Have you appointed a Skills Development Facilitator (SDF)? Yes No N/A Name and Surname of SDF

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1 DISCRETIONARY GRANT APPLICATION 2017/18 NAME OF MUNICIPALIT/ENTITY SDL NUMBER POSTAL ADDRESS PHYSICAL ADDRESS CONTACT PERSON DESIGNATION TEL NO FAX NO Target provinces (give learner breakdown in numbers) PROVINCE GP MP LIM NW NC WC EC FS KZN Employed Unemployed Have you appointed a Skills Development Facilitator (SDF)? Yes No N/A Name and Surname of SDF Telephone number of SDF of SDF Please tick (x) Have you submitted a Workplace Skills Plan and Annual Training Report? Do you confirm that the learners applied for are not participating in any other skills development project funded by another public institution Yes No N/A Do you agree to work place vetting by the LGSETA Yes No Do you confirm that you are willing and able to meet the precontracting requirements on the stipulated due date? Which will include but not limited to: Learner recruitment and selection; Complete and finalize learner registration documentation and submit to the LGSETA on/before the due date Yes Yes No No

2 PIVOTAL PROGRAMMES (Please indicate applicable learning programmes from the list below) NO OCCUPATION/SPECIALIZATION SAQA ID NUMBER NQF LEVEL NUMBER OF BENEFICIARIES 18 (1) 18 (2) 1. Disaster Management/Coordinator/Officer 2. Water Plant Operator/Water Reticulation/Water Management Generic Management: Disaster Risk Management National Certificate: Generic Management: Disaster Risk Management National Certificate: Water and Wastewater Treatment Process Operations National Certificate: Water and Wastewater Process Control FETC: Water and Wastewater Treatment Process Control Supervision Water and Wastewater Reticulation Services Water and Wastewater Reticulation Services FETC: Wastewater and Water Reticulation Services Finance Manager/ Internal Audit Manager/Management Accountant/Credit Manager/Supply Chain Practitioners/Contract Administrators/Financial Accountant/Risk Officer Community Water Health and Sanitation Plumbing Municipal Finance Management Development Programme Local Government Accounting Certificate Local Government Advance Accounting Certificate Credit Management Risk Management Learner programme 4. Local Economic Development Practitioners 5. Construction Project Management/Project Management/Road Construction National Certificate: Local Economic Development National Certificate: Community House Building Further Education and Training: Supervision of Construction Processes National Certificate: Supervision of Civil Engineering Construction Processes: Road Works Project Management National Certificate: Project Management Fire and Rescue Operations National Certificate: Emergency Services Supervision: Fire and Rescue Operations D i s c r e t i o n a r y G r a n t A p p l i c a t i o n / 1 8 P a g e 2

3 Fire and Rescue Operations Environmental Management National Certificate: Environmental Practice Environmental Practice 8. Municipal Governance/Planning National Certificate: Municipal Integrated Development Planning National Certificate: Municipal Governance SDF qualifications FETC: OD ETDP NC: OD ETDP ND: OD ETDP NC: OD ETDP Transport Management National Certificate: Road Transport Road Transport Management in the Public Sector Road Traffic Law Enforcement: Horticulture and Gardening National Certificate: Horticulture National Certificate: Landscaping National Certificate: Gardening and Horticulture ICT Specialist ICT related qualifications 13. AET Adult Education and Training (AET) Level 1-4 PRIORITY AREAS FOR BURSARIES 14. Civil Engineering National Diploma: Civil Engineering; BTech: Civil Engineering; Degree in Civil Engineering; Honours in Engineering Management, Professional Registration 15. Town Planning National Diploma: Town and Regional Planning; Degree: Town and Regional Planning; Professional Registration 16. GIS Specialist/Technician National Diploma: Cartography (GIS); Degree: Geoinformatics; Honours: Geoinformatics 17. Environmental Health National Diploma: Environmental Health; Degree: Environmental Science 18. Marine Engineer Degree: Mechanical Engineering 19. Internal Auditing Degree/Honours/Masters 20. Economics or Development Economics Degree/Honours/Masters D i s c r e t i o n a r y G r a n t A p p l i c a t i o n / 1 8 P a g e 3

4 List the Learning Programmes if not include above Type of Learning Programme (e.g. Learnership/Apprenticeship) Title of Qualification (e.g. Municipal Finance and Administration) SAQA Registration No. NQF Level Number of potential learners FOR SKILLS PROGRAMMES: (list of Unit Standards) Credits SAQA Registration No. NQF Level Number of learners applying for INTERNSHIP/WIL/BURSARY SPECIALISATION Duration Number of learners applying for D i s c r e t i o n a r y G r a n t A p p l i c a t i o n / 1 8 P a g e 4

5 Details of identified training provider: TRAINING PROVIDER NAME QUALIFICATIONS ACCREDITED FOR (as indicated in application above) ACCREDITATION BODY/ETQA EXPIRY DATE OF ACCREDITATION D i s c r e t i o n a r y G r a n t A p p l i c a t i o n / 1 8 P a g e 5

6 Disclaimer Grant allocations is based on the availability of discretionary funds, completeness of applications and meeting the deadline for submitting all required documentation by 31 May Requests for extension will therefore not be considered for this grant. LGSETA reserves the right not to make any awards, as well as the right to make allocations proportionately to ensure equitable distribution of funds and meeting the strategic skills development needs of the sector. Declaration by the Employer/Entity: This is to confirm acknowledgement of the disclaimer, that the information provided is accurate and that the application has been approved by the Council/Board/Accounting Authority. Full name: Position in Organisation: Date: Signature: D i s c r e t i o n a r y G r a n t A p p l i c a t i o n / 1 8 P a g e 6

7 FOR FURTHER ENQUIRIES CONTACT THE LGSETA PROVINCIAL OFFICE Contact details Province Address Telephone Contact person Eastern Cape 11 Tecoma Street, Berea, Ms Linda Budaza East-London Free State 74 President Reitz Street, Mr Jerry Thothela Westdene, Bloemfontein Gauteng 47 Van Buuren Street, Mr Thando Nogwaza Bedfordview, Johannesburg Kwa-Zulu Natal Office 2301, 3 rd floor, Embassy House, 199 Anton Lembede Street, Durban ziphom@lgseta.org.za Mr Zipho Mazibuko Limpopo Mpumalanga 73 Biccard Street, Maneo Building, 1 st Floor, Polokwane margaretm@lgseta.org.za 536 Schoeman Street, Building Block A, 3 rd floor, Arcadia idanik@lgseta.org.za Northern Cape 10 Olliver Road, Block 3, Ground Floor, Left Wing, Montrio Corporate Park, Kimberley Thanduxolom@lgseta.org.za North West Western-Cape Office XX0109A, 2 nd Floor West End Shopping Centre, 51 Leask Street, Klerksdorp luxolom@lgseta.org.za 2nd Forrest House, Belmont Office Park, Rondebosch, Cape Town aneekaj@lgseta.org.za Mrs Margaret Marakalala Mrs Idani Kudzingana Mr Thanduxolo Moleli Mr Luxolo Mbina Mrs Aneeka Jacobs D i s c r e t i o n a r y G r a n t A p p l i c a t i o n / 1 8 P a g e 7