AMIDEAST/Yemen

Application for ASPIRE: The Internship Training Program

Please neatly handwrite or type the application in English.
Applications may be submitted in person to AMIDEAST Sanaa or Aden, or e-mailed to
Internship-Yemen@amideast.org, no later than 3 P.M. on Tuesday, November 25, 2014.

Personal Information:
Applicant Name:
First Name

Middle Name

Last Name

Street Address:
City:

Country:

Phone:

E-mail:
Citizenship*:

Date of Birth:
Month-Day-Year

*Please note: only Yemeni citizens are eligible for this program.

Education:
Secondary School Attended:
Date Completed:
Final Secondary School Grade
(%):
University Attended (if any):
Date Completed:

Degree Received:

If you have received any other technical or specialized training or certificates, please list them below.
Course:
Date Completed:
Course:
Date Completed:
Course:
Date Completed:

Attachments:

One-page C.V.;
Copy of your university or high school transcripts;
Copy of your national ID or passport (for proof of Yemeni Citizenship).

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Statement of Interest:
1. Describe in one to two paragraphs, in your own words, what motivates you to apply for ASPIRE and how
you will use the skills learned during this program to develop your career and contribute to your country.

Applicants Statement:
Please read carefully and sign below:
The information provided in this application is true, complete, and accurate. I agree that if I
receive this internship, if any false statements/facts or consequential omissions become known,
AMIDEAST shall have sufficient and just cause to terminate my internship. If I receive the
internship, I understand that I must commit a minimum of six hours per day for a period of ten
months, from December 7, 2014, through September 17, 2015.
Signature:

Date:

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