Apply to Join

Personal Details

Full Name *

South African ID Number *

Gender *
—Please choose an option—FemaleMaleOtherPrefer not to say

Age *

Email Address *

Mobile *

Location

Province *
—Please choose an option—Eastern CapeWestern CapeNorthern CapeFree StateKwaZulu-NatalGautengMpumalangaLimpopoNorth West

Town / Village *

District Municipality

Programme Interest

Which programme are you applying for? *
—Please choose an option—Entrepreneurship & IncubationSkills Development & TrainingFarmer Support (Production Input)Multiple — I'll explain below

Value Chain / Industry *
—Please choose an option—Poultry (broilers / layers)VegetablesLivestockCropsCitrusAgro-processingOther

Your Business / Idea

Business / Idea Name (if any)

What stage are you at? *
Idea stagePre-revenue / start-upOperating less than 2 yearsOperating 2+ years

Briefly describe your business or idea *

Why do you want to join CEIRD? *

Availability & Resources

Can you attend full-time training at Fort Cox if selected? *
YesNoPart-time only

Do you have access to land for production? *
Yes — own landYes — leased / sharedNo — I would need help

Supporting Documents (optional)

Upload CV (PDF/DOC, max 5MB)

Upload ID Copy (PDF/JPG/PNG, max 5MB)

Consent

I confirm the information above is true and I consent to CEIRD processing my personal information for the purpose of evaluating this application (POPIA).