SKILLS PROGRAMME APPLICATION FOR FUNDING FORM EMPLOYER CASH GRANTS

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SKILLS PROGRAMME APPLICATION FOR FUNDING FORM 2015-2016 EMPLOYER CASH GRANTS FROM 1 APRIL 2015 30 MARCH 2016 Claim your employees training that started and ended within this period Name of Applicant Company: PLEASE WRITE YOUR COMPANY NAME ABOVE HERE, FAILURE TO DO SO WILL RESULT IN YOUR APPLICATION NOT BEING CONSIDERED. For Official INSETA Use Only S P R 1 6 Skills Programme Funding Allocation Number Received on: Approved on: 1

Table of Contents Section Content Page Section 1 Application Information 3 Section 2 Identified Scarce & Critical Skills 4-5 Section 3 Employer Details 6-8 Section 4 Skills Programme Details 9 Section 5 Institution Details 10 Section 6 Learner s Details 11 Section 7 Employer Checklist 12 Section 8 Declaration of Employer 13 Annexure A 14 Annexure B 15 Annexure C 16 Annexure D 17 Annexure E 18 Communication of decisions Decisions in respect of Skills Programme funding applications will be communicated in writing by INSETA Skills Planning Division to the applicant with the reference number. To avoid delays, please ensure that this Skills Programme Grant Application form is completed in full before being submitted to INSETA. Questions to be submitted to skillsprogram@inseta.org.za ONLY for record purposes. PLEASE COMPLETE THIS APPLICATION AND SUBMIT WITH ALL YOUR DOCUMENTS AND YOU WILL BE NOTIFIED WITHIN 3 WEEKS OF THE OUTCOME. Remember that queries to be directed to skillsprogram@inseta.org.za and applications also to be submitted to skillsprogram@inseta.org.za PLEASE PAY SPECIAL ATTENTION TO INFORMATION HIGHLIGHTED ABOVE Skills Programme Fund Application CASH GRANT 2016-2

Section 1 Application Information Application Submissions Please Note: 1. Individual Skills Programme Application Forms must be submitted in respect of every Skills Programme to be funded. For example: Employer ABC wants to placed 5 staff on skills programs, 3 staff will attend a program on Corporate Governance with 10 credits and 2 staff will attend a course on Computer Literacy with 15 credits. Both programmes are offered by accredited training institutions. Therefore employer ABC will fill in two Skills Program application forms for the two separate programmes because an employer cannot put two programmes on the same application form. The employer can put as many learners on one application form as they wish. 2. Skills Program Funds will be disbursed at the discretion of INSETA in line with the INSETA s Discretionary Grant Policy and Guidelines. 3. Skills Programme Fund Applications FOR CASH GRANTS must be submitted after the skills programme has been completed and the learner has been certified or received their statement of results. 4. INSETA will fund a maximum cap of R5000 per learner, irrespective of the number of modules currently registered to study. If the number of modules fees exceed R5000, Table of Contents INSETA will only refund you R5000. If the learner only completed 1 module @ R1750, then INSETA will only refund you R1750. 5. All programmes must start before 30 October 2015 and end before 30 January 2016. 6. The Skills Programme must be credit bearing. 7. This Skills Programme can be done by any accredited training institution. 8. The Skills Programme must directly or indirectly support and up-skill occupational areas listed in the INSETA Skills List or address skills in demand mentioned in the INSETA Sector Skills Plan which is on the INSETA website www.inseta.org.za under the Skills Division webpage. Please download both documents for reference purposes. 9. INSETA will only pay for learners who have passed the programme and that received a certificate of Competency or statement of results. 10. Your applications are not limited to insurance specific programmes so you may apply for any accredited credit bearing courses during this period above. 11. Should you have any queries, or questions please direct these to skillsprogram@inseta.org.za and not to any other email address The WINDOW WILL OPEN on 01 May 2015 and close on 30 June 2015. 12. Funding will be issued on a first come first serve basis. 13. Where the Employer is a skills levy payer with INSETA; levy payments must be up to date; and WSP & ATR must have been submitted to INSETA. 14. Non levy payers must ensure that they submit a Workplace Skills Plan and Report before making application for funding. To receive a WSP form email BonginkosiM@inseta.org.za 15. All applications must be submitted as follows: 1. Electronically ONLY to skillsprogram@inseta.org.za, Applications sent to ANY other address other than the one above will be disregarded. Remember that INSETA has limited funding so applications per skills programme will be subjected to a cap in funding. Skills Programme Fund Application CASH GRANT 2016-3

Section 2 The tables below set out the scarce and critical skill priorities for the 2015/16 Financial Year and the extent to which they are either PIVOTAL or strategic in nature. Scarce and critical skills Targeted beneficiary group Comments TO BE COMPLETED BY THE EMPLOYER SKILLS PROGRAM ADDRESSES WHICH SCARCE AND CRITICAL SKILL (TICK) Management and leadership Any Management and Leadership development short programme that is NQF aligned, credit bearing and offered by an accredited institution that has approval to run this programme. Claims assessing Any short programme that relates to this skills area which is NQF aligned, credit bearing and offered by an accredited Underwriting institution that has approval to run this programme. Actuaries Business and systems as well as computer based training skills Advice and Sales, Marketing & Customer care skills Compliance, Legal & Risk Management related skills, accounting skills Indirect skills that may support the above scarce skills list Administrative and secretarial Skills Adult Education Programmes below NQF level 4 Communication related skills Diversity, transformational, Human resources skills, Education and training related Life skills programs, personal mastery Any short programme that relates to this skills area which is NQF aligned, credit bearing and offered by an accredited institution that has approval to run this programme. 4

Section 3 Employer Details 3.1 Legal name of Employer: 3.2 Is the employer a levy paying member of Inseta? 3.3 SARS SDL Number 1 OR T number issued by INSETA: 3.4 Physical Address: 3.5 Postal Address: YES NO 3.6 Company/Close Corporation/Partnership/Sole Trader Registration number: 3.7 Did the company submit WSP/ATR reports? YES NO 3.8 Company/business enterprise size: (Please tick one row for Size of Company) Business Enterprise Number of Permanently People BEE Yes/No Small 1 49 Medium 50 149 Large 150 999 Macro 1000 1999 Mega 2000 3.9 Employer Representative Contact Details (Person responsible for managing this Process in the organisation) THIS SECTION IS COMPULSORY Name & Surname: Designation: Telephone number: Cell Number: Email address: Section 4 APPLICATION MUST BE MADE FOR A SKILLS PROGRAMME THAT HAS ALREADY BEEN COMPLETED BY THE LEARNER OR WILL BE COMPLETED BY JUNE 2015 OR DECEMBER 2015. REMINDER: THE PROGRAM MUST BE CREDIT BEARING AND THE LEARNER MUST HAVE RECEIVED A CERTIFICATE OF COMPETENCY, AND ANY SHORT LEARNING PROGRAMMES THAT DOES NOT LEAD TO CERTIFICATES OF COMPETENCY WILL NOT BE CONSIDERED FOR THIS FUNDING WINDOW. COMPLETE THE ATTACHED EXCEL SPREADSHEET FOR THIS SECTION, AND MUST BE EMAILED TO INSETA WITH THIS APPLICATION TO Skillsprogram@inseta.org.za \ 1 SARS Skills Development Levy number as per Skills Development Levies Act. 5

Section 5 Declaration of Employer * It is an offence in terms of the Skills Development Act of 1998 to provide false or misleading information in this Application. * Your application will be rejected should false or misleading information be found. * INSETA reserves the right to verify the documented responses. I/We declare that the information provided is correct and according to my/our knowledge, the signatories have the authority to bind the company accordingly. Furthermore I/we have satisfied myself/ourselves to the extent, nature and regulations governing the proposed Skills Programme from reading the INSETA Discretionary Grant Policy and Guidelines. Furthermore that; ALL PROGRAMS MUST START BEFORE 30 OCTOBER 2015 AND END BEFORE 30 JANUARY 2016; AND THIS FUNDING APPLICATION REQUEST WILL EXPIRE ON 30 JANUARY 2016. ANY LEARNERS IN STUDY AFTER THIS DATE WILL BE FOR THE ACCOUNT OF THE EMPLOYER / LEARNER. Name of Representative of Employer (Please print) (Who has the authority to bind the Company) Signature of Representative of Employer: Date: Witness Name (Please print) Signature of Representative of Employer: Date: CHECKLIST 5.1 This application must be submitted along with the following information: 5.1.1 INSETA BI ( Business Intelligence Xcel Spreadsheet ) with the learner profile details attached. This is available for download from the INSETA homepage. 5.1.2 A Cancelled Cheque or stamped proof of banking details from your bank so that INSETA can pay the programme fee into the company account ( INSETA will only pay into business account and not into personal accounts); 5.1.3 Certified copies of the learners ID book; 5.1.4 Proof that the company has paid the training provider for the full skills programme fee (very important that the invoice/remittance advice, states the skills programme name and learner name), remittance advices accepted from training providers on the employers account. 5.1.5 Certificate of Competency or Statements of Results reflecting all subjects passed. INSETA will not refund the learner that was found not yet competent in a skills programme. INSETA internal process: *** INSETA will process applications within 3 weeks. *** An allocation letter for funding will be sent to the employer to accept the funding that has been approved by INSETA. *** The employer can send the invoice with the signed allocation letter. Employers MUST invoice INSETA for the full fees due. Skills Programme Fund Application CASH GRANT 2016-6