Student Internship Registration

Section A — Personal Information

Full Name *

Gender

Male Female Prefer not to say

Date of Birth

Phone Number *

WhatsApp Number *

Leave same as phone if WhatsApp is on the same number

Email Address *

Region of Residence

Town / City

Section B — Academic Information

Current Institution

Programme of Study

Current Year / Level

Expected Year of Graduation

Section C — Internship Details

Preferred Duration

1–3 months 3–6 months 6–12 months

When are you available to start?

Preferred Role / Department

Is this internship required for academic credit?

Yes No Optional but beneficial

Section D — Skills

Select the skills you currently have or are developing.

Other skills

Section E — Career Interest

What career path interests you?

What do you hope to learn from this internship?

Section F — Documents Upload

Upload relevant documents. Max 5MB per file. PDF, JPG, PNG accepted.

CV / Resume

Even a basic CV is helpful

Student ID Card

Introduction Letter from School

Letter from your department or dean

Passport Photograph

Section G — Consent & Declaration

I certify that the information provided is true and accurate. I understand that providing false information may result in removal from the programme. * I authorize Impact Talent Connect to share my profile with potential employers for internship placement purposes. *

Signature (Type full name)

Date

Application Submitted!