Annex II SESRIC Internship Application Form V5

SESRIC INTERNATIONAL INTERNSHIP PROGRAMME
APPLICATION FORM
Please send the fully completed form to:

internship@sesric.org
1
DIRECTIONS
1. Carefully read all the instructions provided.

2. Answer each question clearly and completely.
3. Incomplete applications will not be considered.
Please ensure that you follow these directions while completing your application for the SESRIC
International Internship Programme. Thorough and accurate responses will help us evaluate your
suitability for the programme and increase your chances of selection.
1. PERSONAL BACKGROUND
First Name Middle Name

(as written on passport) (if any)
Surname
(as written in passport)
Date of Birth
Country of Birth
(dd/mm/yyyy)

Nationality of Birth Other Nationality
Gender
Marital Status
(Female / Male)
Telephone
(Country Code) (Area
Code) Number
Mobile
(Country Code) (Operator
Code) Number
Email Address
Present Address
Permanent Address
2. PLEASE INDICATE YOUR PREFERRED DEPARTMENT(S)
Select the department(s) you are most interested in working with during your internship at SESRIC.
You may choose more than one option.
Statistics and Information Department
Economic and Social Research Department
Training and Technical Cooperation Department
Publication and IT Department
Administration and Finance Department
2
3. PLEASE SPECIFY THE INTERNSHIP DURATION
Kindly provide the desired start and end dates for your internship at the SESRIC.
Start Date: ________ (dd/mm/yyyy)

End Date: ________ (dd/mm/yyyy)
4. LANGUAGE AND COMPUTER PROFICIENCIES
What is your mother tongue?
Please indicate your level of proficiency in any other languages you may speak using the codes.
(A: Advanced // I: Intermediate // B: Beginner // NP: No Proficiency)
Language Read Write Speak Score* (if any)
English
French
Arabic
Other (please specify ---------)

*Attaching the soft copies of valid exam scores of language proficiency tests (TOEFL, IELTS and YDS) will be preferred.
1.
Please indicate the computer skills you have. 2.
3.
Ensure to complete all fields, as this information will help us better understand your language and
computer proficiencies.
5. EDUCATIONAL BACKGROUND
Please provide detailed information about your educational background, including the exact names of
the educational institutions you have attended or are currently attending, as well as the (expected)
degrees you have attained or will attain.
Academic Degree Year of (Expected)
Name of School/ Department/ Obtained
Country Graduation
College/ University Major (BA / BSc / MA / MSc /
(yyyy)
PhD)

Ensure to complete all fields, as this information will help us better understand your academic
qualifications.
6. EMPLOYMENT HISTORY
3
Please provide detailed information about your current and previous employments, including the
names of the institutions or companies, countries, employment periods, positions, and job
responsibilities.
Start and End
Name of
Dates of Your Your
Institution/ Country
Employment Position
Job Responsibilities
Company Period

Complete all fields to help us understand your professional experience and its relevance to the
SESRIC International Internship Programme.
7. REFERENCE
Please provide at least 2 contact persons whom we may reach out to regarding your educational
and/or professional background. Ensure to include their full name, job designation, mobile number
(with country and operator codes), email, and the nature of your relationship with them (educational,
professional, or personal).
Relationship
Mobile Number
Name Job (Educational,
(country code) (operator Email
SURNAME Designation Professional, or
code) number
Personal)

Providing accurate and complete contact information will enable us to verify your background and
qualifications for the SESRIC International Internship Programme.
8. AFFIDAVIT
I hereby certify that my responses to the questions above are true, complete, and accurate to the best
of my knowledge and belief. I understand that any misinterpretation or material omission made on
this application form or any other document requested by the Centre may result in the termination or
dismissal of my internship with SESRIC.
Date: ______________________ (dd/mm/yyyy)
4
Name SURNAME: ____________________ (as written in passport)
Signature: ____________________________________
By signing this affidavit, you confirm the accuracy of the information provided in your application
for the SESRIC International Internship Programme and acknowledge the potential consequences of
any misrepresentations or omissions.

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SESRIC INTERNATIONAL INTERNSHIP PROGRAMME

Please send the fully completed form to:

1. Carefully read all the instructions provided.

First Name Middle Name

2. PLEASE INDICATE YOUR PREFERRED DEPARTMENT(S)

Statistics and Information Department

Economic and Social Research Department

Training and Technical Cooperation Department

Publication and IT Department

Administration and Finance Department

Start Date: ________ (dd/mm/yyyy)

4. LANGUAGE AND COMPUTER PROFICIENCIES

What is your mother tongue?

Language Read Write Speak Score* (if any)

Other (please specify ---------)

Date: ______________________ (dd/mm/yyyy)

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