INTERNSHIP APPLICATION FORM
Please Note: After submiting the form, send your detail cv to gpibenin@gpinigeria.org
Title
Mr.
Mrs.
Dr.
Prof.
Miss
Ms
None
Full Name
Sex
Male
Female
Tel:
Fax
Mobile
Postal Address
Email Address
Highest Educational Qualification
Certificate
Diploma
HND
First Degree
Masters
Doctorate
Others
If Others Please specify
EMPLOYMENT EXPERIENCE
Job Title
Responsibilities
Other Experiences on Gender, Youth and Women Issues
Indicate similar training workshop & seminar you participated in the last 3 years
Have you attended any Training organised by GPI, ? If so when and where?
Why do you personally want to participate in GPI Internship?
What is the most important aspects (of you and your work) that you feel you will be able to bring to the Internshipprogramme?
INFORMATION ABOUT YOUR ORGANISATION
Name of Organisation
Address
Tel
Fax
Date & Year of Establishment
Organisation's Vision Statement
Organisation's Mission Statement
Name of Chief Executive Officer