Annual Summer Employment Programme Application Form Page 2

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SECTION III
EDUCATION
CIRCLE THE HIGHEST GRADE/YEAR/COMPLETED:
10
11
12
1
2
3
4
High School
College/University/Vocational/Technical
List Certificates, Diplomas or Degrees obtained:
Are you still attending High School/College?
YES: ______ NO: _______
If yes, please state the name and address:
SECTION IV
MEDICAL HISTORY
Do you have any physical or health disabilities that may affect your ability to perform in the position sought?
YES: _____ NO: _____
IF YES, PLEASE SPECIFY:
SECTION V
REFERENCES
Give the names of three persons who can provide a reference on your behalf:
NAME
OCCUPATION
ADDRESS/TELEPHONE CONTACT
________________________
______________________________
Signature of Applicant
Signature of Parent/Guardian
(IF UNDER THE AGE OF 18)
Date: _______________
N.B. – All applications MUST be accompanied by the following documents:
• A VALID POLICE CERTIFICATE
• A COPY OF YOUR NATIONAL INSURANCE CARD
• A COPY OF THE DATA PAGES OF YOUR PASSPORT. IF YOU DO NOT HAVE A
PASSPORT, A COPY OF AN ORIGINAL BIRTH CERTIFICATE OR REGISTERED
AFFIDAVIT
• A VALID SCHOOL PHOTO I.D/COLLEGE I.D, AND A PASSPORT SIZED PHOTO
• COPIES OF ALL ACADEMIC QUALIFICATIONS

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