YOUth LEADers
Please complete the following form and submit by the deadline - 19th June 2016.
* Required
Age
*
Your answer
Gender
*
Male
Female
Other
Email id
*
Your answer
Full Name
*
Your answer
Phone number
*
Your answer
What is your current occupation? (E.g: Student/ Professional/ Freelance/Recent Graduate, etc)
*
Your answer
Undergraduate College
*
Your answer
Area of Residence in Bangalore
*
Your answer
Do you have your own means of transport?
Yes
No
Undergraduate Degree / Course
Your answer
Why do you want to be a part of this programme?
*
Your answer
If you are not free for the entire duration of the programme, please indicate the duration you will be available:
Your answer
Any particular skills you have that you feel will add value to the programme? (If you have any experience working with design software, making presentations, conducting field work including interviews, data analysis, etc, mention below):
Your answer
How did you hear about YOUth LEADers?
*
Print Media
Posters
College
TV
Facebook
Other:
Required
Do you have any previous work experience (including other internships)? If yes, briefly describe it here:
Your answer
Do you have any other queries or comments?
Your answer
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