Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698832951724.pdf (Saint Vincent and the Grenadines)
GOVERNMENT OF SAINT VINCENT AND THE GRENADINES Offering National Support for Internship Training and Employment (ON–SITE) sponsored by the government of the republic of china ( taiwan ) APPLICATION FORM THIS ENTIRE FORM MUST BE COMPLETED IN BLOCK LETTERS PERSONAL INFORMATION TITLE: MR. MRS. MISS MARITAL STATUS: SINGLE MARRIED WIDOWED DIVORCED ID NUMBER NIS NUMBER NAME __________________________________________________________________________________________ SURNAME FIRST NAME MIDDLE NAME(S) DATE OF BIRTH: (Please attach copy of birth certificate) AGE: DAY MONTH YEAR RESIDENTIAL ADDRESS_____________________________________________________________ NATIONALITY______________________________________________________________________ EMAIL ADDRESS____________________________________________________________________ CONTACT NUMBERS________________________________________________________________ HOME WORK CELL NEXT OF KIN ______________________________________________________________________________ CONTACT NUMBERS________________________________________________________________ EMAIL ADDRESS____________________________________________________________________ HOME WORK CELL CATEGORY OF INTEREST (PLEASE CHECK BOX AND SELECT INTEREST – maximum of 2 categories) HOSPITALITY: ICT: HEALTH, WELLNESS, SPORTS AND BEAUTY: FINANCIAL/ PROFESSIONAL SERVICES: MANUFACTURING: TRADE/ SERVICES: OTHER SERVICES: EDUCATION EDUCATIONAL RECORD (Attached legible copies of qualifications - originals must be produced upon request) FROM TO PRIMARY
 SCHOOL SECONDARY SCHOOL COLLEGE UNIVERSITY SKILLS (If you have completed any skills training programme, please state below): INSTITUTION: LEVEL OF CERTIFICATION: EMPLOYMENT STATUS UNEMPLOYED SELF EMPLOYED EMPLOYED (Part-time) EMPLOYED (Full-time) EMPLOYMENT (Employment history from completion of education to present) POST PLACE OF EMPLOYMENT FROM TO SALARY If, unemployed, please indicate how long have you been unemployed: PERSONAL REFERENCES (References should be responsible persons who you know well, one of whom should be acquainted with you in private.
The names of close relatives must not be given, nor those of distinguished persons unless they know you well.

Do not enclose testimonials from your references.)

NAME: ADDRESS: OCCUPATION: PERIOD DURING WHICH HE/SHE HAS KNOWN YOU: CONTACT NUMBER: NAME: ADDRESS: OCCUPATION: PERIOD DURING WHICH HE/SHE HAS KNOWN YOU: CONTACT NUMBER: Do you identify as any of the following?
(Select the option that is best relevant to you) I have a physical impairment I am deaf or hard of hearing I am blind or visual impaired I have a speech impairment I have cognitive impairment (this difficulty in applying what you learn) I have a learning disability I have a psycho-social impairment I have a serious health condition.
If yes, please state ________________________ None of the above ATTACH THE FOLLOWING • COPY OF POLICE RECORD • COPY OF BIRTH CERTIFICATE • COPY OF VALID ID • • PERSONAL REFERENCE 2 PASSPORT SIZED PHOTO ____________________________________________ SIGNATURE OF APPLICANT ____________________ DATE DD/MM/YY FOR OFFICIAL USE ONLY: Approved: Rejected: For Review: Application Received by: ___________________________ Date: _____________________ Intern Assigned to: ________________________________ Date: _____________________ Stipend Category: _________________________________ Amount: __________________ Comments:___________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ____________________________________________________________________________________ For more information and inquiries, contact the Economic Planning Division on (784) 457-1746 / 430 -1616 or Email: cenplan@svgcpd.com / onsitesvg@gmail.com Facebook: On-Site Programme SVG, Instagram: @onsitesvg (Application forms available on social media pages)