MUNICIPAL INFRASTRUCTURE SUPPORT AGENT (MISA) CAPACITY DEVELOPMENT DIVISION TECHNICAL TRAINING PROGRAMME

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1 MUNICIPAL INFRASTRUCTURE SUPPORT AGENT (MISA) CAPACITY DEVELOPMENT DIVISION TECHNICAL TRAINING PROGRAMME INSTRUCTIONS TO DELEGATES A. APPLICATION FORM GUIDELINES The Application Form for registration is divided into four sections and it is in best interest of the Applicant to complete all the sections of the forms. An incomplete Application Form will be rejected and no correspondence will be entered into with the Applicant who makes such submission. The sections of the Application Form are as follows: 1. Organisational Details The applicant is required to provide the details of the employer if employed and this information will enable MISA to liaise with the employer whenever it is deemed necessary. It is important to provide correct and up-to-date contact details of your employer and the name of its Authorised Representative. 2. Delegate Personal Details In compliance with the directives of the Skills Development Act 97 of 1998 and the Employment Equity Act 55 of 1998 this section over and above other things requires the applicant to provide information pertaining to their Race, Gender and Disability. Furthermore, this section requires the applicant to provide their highest academic qualification which will assist MISA to make an admission decision to the programme the applicant has applied for. 3. Only Municipal Delegates from Infrastructure-related Departments The MISA Technical Training Programme entails the training of municipal officials in technicalrelated short courses in civil/electrical engineering, water, sanitation, waste management, town planning, roads and construction, quantity surveying and property valuations. The programme is responsible for providing technical training and continuous professional developments (CPD) support to experienced/inexperienced municipal officials who are professionally registered/unregistered municipal officials to ultimately ensure support to the body of professional practice within the local government sector. We do not enrol municipal employees from non-infrastructure related disciplines. Page 1 of 1

2 3. Declaration This application form for registration requires the Applicant and Authorised Representative of the Employer, where applicable, to make a declaration of commitment to the programme if the applicant is accepted. Any application submitted without the signed declaration will be rejected. telephonic request at course enrolment will be accepted. B. APPLICATION FORM SUBMISSION A complete and signed Application Form must be returned to IMESA via training@imesa-iims.co.za or fax (031) The Application Form must be accompanied by a copy of the Identify Document/Passport NB: An incomplete Application Form will be rejected and no correspondence will be entered into with the concerned applicant. Enrolments work on a first come first serve basis. Page 2 of 2

3 1. ORGANISATIONAL DETAILS APPLICATION FORM Please complete the application form by providing details where required to do so and mark with X where appropriate. Please use CAPITAL LETTERS when you complete this form. Name of Province Name of Metro Name of District Municipality Name of Local Municipality Name of Employer Representative Physical Address Postal Address Work Telephone Work Fax Cell Address Page 3 of 3

4 2. DELEGATE'S PERSONAL DETAILS Please complete the Application Form by providing the required information and mark with X where appropriate. Please use CAPITAL LETTERS when you compete this Application Form. Please make sure that you provide your name(s) and identity/passport numbers as it/they appear(s) on our Identity Document/Passport. Mr Mrs Ms Other Surname Full Name(s) Gender Female Male Disability Race Black Coloured Indian White ID Passport Job Title Highest Qualification Degree B Tech Diploma Higher Certificate Grade 12 Grade 9 Other Qualification Name Engineering Category PrEng Candidate Engineer Pr Tech Candidate Technologist PrTechni Candidate Technician Postal Address Physical Address Work Telephone Work Cell Fax Address Page 4 of 4

5 3. TRAINING PROGRAMME DETAILS Please provide information about the programme you are interested in and clearly provide the details about the type of intervention you want to be registered for. CONTINUOUS DEVELOPMENT COURSE/INITIAL DEVELOPMENT COURSE (CPD/IPD) Course Name CPD Credits Course (s) Course Venue Is the course relevant to the job and/or future career expectations? Is the programme identified in your PDP or career plan? Is the course relevant to your registration as a professional engineer/technologist/technician? Do you attend the course for CPD purposes? t t t t UNIT STANDARD BASED PROGRAMME Unit Standard Title NQF Level (for Unit Standard) Credit (for Unit Standard) Course (s) Course Venue Is the course relevant to the job and/or future career expectations? Is the programme identified in your PDP or career plan? t t Page 5 of 5

6 4. DECLARATION I (Full names and surnames of the delegate) ID state that I have read, understood and accepted that admission into the MISA Technical Training Programme is subject to the following terms and conditions: 1. The Programme is facilitated by the Municipal Infrastructure Support Agent (MISA) in collaboration with its preferred Professional Service Providers to fulfill its legislative mandate as an accredited Education Training and Development Provider. 2. Participation in the MISA Technical Training Programme is subject to accepting and committing to the following terms: 2.1 I will give full attendance and commitment to completing the Programme for which I am enrolled in. 2.2 I will ensure successful completion of all assessment activities and tasks, including the PoE where required, and within the specified time frames. 2.3 I will liaise, in writing, with MISA and/or the appointed service provider with respect to extension of submission dates of assessment activities. 2.4 I will inform MISA in writing, of any difficulties or situation that prevents me from attending or completing the Programme. 2.5 I further understand that should I not attend the Programme on the designated dates, my Department/Municipality will be expected to reimburse MISA the full training costs. 2.6 I further understand that should I not cancel attendance or nominate a replacement for the programme as a learner five(5) working days prior to the start of the programme, my Department/Municipalityis expected to reimburse MISA the full training costs and any expenses that may have been incurred, such as courier service, venue, catering, etc. in preparation for training. 2.7 I further understand that should I drop out of the Programme, the Department/Municipalityis expected to reimburse MISA the full costs of training and any expenses that may have been incurred, such as courier service, venue, catering, etc. 2.8 If applicable I further commit to submit all evidence requested and required to achieve declaration of competence against the qualification or unit standard(s) aligned to the Programme. Page 6 of 6

7 Delegate Witness: Name & Surname Witness APPROVAL: MANAGER/SUPERVISOR Name & Surname AUTHORISATION: AUTHORISED MUNICIPAL REPRESENTATIVE Name & Surname Designation Page 7 of 7

INSETA MANAGEMENT & LEADERSHIP DEVEOPMENT PROGRAMMES NOMINATION and APPLICATION Form:

INSETA MANAGEMENT & LEADERSHIP DEVEOPMENT PROGRAMMES 2019 About the programmes: NOMINATION and APPLICATION Form: INSETA will delivering two NQF-accredited management and leadership programmes through accredited