NAVJYOTI INDIA FOUNDATION - Towards Self Reliance

Intern - Apply As Intern.

APPLICATION FORM FOR INTERNSHIP PROGRAM

PART A

Name:

Date Of Birth:

Present Address:

Phone No:

If you do not have a phone at your current residing place, please give an alternate number

Permanent Address:

City:

State:

Zip/Pin:

Contact No:

Email Id:

Country:

Intership Program:
(Mention the date and duration)

Name Of Institute:

Course:

Year / Semester:

Education Details: Mention the details of the last courses/schooling undertaken

Two reference (Who are not relatives):

First Reference*

Second Reference*

PART B

Career Goals:

Write a brief note on your career goals. (100 words)

Knowledge skills:

How can you utilize your knowledge skills in social sector? (100 words)

PART C : About the internship program

Mention your preferred area of working:

Urban resettlement Colonies
Urbanized- Rural Area, Karala
Rural areas of Gurgaon

Mention your preferred choice of subject (Rank top three):

Child Education	Women Empowerment	Youth
Maternity Child Health	Adult Education	Environment
Legal issues	Counseling	Village Governance
Research & Documentation	Vocational Training	Software Developing
Human Resource	Advocacy & Awareness	Health
Declaration I certify that the above information is complete, accurate and nothing has been concealed. I have also read the rules and regulations of the internship program and agree to abide in the best of my spirits.