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Internship Application Form

The document is an application form for an internship program with the Makueni County government in Kenya. It requests personal details such as name, date of birth, identification information, contact details, education history, and a signature. Applicants are informed that they will need personal accident insurance if accepted into the program. The form collects essential information to evaluate candidates for the internship positions.

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Johnson Yeu Nzoka
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1K views

Internship Application Form

The document is an application form for an internship program with the Makueni County government in Kenya. It requests personal details such as name, date of birth, identification information, contact details, education history, and a signature. Applicants are informed that they will need personal accident insurance if accepted into the program. The form collects essential information to evaluate candidates for the internship positions.

Uploaded by

Johnson Yeu Nzoka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REPUBLIC OF KENYA GOVERNMENT OF MAKUENI COUNTY

DEPARTMENT OF DEVOLUTION, COUNTY ADMINISTRATION, PARTICIPATORY


DEVELOPMENT, PUBLIC SERVICE AND YOUTH
P.O. Box 78-90300 MAKUENI

APPLICATION FOR INTERNSHIP PROGRAMME FORM

Please complete this form in BLOCK LETTERS and submit to the Chief Officer, Devolution,
County Administration, Participatory Development, Public Service and Youth, Government of
Makueni County. (Internships Office, Ground Floor, Governor’s Offices)

1. Full name………………………………………………………………...............................

2. Date of Birth……………………… Gender Female Male


3. Identity Card Number……………………….. (Attach ID Copy)
4. Personal Identification Number(PIN)…………………………………………(Attach copy)
5. Certificate of Good Conduct Number…………………………………………(Attach copy)
6. Postal Address: .……………. Postal code……………………… Town…………………
7. E-mail Address……………………………………………………………………………..
8. Mobile Number ……………………………… Sub-Ward..................................................
9. Ward: …………………………………………. Sub County: ……………………………..
10. Home County………………………………… Ethnicity: ………………………………
11. Disability Status……………………………………………………
12. Education/ Professional Qualification
S/No Examination University/Institution Year of Class/Grade
Graduation

(Attach copy of each educational/professional qualification certificates and current CV).


I certify that the above information is true to the best of my knowledge.

Name: …………………………………………………………………………………

Signature: …………………………………… Date: ……………………………………………

NOTE: Upon successful recruitment as an intern, one will be required to have a personal accident insurance to cover
personal risks during the internship period.

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