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Jamii Impact Tanzania
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Training and Research Form
Training and Research Application Form
Instructions:
1. Fill in all the required details accurately.
2. Attach relevant documents as requested in the form.
3. Incomplete applications will not be considered.
SECTION 1: PERSONAL DETAILS
Full Name:
Date of Birth:
Gender:
--- select ---
Male
Female
Others
Phone No:
Email Address:
Address:
City/Town:
SECTION 2: EDUCATION DETAILS
Highest Level of Education:
Field of Study:
Institution Attended:
Year of Graduation:
Cumulative GPA (if applicable):
SECTION 3: AREA OF INTEREST
(Please tick one or more options below and provide details as required.)
1. Training Needs: Specify the training you are interested in:
Explain how this training will benefit you and the community:
2. Research Involvement
Position applied for:
Research Assistant
Other
(Specify):
Have you participated in any research projects before? Yes:
No:
If yes, briefly describe the project(s):
Undergraduate applicants must have a minimum GPA of 3.5. Provide proof of GPA: Attach Transcript
3. Counseling and Physiotherapy Roles Position applied for:
Counselor
Physiotherapist
Describe your experience and interest in this field:
SECTION 4: ADDITIONAL INFORMATION
Why do you want to work with
JAMII IMPACT TANZANIA?
Any relevant skills or experiences:
Availability:
Part-Time
Full-Time
Flexible
SECTION 5: DOCUMENTS REQUIRED
1. Attach a copy of your academic transcript (if applicable).
2. Attach your CV/Resume:
3. For research assistant applicants, attach proof of GPA (official transcript).
SECTION 6: DECLARATION
I, the undersigned, hereby declare that the information provided in this application is true and correct to the best of my knowledge.
I Agree:
Application Status:
--- select ---
Accepted
Not Accepted
Date: