Undergraduate Bursary Application Form (Including Honours) : Please Complete This Form Using BLOCK LETTERS

UNDERGRADUATE BURSARY
APPLICATION FORM
(INCLUDING HONOURS)
200 Malibongwe Drive
Please complete this form using BLOCK LETTERS Randburg , 2125
Closing date: 31 July for support the following year Telephone (011) 709 4111
www.mintek.co.za
PERSONAL DETAILS
Title: ___ Surname: ___________________________________ First names: _______________________________________________________
Physical address: _______________________________________________________________________________________________________
Postal Address: _________________________________________________________________________________________________________
Telephone number: ______________________________________ Alternative number: _______________________________________________
E-mail address: ________________________________________________________ Home language: __________________________________
Date of birth: _______________________________________________ Place of birth: ________________________________________________
Gender: Male Female Marital status: Single Married Race: African Coloured Indian White Other ______________
Citizenship: ____________________________________________ Identity number: __________________________________________________
Have you been convicted of a crime? If yes, please specify: ______________________________________________________________________
Do you have a physical / mental disability? If yes please specify: ___________________________________________________________________
Are you receiving or have you received another bursary / student loan? If yes, state the name of the institution that granted the bursary / student loan
and the obligation:
SCHOOL QUALIFICATIONS
Name & address of school attended: _________________________________________________________________________________________
Year in which you matriculated / expect to matriculate:
Subject Gr 10 (final) Gr 11 (final) Gr 12 (mid yr) Gr 12 (prelims) Gr 12 (final) HG / SG
Physical Science
Mathematics
English
Other: 1.
2.
3.
4.
5.
PROPOSED / CURRENT STUDIES AT UNIVERSITY

Course of study: ______________________________________________________________________________________ degree diploma
Majors: ________________________________________________________________________________________________________________
Additional subjects: ______________________________________________________________________________________________________
University: _____________________________________________________________________________________________________________
Faculty: __________________________________________________ Department: __________________________________________________
Commencement date: __________________________________________ Student number: ___________________________________________
Present year of study: Have you failed any study year? If yes, please specify:
Subjects (most recent) Symbol / % Subjects (most recent) Symbol / %
FOR OFFICE USE ONLY

Short-list for interview. Interview location, date & time: ________________________________________________________________________
Interview panel members:
Interview outcome:
Offer bursary under (division). Endorse for offer to (division(s)). Candidate unsuccessful.
We regret to inform you that your application was not successful for the following reason(s):
You are not a South African citizen.
You have not provided all of the necessary supporting documentation.
Your application was received after the closing date.
Based on Mintek’s future skills requirements, we are not offering bursaries to students in your particular discipline or year of study this year.
Your application has not met Mintek’s minimum requirements and you were not selected to proceed to the next stage of selection.
Other:
This form is available on-line at www.mintek.co.za (follow the “Bursaries” link).
POST-MATRIC QUALIFICATIONS
Qualification obtained: ____________________________________________________________________________________________________
Institution attended: ______________________________________________________________________________________________________
Study commencement date: Completion date: Graduation date:
Qualification obtained: ____________________________________________________________________________________________________
Institution attended: ______________________________________________________________________________________________________
Study commencement date: Completion date: Graduation date:
WORK EXPERIENCE (most recent/current listed first)

Name of employer: ______________________________________________________________________________________________________
Address: __________________________________________________________________________________ Tel no: ______________________
Employment period: From _______________________________________________ To ______________________________________________
Designation: ____________________________________________________________________ May we contact this employer? ______________
Reasons for leaving:
Name of employer: ______________________________________________________________________________________________________
Address: __________________________________________________________________________________ Tel no: ______________________
Name of employer: ______________________________________________________________________________________________________
Address: __________________________________________________________________________________ Tel no: ______________________
HOBBIES & INTERESTS

Tell us about your hobbies and interests:
 Do you like to take household appliances apart and put them back together to see how they work or do you enjoy fixing broken things?
 Are you the joker or the life of the party?
 Do you enjoy dance, soccer, gymnastics or any other kind of physical activity?
 Are you an explorer; someone who likes to travel to new places or discover new experiences?
 Have you taken part in any Science competitions or Olympiads?
 Are you competitive? Are you satisfied only if you are number one?
 Do you like planning and organising activities like parties or clubs?
 Have you ever built anything from scratch, like a soapbox car or a radio?
 Do you have any kind of collection (stamps, coins, video clips, etc…)?
 Are you a creative person that enjoys activities like cooking, painting, DJ-ing and pottery?
 Do you like writing stories, drawing cartoons or writing poetry? Do you enjoy going to plays and watching movies?
(Attach a separate sheet if the space above is not sufficient.)
HOW DID YOU HEAR ABOUT MINTEK’S UNDERGRADUATE BURSARY PROGRAMME?

Mintek Website MinquizTM competition University careers office Your school
Exhibition (specify) Publication (specify) Other (specify)
DECLARATION
I, the undersigned, hereby declare that I understand the questions in this application form and that the answers given to all of them are true.
SIGNATURE OF APPLICANT ________________________________________________________ DATE _____________________________

UNDERGRADUATE BURSARY PROGRAMME
Who are we looking for?

Mintek has a strong interest in students who intend to pursue / are currently pursuing undergraduate degrees, honors degrees or
B.Tech diplomas in the following fields*:
 Chemistry (Analytical or Geochemistry)
 Chemical Engineering (Minerals Processing option)
 Electrical Engineering (Process Control Systems or Electronics)
 Geology (majoring in Mineralogy, Petrology, Applied Geology or Economic Geology)
 Mathematics
 Mechanical Engineering
 Mining Engineering
 Physical Metallurgy / Materials Science
 Physics
* Unfortunately Mintek does not provide bursaries to students studying towards their National Diplomas or students at year one
(first year) of their study programme.
Bursary requirements
 At University currently: Studying towards any of the above-mentioned degrees with an overall average of 60% and no
failed courses or subjects.
 Must be a South African citizen.
 Must meet the university entry requirements and be accepted at a recognised South African university for full-time
studies.
What the bursary covers

 Full payment of registration, tuition, residence and meal fees (or equivalent of university residence and meal fees if
staying in private accommodation), plus a R15, 000 p.a. allowance.
 The bursary is awarded for the length of the prescribed course provided that the bursar passes the registered subjects
and still complies with the Mintek bursary contract.
Bursary obligations
 A year-for-year service obligation to Mintek upon graduating, i.e. the bursar needs to work one year at Mintek for every
academic year (or part thereof) that the bursar is supported.
 Vacation work at Mintek is compulsory at the end of each academic year till the 3rd year, and is fully remunerated.
(Accommodation in Randburg and national transport to and from Mintek is also covered.)
How to apply
Completed application forms with supporting documentation must be submitted to Mintek’s Academic Liaison Officer as follows:
Via post: Mintek Bursary Office, Private Bag X3015, Randburg 2125
E-mail: bursaries@mintek.co.za
Fax: 011 709 4465
Supporting documentation to be submitted

 Curriculum vitae.
 Certified copy of proof of identity (ID or passport).
 Certified copies of Matric certificate and official university transcript / certificates / registration.
Please note
 Correspondence will only be conducted with candidates who have been shortlisted for interviews.
 Incomplete and late applications will not be considered.
 Applicants who have not heard from Mintek within three months of the closing date can assume that their application
has been unsuccessful.
 Applications may or may not be selected based on Mintek’s employment equity needs.
For more info on Mintek’s undergraduate bursary programme please contact Mintek’s Academic Liaison Officer on 011 709 4648.
Closing date: Apply before 31 July for support during the next academic year.

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UNDERGRADUATE BURSARY

PROPOSED / CURRENT STUDIES AT UNIVERSITY

FOR OFFICE USE ONLY

WORK EXPERIENCE (most recent/current listed first)

HOBBIES & INTERESTS

(Attach a separate sheet if the space above is not sufficient.)

HOW DID YOU HEAR ABOUT MINTEK’S UNDERGRADUATE BURSARY PROGRAMME?

SIGNATURE OF APPLICANT ____________________________ DATE _

Who are we looking for?

What the bursary covers

Supporting documentation to be submitted

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