Internship / Fellowship Application Form

    Applicant Details

    InternshipFellowship

    Name

    Address

    Gender

    Occupation

    Nationality

    Date of Birth

    Place of Birth

    Contact Details

    Telephone Number

    Fax Number

    Mobile Number

    Email Address

    Languages

    English

    Read/UndertandWriteSpoken

    French

    Read/UndertandWriteSpoken

    Other

    Work experience

    From:
    To:
    Type of Business:
    Employer:
    Brief description of your duties:


    From:
    To:
    Type of Business:
    Employer:
    Brief description of your duties:


    From:
    To:
    Type of Business:
    Employer:
    Brief description of your duties:

    Educational Qualifications

    1.

    Institution

    Date

    Qualifications Obtained

    2.

    Institution

    Date

    Qualifications Obtained

    3.

    Institution

    Date

    Qualifications Obtained

    About the internship

    Please indicate your area(s) of interest:

    LegalStudy & ResearchInformation & DocumentationFundraisingAdministration & Finance Other

    Proposed duration and timing of the Internship

    From

    To

    Source of Funding:

    How did you hear about IHRDA

    Why do you want to intern with IHRDA

    Any other relevant Activity or information to the internship for which you are applying

    Emergency contact information

    In case of emergency, notify:

    Name

    Gender

    Relation

    Occupation

    Address

    Fax

    E-mail

    Telephone

    Referees

    Name and addresses of two referees:

    Name

    Address

    Telephone

    Mobile

    Email

    Skype

    Name

    Address

    Telephone

    Mobile

    Email

    Skype