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Dealership & Employment

Dealership Name *

Telephone *

Email *

Date Employed

Were you previously employed by Ford?

Yes

If yes, name of previous dealership

Personal Details

Title

First Name *

Surname *

Gender

Race

ID Number *

Date of Birth

Cell *

WSLX ID

Designation

Your Designation *

Other (please specify)

What designation do you report to?

Verification

What is 8 + 6? *

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The Protection of Personal Information Act 4 of 2013 (POPIA) requires us to get your consent to process your personal information. By ticking this box, you agree that we can process your personal information as defined by POPIA. You also consent to the Ford Academy (managed by MSX International) using and sharing your information with Ford Motor Company and any systems managed by Ford for the purpose of understanding, managing, and supporting on any training related needs. The Ford Academy will not share your information with anyone else without your consent. For more details, see our privacy policy.

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