Application Form for Internship
(Apply at-least 2 months before start date)
Field of Interest Media & Communication Social Business
Admin & HR ED Desk + Correspondence
Family Name First Name Recent Photo
(Within 3 months)
Date of Birth Expected Duration Start Date
Nationality Gender Passport No
Male
Mailing Address
(Residence) (Mobile Phone) Email Address
Telephone No.
Education (in chronological order)
School, College, University, Etc. Period
Qualification Obtained/
Attended / Attending Major
Country From(month/year) To (month/year) to be obtained
Notable Achievement
Name of Scholarship Issuing Organization Date of Issue
Extra Curricular Activities
Period
Activity Position Achievement
From To
(month/year) (month/year)
Why are you interested in interning at Yunus Centre? What are your expectation?
Is there any particular feature/s in social business which you find interesting?
Other Information
Please state additional skills which will support your application
(e.g. language proficiency, computer skills etc.)
Did you participate in any field trip with Grameen Bank or any Grameen Organization before?
If yes, please specify the date and duration.
Where did you learn about the program (Please tick √ as appropriate)
Campus (Specify) Referred by (Specify)
Yunus Centre Website Others (Specify)
References
Name of First Reference
Position
Name of Organization
Correspondence Address
Telephone No.
E-mail Address
Name of Second Reference
Position
Name of Organization
Correspondence Address
Telephone No.
E-mail Address
Emergency Contacts
Name of First Contact
Address Telephone #
Business Name
Business Address Telephone #
Relation to Applicant
Name of Second Contact
Address Telephone #
Business Name
Business Address Telephone #
Relation to Applicant
Signature Date