Summer Applicationform
Summer Applicationform
Email: [email protected]
SUMMER PROGRAMME
ALL SECTIONS MUST BE COMPLETED IN FULL.
PLEASE PRINT YOUR RESPONSES IN BLUE OR BLACK INK.
INCOMPLETE APPLICATION FORM WILL NOT BE PROCESSED.
PERSONAL INFORMATION
1. Title (Mr./Miss/ Mrs.):
Last Name
2. Date of Birth: (dd/mm/yy):
First Name
Middle Name
3. Permanent Address:
Street Name & Number
Town
Home Phone
4. Contact Information:
Parish
/
Mobile Digicel Lime
______________________________________
Email Address
5B. ID #:
(Mandatory)
6. TRN:
7. NIS #:
Yes
(optional)
No
Data Entry
Research
Yes
Computer-based applications
Other: _____________________________________
No Please state name of bank: ______________________________
Branch#:
12. Are you a young person from the community of persons with a disAbility?
Yes
No
Intellectual disAbility
Deaf
NOT FOR SALE
Other: ______________________________________
NYS-F-SP-2014
First Name
Relationship:
Contact Number:
No
15. Have you received any additional training, including vocational courses or seminars? Yes
No
Information Technology
Other: __________________________________
16. How did you learn about the NYS Summer Programme? (Tick all that apply)
School
Radio
Internet
Newspaper
Family/Friend
Parish Representative
NYS Representative
Other: ____________________________________________________________________________________________________
We consider all applicants for this programme without regard to race, color, religion, disAbility, nationality or any other legally protected
status. NYS reserves the right to assign participants in July or August based on available placements.
Declaration
I declare that the above information is true to the best of my knowledge. I am aware that any false or misleading information will
result in my application being rejected. I have attached the following supporting documents.
(Tick as indicated):
Birth Certificate (copy)
NIS (copy)
Essay Why should I be selected for this programme?
Proof of qualification (copy)
TRN (copy)
Resume
One passport size photo
Valid ID (copy)
I acknowledge that failure to submit a fully completed application form and the required documents will result in my application
being delayed or rejected.
By completing this form, I have granted the National Youth Service permission to use any images captured for marketing purposes.
Signature
Date
Thank you for your application. We look forward to working with you this summer.
FOR OFFICIAL USE ONLY
Date Received:
Decision:
Status:
Recommended
Complete
Incomplete
Not Recommended
Comments: _______________________________________________________________________________________________
_______________________________________________________________________________________________
Verified By: _________________________________
Date: ___________________________________