KN INZUZO TRUST BURSARY APPLICATION FORM 2021 - University Of The .

KN INZUZO TRUSTBURSARY APPLICATION FORM 2021APPLICATION DEADLINE: 28 FEBRUARY 2021HAND DELIVER TO:EMAIL:The Kuehne Nagel Inzuzo Trustbusi.mabena@kuehne-nagel.com9 Nguni Drive, Longmeadow West Business ParkEdenvalePREREQUISITES Black South African women who are in financial need and enrolled in their 2nd year, 3rd year, or post graduatestudies at an accredited South African university. Preferred fields of study:ooooooBachelor of Commerce in LogisticsDiploma in Logistics ManagementBachelor of Commerce in Transport EconomicsBachelor of Commerce in AccountingBachelor of Commerce in Financial ManagementBachelor of Commerce in Information Systems A track record of academic excellence, evidenced by a minimum 60% average in the students’ most recent year ofstudy. Strong leadership capability, demonstrated through active school, university or community engagement. Demonstrable financial need. Kindly note, students seeking funding for the 1st year of study will not be considered. The Trust encourages students will disabilities to apply.KN Inzuzo Trust Bursary Application Form 2021.docxPage 1 of 12

IMPORTANT NOTE TO APPLICANTS The Kuehne Nagel Inzuzo Trust (the Trust) invests in the education and entrepreneurial development of youngSouth Africans. The Trust is firmly committed to supporting the sustainable growth of South Africa’s economy, byfacilitating the development of its young professionals and entrepreneurs. All information requested by the Kuehne Nagel Inzuzo Trust will be kept confidential. The Trust will not disseminateany personal information unless specifically authorised. Submission of this application form to the Kuehne Nagel Inzuzo Trust does NOT guarantee that you (the applicant)will be awarded the bursary. Awards are made at the sole discretion of the Trust. Bursaries are paid directly to institutions. Applicants will not be required to pay any administration fees when applying for a bursary. Please ensure that you submit the application form in good time in order to meet the application deadline. Applicationforms received after 28 February 2021 will NOT be considered. Please retain a copy of your completed application form and other relevant documents for your own records. Onlyapplications received in ENGLISH will be accepted. The Kuehne Nagel Inzuzo Trust contact details:Tel: 011 574 7000 Email: busi.mabena@kuehne-nagel.com Please direct all queries to the contact detailsprovided above. Queries posted on social media platforms e.g. Facebook or Twitter will not receive aresponse.Application Process:Step 1Candidates submit application documents: Completed application form & requisite supporting documents(see Application Checklist below) Academic results (Grade 12, and all university results) Confirmation of financial need28 February 2021(closing date)Step 2Shortlisted applicants will be invited to a face to face interviewMarch / April 2021Step 3Shortlisted candidates will be invited to a final round interview or casestudy presentationApril 2021Step 4Trust announces bursary awardsApril / May 2021Please note that applicants will be contacted after each step of the selection process to notify them of theirapplication status.Application ChecklistYou will need to make sure that all requirements are carefully met and the correctinformation is provided so that your application can be processed.Certified copy of your IDCertified copy of your Matric Certificate and all University Results since 1st year ofstudyCertified copies of awards received in High School or University for your academic,sport, leadership or entrepreneurial achievementsFinancial statements / quote – i.e. University / books / accommodation, etc.Recent passport-size photographStamped and signed reference letter from an Educator (high school teacher oruniversity lecturer) enclosed with applicationProof of admission or provisional acceptance letter from your selected UniversityParent or legal guardian’s signature (page 10)Applicant’s signature (page 10)Application must be completed in EnglishProof of parent or guardian’s income and proof of residence. Include certified copies(not originals) of pay slips or pension adviceNote: if your parent or guardian does not get a pay slip, please obtain a sworn statementATTACH A RECENTPASSPORT SIZEPHOTOGRAPH OFAPPLICANT(affidavit) from the police station stating their monthly salaryKN Inzuzo Trust Bursary Application Form 2021.docxPage 2 of 12

PART 1 – PERSONAL INFORMATION1.1 APPLICANT (Factual information about yourself)Title: Mr. / Mrs. / Ms. / Other (please circle the appropriate option)First name(s):Surname:Middle names:Date of birth: D D / M M / Y Y Y YGender: Male / Female (Please circle the appropriate option)Citizenship:Race:AfricanColoured IndianDo you have a disability? Yes / NoWhiteOtherIf yes, please specify:Identity Number: .Home LanguageOther Languages:Home Address:Postal Address:Postal code:Postal Code:E-mail addressHome Telephone no:Cell phone:1.2 EMERGENCY CONTACT DETAILSTitle: Mr. / Mrs. / Ms. (please circle the appropriate option)First name(s):Surname:Relationship:1st contact number:2nd contact number:KN Inzuzo Trust Bursary Application Form 2021.docxPage 3 of 12

PART 2 – FAMILY DETAILS2.1 PARENT OR GUADIAN DETAILSTitle: Mr. / Mrs. / Ms. / Other (please circle the appropriate option)First name(s):Surname:Identity Number:Citizenship:Relationship to applicant:Parent / Guardian (please circle the appropriate option)Occupation:Age:Monthly Income:Home Address:Email Address:Home TelephoneWork TelephonePostal code:Cell:2.2 PARENT OR GUADIAN DETAILSTitle: Mr. / Mrs. / Ms. / Other (please circle the appropriate option)First name(s):Surname:Identity Number:Citizenship:Relationship to applicant:Parent / Guardian (please circle the appropriate option)Occupation:Age:Monthly Income:Home Address:Email Address:Home Telephone:Work Telephone:Postal code:Cell:2.3 ADDITIONAL INFORMATIONHow many people in your household, including yourself?No. of learners in your family still at school (Grade R to Grade 12), including yourselfNumber of students in your family who attend University or other tertiary institution,including yourself?KN Inzuzo Trust Bursary Application Form 2021.docxPage 4 of 12

PART 3 – ACADEMIC RECORD(Please ensure that a certified copy of the school / university results are included)High School attended:District:Results:Telephone number:Subject% achievedSubject% achievedList all academic achievement awards and/or recognition (please indicate the level of achievement e.g. School,Community, Town, Regional, District, National, International): (Please attach supporting documentation with your application.)OFFICIAL SCHOOL STAMPPART 4 – APPLICATION FOR INTENDED UNIVERSITY STUDIES4.1 Have you applied with Kuehne Nagel Inzuzo Trust before?YESNOIf yes, when:4.2 What degree do you intend studying or are registered for? (e.g. B. Com (Honours) in Logistics Management)4.3 Duration of the qualification:Which year of study are you currently completing?4.3 Name of institution:Student number (if any)Financial assistance required (NB: The amount of financial assistance you will receive is dependent onyour personal circumstances and ultimately decided by the Trust at its sole discretion)Amount RequiredTuition feesPrescribed booksAccommodation (please also specify accommodation type)TravelKN Inzuzo Trust Bursary Application Form 2021.docxPage 5 of 12

PART 5 – EXTRA MURAL ACTIVITIES5.1 Leadership Please indicate current or previous leadership roles.InstitutionPositionDuration of InvolvementReference (Name & Telephone)5.2 Community service/involvement: Please indicate any community activities in which you participate or have participated.InstitutionPositionDuration of InvolvementReference5.3 Sport: Please indicate any sports that you play regularly, and the highest level obtained.InstitutionPositionDuration of InvolvementReference5.4 Cultural: Please list your main cultural activities (hobbies, music, dancing etc.).InstitutionPositionDuration of InvolvementKN Inzuzo Trust Bursary Application Form 2021.docxReferencePage 6 of 12

PART 6 – WHO ARE YOU?6.1 Tell us about yourself and your family.6.2 How do you see your future ambitions contributing towards the South Africa that you want to see in the next 10years? Outline some of the things you plan to do and how you would carry them out (Please limit your response tono more than 300 words)KN Inzuzo Trust Bursary Application Form 2021.docxPage 7 of 12

6.3 What informed your decision to study towards your chosen qualification? What do you think you will enjoy aboutyour chosen field/career and which areas do you think you may find challenging?6.4 What are your three top strengths and your three development areas? List them and give an example for each?How did these strengths and development areas inform your decision in selecting your chosen field of study?6.5 The Trust’s vision is to create and support education and entrepreneurial development of young South Africans.Our aim is therefore, that all our selected bursars will become individuals who will significantly impact andpositively change the world around them. Given the above, please provide us with the reasons why you decidedto apply for this opportunity?KN Inzuzo Trust Bursary Application Form 2021.docxPage 8 of 12

6.6 How are you demonstrating excellence in other areas of your life outside your academic achievements? Whatactions/steps did you take to achieve this excellence? How has your excellence been recognised?6.7 Write a brief statement to motivate why you qualify to receive a bursary from Inzuzo TrustKN Inzuzo Trust Bursary Application Form 2021.docxPage 9 of 12

PART 5 – APPLICANT DECLARATIONI ID . declarethat the information contained in this application is, to the best of my knowledge, correct and truthful and I understandthat if it is not, I may be excluded from consideration in the selection process. If, after being admitted to the bursaryprogramme, any falsehoods or omissions are discovered in my applications, I understand that my bursary may beterminated. Signature of applicant .Print Name .Date Signature of Parent or Legal Guardian .Print Name .DateBy signing this application, you are giving the Kuehne Nagel Inzuzo Trust, consent to: Share your personal information with internal and external assessors for assessment purposes. To use your information for research purposes (full confidentiality will be observed). To store your information on our data management system. Should you be invited to an interview, you give the Trust consent to take pictures and video recordings of you.Kuehne Nagel Inzuzo Trust undertakes to protect your information and to ensure that is not used for any purposeoutside of this application process.KN Inzuzo Trust Bursary Application Form 2021.docxPage 10 of 12

KN INZUZO TRUSTREFERENCE FROM EDUCATOROFFICIALSCHOOL STAMPI, the undersigned, confirm the following concerning the applicant:Applicant first nameSurnameApplicant’s position in class (e.g. Grade 11)Number of years that I have known the applicant:Describe the applicant's involvement and participation in the activities at your School/University:Describe the applicant's leadership involvement and leadership recognition at your school:What behaviour or actions have you seen that indicates that this candidate has the ability to leave a mark or influence their world?ExampleKN Inzuzo Trust Bursary Application Form 2021.docxPage 11 of 12