is correct.
___________________ Signature
___________________ Date
___________________ Place
Please attach the following information to your application. 1. 2. 3.
A letter of recommendation. A certified copy of your identity document. Certified copies of all academic results referred to in this application.
7
Please answer the following questions: 1.
You paid R100 for an article, including 14% VAT. What is the cost of the article excluding VAT. ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
2.
You have to design road bridges across the rivers below. Please sketch below the shape of the bridges that you think would be suitable designs.
Solid rock cliffs
Solid rock cliffs
300m
River 500m
River (3m deep)
“Good” ground Soft clay layer (2m thick) Solid rock
500m
8
Jones & Wagener Engineering & Environmental Consultants 59 Bevan Road PO Box 1434 Rivonia 2128 South Africa tel: 00 27 11 519 0200 www.jaws.co.za email:
[email protected]
JONES & WAGENER BURSARY SCHEME Jones & Wagener is pleased to offer a limited number of bursaries for South African Civil Engineering students studying at South African Universities. The bursaries will cover as a minimum university tuition fees, but could also include accommodation and a limited living allowance. Current South African tertiary students and Grade 12 scholars are invited to submit applications. The award of bursaries will be carried out based on academic merit, financial need and company specific considerations. Jones & Wagener is required to implement Black Economic Empowerment and therefore bursaries will be awarded to reflect the population composition of South Africa. Students studying with Jones & Wagener bursaries will be required to do six weeks paid vacation work at our offices in Rivonia or Centurion during the July and/or December recess. After completion of his/her studies bursary students will be required to work for Jones & Wagener for a period equal to the period for which the bursary was held. The closing date for applications is 31 July 2015. If you have not been contacted by 31 August 2015, please consider your application as unsuccessful. Application forms are available from our website www.jaws.co.za The completed forms must be sent to the Bursary Administrator at the Jones & Wagener postal address or by email to
[email protected] Suggestions on completing your bursary application form. The competition for bursaries is very tough. Having no prior knowledge of the applicants, Jones & Wagener has to gather all the information about whom to invite for a bursary interview from the application form. Academic results play the most important role in our decision; and we require an excellent set of results particularly for English, Mathematics and Physical Science. It is therefore essential that you provide us with a complete and clear academic record. In completing the other questions, remember that you are “marketing” yourself and your interests and abilities. It is therefore important to spend some time to think carefully about what to write.
Best of luck with your application!
JONES & WAGENER (PTY) LTD
REG NO. 1993/002655/07 VAT No. 4410136685
DIRECTORS: GR Wardle (Chairman) PrEng MSc(Eng) FSAICE JP van der Berg (CEO) PrEng PhD MEng FSAICE D Brink PrEng BEng(Hons) FSAICE JE Glendinning PrSciNat MSc(Env Geochem) MSAIEG TM Ramabulana BA(Social Sciences) A Oosthuizen (Alternate) PrEng BEng(Hons) MSAICE TECHNICAL DIRECTORS: PW Day PrEng DEng HonFSAICE PG Gage PrEng CEng BSc(Eng) GDE MSAICE AIStructE JR Shamrock PrEng MSc(Eng) MSAICE MIWMSA NJ Vermeulen PrEng PhD MEng MSAICE HR Aschenborn PrEng BEng(Hons) MSAICE M van Zyl PrSciNat BSc(Hons) MIWMSA MW Palmer PrEng MSc(Eng) MSAICE TG le Roux PrEng MEng MSAICE AJ Bain PrEng BEng MSAICE M Rust PrEng PhD MSAICE M Theron PrEng PhD MEng MSAICE GB Simpson PrEng MEng MSAIAE MSAICE ASSOCIATES: PJJ Smit BEng(Hons) AMSAICE R Puchner PrSciNat MSc(Geol) MSAIEG IMAEG M van Biljon PrSciNat MSc(Hydrogeology) JS Msiza PrEng BEng(Hons) MSAICE MIWMSA RA Nortjé PrEng MSc(Eng) MSAICE MIWMSA C Cilliers PrEng BEng(Hons) MSAICE NW Nxumalo PrEng MSc(Eng) MSAICE DG Johns PrEng MSc(Eng) MSAICE G Harli PrEng MEng MSAICE CONSULTANTS: JA Kempe PrEng BSc(Eng) GDE MSAICE AIStructE BR Antrobus PrSciNat BSc(Hons) MSAIEG FINANCIAL MANAGER: HC Neveling BCom MBL
