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IMSafer Instructor's Application Form
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Name
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Sex
Male
Female
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Age
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Date of birth
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Residential Address
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Phone Number
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Email address
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Local Government of Origin
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Currently residing in any of the proposed LGA
Yes
No
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State of Origin
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Please tell me briefly about your interest in and experience with child safety/youth development/gender equality/violence prevention activities
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Can you talk about your facilitation experience
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No
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Have you been responsible for teaching adolescents on your own or with a partner before?
Yes
No
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What type of facilitation have you done?
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This position demands initiative, troubleshooting, responsive adaptation, can you describe a time where you have had to think quickly on your feet to overcome a challenge to get the job done?
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Do you have any concerns working with girls (including Adolescents living with HIV and Adolescents KPs and Minors?
Yes
No
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Will you be available to participate in 4 weeks of full time training, Mondays - Thursdays
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No
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