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Home News Latest Internship Form
Internship Form PDF Print E-mail
Monday, 06 February 2012 10:25

internship Programme  

THE YOUTH CONGRESS

Nairobi – Kenya

Application Form

 

Please complete all questions in the form and write legibly. Please submit the completed application form with a letter of endorsement from your organisation and your latest curriculum vitae.

 

I. Contact and Personal Information

 

Salutation q Mr.   q Ms.   q Mrs.

Last name

 

First name

 

 

Nationality

 

 

Date of Birth (day/month/year)

 

 

Street, nº

 

 

City/town/ village

 

 

Postal Code

 

 

Country

 

 

Phone

                          

Fax

 

 

Emails

 

 

 

Website (if any)

 

 

2. Details of the Institution

Full name and contacts of endorsing University/College/Organization/Community

 

 

 

 

 

 

Designation and contacts of the contact person at the University/College/Organization/Community

 

 

 

 

 

3. Duration of the internship

(Please tick where appropriate)

Description

1 3 months

3 6 months

More than 6 months

Full time

Part time

Short

 

 

Medium

 

 

Long term

 

 

 

4. Interests and Expectations

a) Interests

 

General

Specific

 

 

 

b) Expectations

 

General

 

Specific

 

 

 

 

 

5. Appropriate Program

(Please tick where appropriate)

Program

Yes

1. HUMAN RIGHTS, GOVERNANCE AND JUSTICE

 

2. PEACE BUILDING, CONFLICT PREVENTION AND TRANSFORMARTION

 

3.TALENT CAPACITY AND ECONOMIC DEVELOPMENT

 

4. INSTITUTIONAL DEVELOPMENT

 

 

6. Proposed Work plan

 

Period

Week 1

Week 2

Week 3

Week 4

Month 1

 

 

 

 

Month 2

 

 

 

 

 

Month 3

 

 

 

 

 

 

 

 

 

 

7. Accommodation and Facilitation

 

  1. a)Accommodation

(Please tick where appropriate)

 

Progress

Hotel

Rent a house

Friend

Others specify

Organized by self

 

 

 

 

 

Seeking assistance

 

 

 

 

 

  1. b)Administration

Are you or your organisation able to financially support:

(Please indicate the amount)                                 

Item

Amount $

Administration Fee

 

 

Travel Costs

 

 

Accommodation

 

 

Upkeep

 

 

Proposed activities

 

 

Others

 

 

 

  1. c)Special Concerns

 

 

 

 

 

Kindly detail any special concerns that you may want taken care of

 
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