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This internship/exchange program is in support of the Game On! Program. Game On! Programs are designed to give children the ability to develop PE and Sport Skills while learning how to make healthy lifestyle choices and develop positive social behaviours. Using Game On! children use sport to develop personal and social responsibility using structured plans that are designed to complement PE curriculums and sport training plans through certified teachers, coaches and volunteers.
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INTERN EXCHANGE APPLICATION FORM
To be completed by the applicant
1. PERSONAL INFORMATION
Surname Name: __________________________________________________________________________
First Name: _______________________________________________________________________________
Sex: MALE FEMALE Marital Status: ___________________________
Date of Birth: ______/_______/__________
Place of Birth: ____________________________________________________________________________
____________________________________________________________________________
Present Nationality: _________________________________________
Permanent Home Address: _____________________________________________________________
_____________________________________________________________________________________________
Present Address: _________________________________________________________________________
_____________________________________________________________________________________________
2. CONTACT INFORMATION
Home: __________________________________ Mobile: ___________________________________
Email: _________________________________________________
Insurance: I hereby confirm that I hold a health/accident insurance policy with
_____________________________________________________________________________________________
(Attach a copy)
Expiry date of policy: ________/________/___________
Date Month Year
Town/City
Country
Date Month Year
3. EDUCATION
Type of School Name and Location Date Level
4. COMPETENCIES On a scale of 1 to 5 rate yourself as to what you believe your level of ability to be against each competency. (1 being the highest and 5 the lowest)
Computer Literacy
Microsoft Office Suite 1 2 3 4 5 Social Media 1 2 3 4 5
Writing Skills
Meetings 1 2 3 4 5 Formal Letters 1 2 3 4 5 Reports 1 2 3 4 5 Articles 1 2 3 4 5
Facilitation Skills
Workshops 1 2 3 4 5 Meetings 1 2 3 4 5
Self Management 1 2 3 4 5
Relevant volunteer activities:
Awards/honours/scholarships received:
5. EMPLOYMENT
Using the format below, please describe any previous practical experience you may have had, giving full details of your duties starting from your most recent engagement. (Include paid and intern positions)
Employer: ________________________________________________________________________________
Address: __________________________________________________________________________________
Contact: ___________________________________________________________________________________
Supervisor (Name and Title):___________________________________________________________
Position Title: ________________________________
Start Date______/______/_______ End Date______/______/______
Description of Duties: ___________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Employer: ________________________________________________________________________________
Address: __________________________________________________________________________________
Contact: ___________________________________________________________________________________
Supervisor (Name and Title):___________________________________________________________
Position Title: ________________________________
Start Date______/______/_______ End Date______/______/______
Description of Duties: ___________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Employer: ________________________________________________________________________________
Address: __________________________________________________________________________________
Contact: ___________________________________________________________________________________
Supervisor (Name and Title):___________________________________________________________
Position Title: ________________________________
Start Date______/______/_______ End Date______/______/______
Description of Duties: ___________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
6. REFERENCES
Name: _____________________________________________________________________________________
Company/Institution/Organization: ___________________________________________________
Contact: ___________________________________________________________________________________
Relationship: ___________________________________
Name:_____________________________________________________________________________________
Company/Institution/Organization: ___________________________________________________
Contact: ___________________________________________________________________________________
Relationship: ___________________________________
7. WHAT ARE YOUR CAREER PLANS FOR THE FUTURE?
8. APPLICATION CHECKLIST
I have answered all the questions I am available to complete an internship of 12 weeks on a full time basis I have a valid passport I have attached copies of the following:
o Cover Letter (letter of intent) o 2 Written references/recommendations o Copy of Insurance cover o Copy of data page of passport
I certify that all of the statements in this application are true and complete to the best of my knowledge.
Signature: ___________________________________ Date of Birth: ______/_______/_________
Date Month Year
Internship Program Information
This internship/exchange program is for the Game On! Program. Game On! Programs are designed to give children the ability to develop PE and Sport Skills while learning how to make healthy lifestyle choices and develop positive social behaviours. Using Game On! children use sport to develop personal and social responsibility using structured plans that are designed to complement PE curriculums and sport training plans through certified teachers, coaches and volunteers.
Eligibility:
General Information: Interns are expected to work between 20 to 40 hours per week during a 12 week period. Internships are offered during the period of October - February 2013 for the duration of a 3-5 month placement. All applicants MUST be prepared to travel in selected countries. Attached is a copy of the Job Description for this program.
Application Procedures: Candidates must complete an application form and submit it with their cover letter, resume and references. All applications must be submitted as a complete package. Incomplete applications will not be reviewed.
Mail or Email Applications with subject “Internship Program” to:
Email – [email protected]
Mail – 312 Soogrim Street Gulf View La Romaine Trinidad & Tobago
For further information visit our website at www.ttaspe.org
