CareerXpo - School Nomination

The nomination form below must be completed by a dedicated representative of a school or school support programme who wishes to elect their 10 top-performing pupils to serve as delegates to the CareerExpo.

The CareerXpo is an initiative to introduce high achieving grade 12 school learners in Gauteng to the wide variety of careers, bursaries and employment opportunities offered by exhibiting companies, and also learn more about the study opportunities offered through South African universities.

Students are selected to participate in this event to be held at the GIBS campus in May 2012 based on demonstrated academic ability, leadership service and passion for developing their home community.

Note: fields that are mandatory are marked with a *
Name of School *
School’s Physical Address: *
School’s E-mail Address *
Name of Career Counselor *
Contact number for Career Counselor: *
Will your school’s Career Counselor be attending the CareerXpo with the nominated learners?: *	Yes No
Career counselor's dietary requirements: *	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other
*Kindly note that this info will assist the caterers, ensuring that they cater for learners and educators with special dietary requirements.

ANY QUESTIONS OR QUERIES?
Please contact Ishshah Nkunjana on Tel (011) 771 4126 / Fax (086 638 0692) or e-mail her on nkunjanai@gibs.co.za

PLEASE NOTE
All learners attending the CareerXpo must be dressed in their school uniform. Deadline for registration of learners is Wednesday, 5th of May 2012 – please register early to avoid disappointment! Unfortunately, due to planning purposes, we will be unable to accept late registrations.

Please complete the details below for your school’s 10 nominations:
Light meals & refreshments will be served on the day. Do any of the learners have any special dietary requirements? If so, please check the relevant radio button below:

Nomination 1:
Name of learner: *
Area of career interest: *
Learner’s average (in % or symbol): *
Contact number *
Dietary requirements: *	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 2:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 3:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 4:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 5:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 6:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 7:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 8:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 9:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other

Nomination 10:
Name of learner:
Area of career interest:
Learner’s average (in % or symbol):
Contact number
Dietary requirements:	None Vegetarian Kosher Strict Kosher Halaal Strict Halaal Other
Please describe if other