ILDP FORM. Fill out form below. Insurance Leadership Development Programme Application FormIt’s important that applicants note the below process, instructions and timing:- Please complete all sections accurately and honestly. - Please ensure that every question and every section is answered clearly.- Please note that completion of this application form is the 1st of 3 parts to the ILDP 2021 Application. - Please ensure that all the required electronic documents are ready for submission when completing application.- Ensure your application form along with supporting documents are submitted by no later than the 16/11/2020.- As there are multiple phases to the application, we highly recommend submitting sooner rather than later.Phase OneSubmission of Complete Application Form with All Required Documents.Phase TwoIIG Application Assessment: On successful submission of this form applicants will be required to complete a short entry exam to be completed in your own time, within the space of 1 week. Assessment Dates: TBC Please note that the exam date will be allocated when your application form has been received.Phase ThreeOn successful submission of the exam/assessment paper, you may be chosen to participate in a panel interview. The sooner applications are received, the sooner your notifications for the various phases will be given. Late applications received after the 16 November 2021, will only be recognized should there still be space on the programme. CHANGES to the programme:The 2022 programme structure will consist of both online lectures and campus class sessions This is an NQF Level 5 programme which is accredited by Quality Council For Trades and Occupations, QCTO. The content of the programme is 70% practice and 30% theory. It aims to enhance the learner’s ability to apply their knowledge, skill and work place experience. Cost:Cost is R49 800, total cost is R99 600 with 50% subsidyEntrance Exam:Phase Two ILDP Application Entrance Exam: All applicants will be required to complete an entrance exam which will be set and invigilated by GIBS faculty. The exam will be carried out on the 30th November 2021.Details of the exam will be provided after the closing date. Email Address* Email Address*Programme DetailsAre you employed by an organization registered as a member of the Insurance Institute of Gauteng?* Are you employed by an organization registered as a member of the Insurance Institute of Gauteng?*YesNoMaybeTitle* Title*MrMrsMsMissOtherSurname (Family Name)* Surname (Family Name)*Forenames (As it appears on your ID)* Forenames (As it appears on your ID)*Preferred name* Preferred name*Gender* Gender*FemaleMaleDate of Birth* Date of Birth*Nationality* Nationality*Contact DetailsTelephone number (Preferably cell)* Telephone number (Preferably cell)*Telephone number (Work)* Telephone number (Work)*Alternative email address* Alternative email address*Physical home address* Physical home address*Current EmploymentName of employer* Name of employer*Employer address* Employer address*Date appointed* Date appointed*Job title* Job title*Managerial level* Managerial level*First lineMiddle managerSenior manager ExecutiveOther:Number of direct reports* Number of direct reports*Size of company* Size of company*Large Enterprise (more than 250 employees)Medium Enterprise (less than 250 employees)Small Enterprise (less than 50 employees)Microenterprise (less than 10 employees)SDL Levy number (A Skills Development Levy (SDL) is imposed to encourage learning and development in South Africa and is determined by an employer's salary bill. Applicants HR department should be able to assist with this number.)* SDL Levy number (A Skills Development Levy (SDL) is imposed to encourage learning and development in South Africa and is determined by an employer's salary bill. Applicants HR department should be able to assist with this number.)*Work ExperienceIn order to consider your application and your suitability for the ILDP, you are asked to provide further details of your experience. Kindly complete the sections below. Your answers should demonstrate and support your ability to contribute to the ILDP. Your curriculum vitae will be used to supplement the information provided belowHow many years full- time managerial work experience do you have?* How many years full- time managerial work experience do you have?*How many years total work experience do you have?* How many years total work experience do you have?*Please indicate the number of years’ experience you have of the particular criterion and provide a statement summarizing those experiences. Your answers should demonstrate and support your ability to contribute to the ILDP. Your curriculum vitae will be used to supplement the information provided below. An involvement in strategic planning and decision-making. The objectives and effects of which are measured outside of standard operational activities. Explain years of experience and the summary statement.* Please indicate the number of years’ experience you have of the particular criterion and provide a statement summarizing those experiences. Your answers should demonstrate and support your ability to contribute to the ILDP. Your curriculum vitae will be used to supplement the information provided below. An involvement in strategic planning and decision-making. The objectives and effects of which are measured outside of standard operational activities. Explain years of experience and the summary statement.*Please indicate the number of years’ experience you have of the particular criterion and provide a statement summarizing those experiences.Your answers should demonstrate and support your ability to contribute to the ILDP. Your curriculum vitae will be used to supplement the information provided belowA responsibility for managing specific projects or teams both within or external to the organization. Clarify the size and nature of the tasks and how you managed or directed others. Years experience and summary statement* Please indicate the number of years’ experience you have of the particular criterion and provide a statement summarizing those experiences.Your answers should demonstrate and support your ability to contribute to the ILDP. Your curriculum vitae will be used to supplement the information provided belowA responsibility for managing specific projects or teams both within or external to the organization. Clarify the size and nature of the tasks and how you managed or directed others. Years experience and summary statement*Educational HistoryPlease indicate your highest qulaification achieved* Please indicate your highest qulaification achieved*Matric (GR12)Certificate/DiplomaBachelor's Degree / B Tech Masters DegreeDoctorateName of qualification/s, institution and year obtained* Name of qualification/s, institution and year obtained*Personal MotivationIn support of your application, please explain how you believe you will benefit from the programme. State your career objectives and an honest view of your strengths and developmental areas* In support of your application, please explain how you believe you will benefit from the programme. State your career objectives and an honest view of your strengths and developmental areas*Line manager MotivationPlease motivate why this candidate is being nominated for the ILDP. What career progression discussions have taken place?Should it not be possible for your line manager to submit his/her motivation on this form, please email with other requested documentation* Please motivate why this candidate is being nominated for the ILDP. What career progression discussions have taken place?Should it not be possible for your line manager to submit his/her motivation on this form, please email with other requested documentation*Line Manager Name* Line Manager Name*Line Manager Designation* Line Manager Designation*Line Manager Email Address* Line Manager Email Address*Funding Are you funding the costs in your personal capacity?* Are you funding the costs in your personal capacity?*YesNoIn your Organization funding all/some of the costs of the Programme?* In your Organization funding all/some of the costs of the Programme?*YesNoIf yes, what are the bursary terms?* If yes, what are the bursary terms?*DeclarationIf you have a disability that may affect your learning, please elaborate below:Do you have a disability?* Do you have a disability?*YesNoIf yes, what is the nature of the disability?* If yes, what is the nature of the disability?*Blind / Paritially sightedWheelchair user / mobility difficulitiesMental HealthAutism spectrum DisorderDeaf / hearing impairmentPersonal care supportUnseen disability - EG diabete, epilepsy , asthmaMultiple disabilitiesRather not discloseNot ApplicableWhat accommodation do you require to support you during the programme regarding the disability specified above?* What accommodation do you require to support you during the programme regarding the disability specified above?*help to exit a building in the event of an emergency evacuationaccommodation due to mobility or fatigue-related issuesaccommodation served by a lifta room with hoistwheelchair accessible accommodation an en-suite rooman adapted bathroom / toiletaccommodation for a carergrab rails in kitchen, bathroom and bedrooma kitchen or bathroom with height adjusted facilitiesa fridge in the room for medicationNAAre there long term health conditions that you need to declare that will impact your participation on the programme? Please specify.* Are there long term health conditions that you need to declare that will impact your participation on the programme? Please specify.*DeclarationI declare that the information given in this application is true, complete and accurate and that no information requested or other material, has been omitted* I declare that the information given in this application is true, complete and accurate and that no information requested or other material, has been omitted*YesI understand the requirements, operationally and personally, of the programme, specifically in relation to the study blocks to be attended, exams, assignments, syndicate work and individual presentations.* I understand the requirements, operationally and personally, of the programme, specifically in relation to the study blocks to be attended, exams, assignments, syndicate work and individual presentations.*YesI understand that the cost of the programme is subsidised by Sasria SOC limited. I agree that if I withdraw from the programme prior to completion, or if I fail any subjects that results in any financial implications, the IIG reserves the right to claim the value of said sponsorship from me/my company. I understand that any additional costs incurred for this course will be for my/my companies own account.* I understand that the cost of the programme is subsidised by Sasria SOC limited. I agree that if I withdraw from the programme prior to completion, or if I fail any subjects that results in any financial implications, the IIG reserves the right to claim the value of said sponsorship from me/my company. I understand that any additional costs incurred for this course will be for my/my companies own account.*YesBy submitting my application form (on this or any other platform) I hereby confirm that all my answers and all details provided are true and correct. I hereby accept all terms of application and participation for the Insurance Leadership Development Programme.* By submitting my application form (on this or any other platform) I hereby confirm that all my answers and all details provided are true and correct. I hereby accept all terms of application and participation for the Insurance Leadership Development Programme.*YesI hereby give permission to the Insurance Institute of Gauteng to share my information with the official stakeholders; namely: Sasria SOC and GIBS (Gordon Institute of Business Science), for all purposes and communications related to this programme.* I hereby give permission to the Insurance Institute of Gauteng to share my information with the official stakeholders; namely: Sasria SOC and GIBS (Gordon Institute of Business Science), for all purposes and communications related to this programme.*YesApplicant ID number* Applicant ID number*Date completed * Date completed * We like you. So let’s stay in touch. Success! Email Sign up TELEPHONE: 087 109 1000 E-MAIL: INFO@SYFINITY.COM HOURS: MON-FRI 08:00 AM to 5:00 PM LIMA AVE, OLIVEDALE OFFICE PARK OLIVEDALE, RANDBURG SOUTH AFRICA