BRAC Internship Application Form
1. Personal Information
Name:
Permanent Address:
Gender:
Correspondence Address:
Date of Birth (dd/mm/yyyy):
Nationality:
Telephone:
Passport No.:
Email:
Country of Residence:
Fax:
2. Internship Details
Where did you hear about BRAC?
Internship Type
[ ] BRAC Internship
[ ] Voluntary Work for Professionals
[ ] Placement as a Research Fellow (eg: Fulbright)
Specify the internship placement you are applying for:
Reasons for applying for this placement: (describe how you can add value to this project)
Period: From (dd/mm/yy)
To (dd/mm/yy)
3. Personal Background
a) Skills and Experience
Area
Details of Experience
Advocacy
Research
Teaching
Training
Proposal & Report Writing
Photography
Film Making
Graphic Design
Field Work
Social Work
Fundraising
IT
Communications
Management (ie Human Resources
Management, Finance & Accounts,
Marketing
Publications
Other
b) Knowledge of Bangla
Knowledge of Bangla is useful though not necessarily essential.
Do you have any knowledge of Bangla?
Yes
[ ]
No
[ ]
If yes, please state your level of proficiency.
A = Fluent
Speaking
B = Advanced
C = Intermediate
Listening
D = Basic
Reading
c) What challenges do you think you might face while living and working in Bangladesh?
Writing
d) d) Medical Constraints
e)
Internship/volunteer placements involve working and living in rural Bangladesh, where conditions can be hot and humid and
facilities are limited. If you have any medical conditions that might affect your ability to spend time in the field during your
internship placement, please describe these below:
*All accepted interns must provide evidence of health insurance during orientation
4. Personal Statement
5. References
Students should provide contact details of two academic referees.
Volunteers/Professionals should provide contact details of professional and/or academic referees (as relevant) and may
additionally be required to submit a letter of recommendation from one of the referees.
Reference 1
Name:
Organisation:
Email:
Telephone:
Fax:
Relationship:
Reference 2
Name:
Organisation:
Email:
Telephone:
Fax:
Relationship:
Please attach a copy of your CV to this application form and send both documents to us at [email protected]. Mention the
name of the placement in the subject of the email.