DBEBB 0425

Teacher recruitment screening form for 2025 Academic year - Bachelor of Education Degree (B Ed) and
Post Graduate Certificate in Education (PGCE)

NB: Please note that this is not an application form for the Funza Lushaka bursary programme. You must
only complete this form if you are interested and qualify to studying teaching at a university. You should be
currently doing Grade 12 or have passed Grade 12 with an “admission to Bachelor’s Degree studies”.

NB: The purpose of the teacher recruitment screening form is to ensure that applicants have the national priority
subject areas that are funded by Funza Lushaka bursary programme, completing the screening form does not
mean that you have been awarded the bursary.

All applicants must apply for the bursary online by visiting www.eservices.gov.za or www.
Funzalushaka.doe.gov.za. Applications are open from 1 October annually and close at midnight two weeks
after the matric results are released.
• Complete the form in detail as all areas are compulsory.
• Failure to complete all the areas, will render the form unacceptable for considerations.
• After you have populated and completed the Teacher Recruitment Screening Form capture the
information or details on the eCubed link https//learn.ecubed-dbe.org/forms/screening/ before you submit
the form at the district office (Mandatory)
• Candidates who are currently registered at a university are not allowed to complete this form, however
they must follow the online route for applying for the Funza Lushaka bursary.
• Note that the Funza Lushaka bursary cannot be used to pay for existing loans or debts.
• The online application is Mandatory.
This screening form is intended for the use by the District and Community-based as well as the PYEI recruitment
applicants.

A. General Information of Applicant*

Surname Gender Female Male
Name(s) Home Language
Age (30 and below) ID No:
Race African Disability Yes No If yes, Please specify
Residential address Postal Address

Province
Cell number Alternative Cell Number
Email address:
Next of kin Details
Surname
Name(s)
Next of kin Address

Contact number
Year you completed or will complete grade 12, e.g. 2020
Province

1
Name of Last School District
Attended
Indicate the preferred area or locality for employment after completion of studies ((Tick on Village
the appropriate space or preferred area) Township
Urban

B. Please indicate your grade 12 or 11 results on the list below and submit a copy of your Nationa Senior
Certificate/Statement of final results.
Name of subject Marks in Percentage (%) e.g. Level, e.g., 4
54%
Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
Subject 7
C. Please indicate the Phase and the Subject specialisation in which you will be studying at the
university. Tick a maximum of two (2) subjects.*Choose two subjects for SP-FET Phase with 1
additional subject of your choice
Foundation Tick Intermediate Tick Senior and Tick
Phase (Grade Phase Grade 4 – FET
R- 3) 6 Phase (Grade 7–12)
All language groups are Students are
invited to apply but invited to apply for Students are invited to apply for any two
preference will be given to all subject of the below priority subjects as
speakers of African offerings in the preference will be given for a teaching
Languages Foundation Intermediate major in two of the following:
Phase Specialisation Phase, but N.B. choose two subject to major with
Indigenous African preference will be at the university one from the
Language. given for a Provincial priority areas and the other
according to Provincial teaching major in from the National list
priority subject areas two of the
following:

isiXhosa, Mathematics Neurodevelopment

isiZulu Natural Sciences & SASLS

Technology
Sepedi Braille Braille
Sesotho SASLS Mathematics
Setswana Neurodevelopment Physical Sciences
Xitsonga Remedial Life Sciences
Teaching
SiSwati Information Technology
isiNdebele Technology
Afrikaans, Mechanical Technology
Braille Civil Technology
SASLS Electrical Technology
Neurodevelopment Electrical Engineering

2
Remedial Teaching Computer Application Technology
Technical Mathematics
Technical Sciences
Agricultural Technology
Engineering Graphic and
Design
Marine Sciences/Maritime Studies
Remedial Teaching
IF THE SUBJECT IS NOT LISTED Nautical Sciences
ABOVE WRITE YOUR CHOSEN
SUBJECTS
D. Indicate the preferred University that you want to study Campus
in 2023 (If you applied to more than one university, please
indicate as follows:
Unisa/UJ/UP etc)
Applied TICK Admission status TICK Student number from the University

E. COMPLETE THIS SECTION IF YOU HAVE A DEGREE FOR PGCE (also attach your academic record or
transcript)
POST –GRADUATE: If you were registered at a Higher Education Institution previously, indicate your qualification
below
Specify your Qualification
Did you complete the YES NO
qualification? Yes/No
If Yes, provide details below
Year Obtained and attach the
academic record
Name of the Institution registered to
Two (2) specialised and /or major
subjects/courses completed in third
(3) year
Specify the Province and District
to be placed after your studies Province District

F. N.B. Attach a brief explanation why you want to study teaching and describe any activity that you were
involved in your community: (1 page) Do not write on this space, only attach or submit your
explanation separately*
Attach Police Clearance Certificate/Affidavit indicating if you do not have any criminal record for sexual
offence/s*
REQUIRED DOCUMENTS TO BE 1. Matric results
sent to 2. Proof of admission or provisional acceptance letter from a
District Co-coordinator of your university
local area OR email to: 3. A motivation letter why you want to become a teacher
[email protected]
4. A Police Clearance Certificate/affidavit for criminal record for
sexual offences crimes

3
G. Terms and Conditions for the bursary

• After completion of the Teacher Recruitment Screening Form, you are requested to capture the
information on the eCubed link https//learn.ecubed-dbe.org /forms/screening/ (Mandatory)
• Applicants with criminal offences will not be recommended.
• You must apply for admission and accommodation at any of the 24 public universities of your choice across the
country.
• Follow-up on your final admission status with the university and note dates for orientation sessions and
registration at the university. Make sure that you have been accepted in the university residences.
• Make sure that you captured your details on the eCubed link submit certified copy of your matric results, proof of
admission or provisional acceptance letter from university for the District Community-based selections processes
of the Funza Lushaka bursary programme (without the mentioned document your name will not be considered).
• Applicants should be 30 years and below to qualify for the Funza Lushaka Bursary.
• Applicants meeting all the requirements will upon completing an online application (FLIMS) for the bursary receive
notification from the Province, District and Community coordinator after selections that your application was
successful your name appears on the list send to the university as a sign that you have received the bursary.
• Find out from the Province, District or Community Coordinator for the outcome of your application.
• Any questions or problems that you may have must be resolved with the Province, District and Community
coordinator before you leave for the university.
Registration at University in January – February
• With your final university admission letter and residence acceptance letter at hand, as well as the proof that your
name appears on the list send to the university your Parent or Guardian must take responsibility ensuring that
you travel and arrive safely at the university, for orientation sessions and registration.
On arrival at the university report at the Funza Lushaka Bursary office for welcome and assistance on how to
register.
Link https//learn.ecubed-dbe.org. /forms/screening/
DBEITEBB4524