Form cover
Page 1 of 1

PSW Application form

For the Phetogo Story Workshop in NORTH WEST

NAME

AGE

GENDER

ARE YOU A PERSON LIVING WITH DISABILITY

A
B

ID NUMBER

CELLPHONE NUMBER

EMAIL

PROFESSION

QUALIFICATION

Links to notable projects

TELL US ABOUT YOURSELF (MOTIVATION) 1000 words

SEND US A 2 MINUTE VIDEO TELLING US ON YOUR EXPERIENCE AND WHY YOU'LL BE A GREAT FIT FOR PSW (ATTACHT GOOGLE DRIVE LINK TO VIDEO)

PROOF OF RESIDENCE

CV

ARE YOU AVAILABLE FOR A PHYSICAL TRAINING IN KLERKSDORP FROM 30 NOVEMBER TO 4TH DECEMBER

A
B
We will reach out to you via Email after we reviewed your application.