NIHC Internship Application Form

NIHC INTERNSHIP PROGRAM
Internship Application Template
APPLICATION INFORMATION
FULLNAME
DATE STREET APT#
TOWNSHIP
CITY
ZIP
PHONE
EMAIL ADDRESS
NRIC
DATE OF BIRTH
POSITION APPLIED FOR
DATE AVAILABLE
EDUCATION
CERTIFICATE TYPE
Basic Diploma Higher National Diploma Degree
SCHOOL
FROM
TO
CERTIFICATE TYPE
Basic Diploma
Higher National Diploma
Degree
SCHOOL
FROM
TO
CERTIFICATE TYPE
Basic Diploma
Higher National Diploma
Degree
SCHOOL FROM TO
REFERENCES
PLEASE LIST THREE PROFESSIONAL REFERENCES.
FULL NAME
RELATIONSHIP
COMPANY
ADDRESS
EMAIL ADDRESS
FULL NAME
PHONE
RELATIONSHIP
COMPANY
ADDRESS
EMAIL ADDRESS
PHONE
FULL NAME
RELATIONSHIP
COMPANY
ADDRESS
EMAIL ADDRESS
PHONE

PREVIOUS EMPLOYMENT
COMPANY
PHONE
ADDRESS
SUPERVISOR
JOB TITLE
STARTING SALARY
ENDING SALARY
RESPONSIBILITIES
FROM
TO
REASON FOR LEAVING
MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
YES
NO
COMPANY
PHONE
ADDRESS
SUPERVISOR
JOB TITLE
STARTING SALARY
ENDING SALARY
RESPONSIBILITIES
FROM
TO
REASON FOR LEAVING
MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
YES
NO
COMPANY
PHONE
ADDRESS
SUPERVISOR
JOB TITLE
STARTING SALARY
ENDING SALARY
RESPONSIBILITIES
FROM
TO
REASON FOR LEAVING
MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
YES
NO
3. PLEASE DESCRIBE ANY INTERNSHIPS, WORK OR OTHER PUBLIC PROCUREMENT EXPERIENCES.
4. WHAT ARE YOUR EXPECTATIONS FOR THIS INTERNSHIP?
IN ADDITION TO YOUR APPLICATION, PLEASE PROVIDE A COVER LETTER.
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my release.
SIGNATURE
DATE