BASICS Internship Application 2018-19
This form is for those LIVING in Ghana ONLY. If you are outside of Ghana, you must fill out a GLOBAL Intern Form
What is your name? *
What is your gender? *
Date of Birth
Place of Birth *
Please state city, region , country in which you were born
Maritial Status *
Current Address/Residence *
Please tell us where you are residing currently ( NOT PO BOX)
Email Address *
Secondary School Attended *
Please list year completed
Year Completed SHS *
University Attend ( ed) *
Year completed university ( or to be complete ) *
Course studied and degree earned *
Are you able to commit to the full internship which begins October 2018- July 2019 *
Are you available for the following- ( please check as many boxes that apply) *
Have you completed National Service? *
Please list where you did your service? and when completed
Languages speak *
Please tell us if you speak any of the following languages
Extracurricular Skills
Please tell us of skills that you possess. ( MUST BE ABLE TO TEACH)
Are you ABOVE average in any of the following subjects ( A or B) *
Please tell us about ICT ( Information Communication Technology skills ? tick only those that you have efficient skills in. *
Please tell us of skills that you possess. ( MUST BE ABLE TO TEACH)
If we have not listed a skill in which you have, please tell us about it.
Provide us with a 2 minute video; telling us why we should choose you for our internship program. *
Last thing, please attach your CV. please send in PDF form and should not be more than 2 pages *
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