2-1.1.2b Pre-training application individuals v4

2-1.1.2b Pre-training application individuals v4

Enhancing Skills and Enabling Financial Inclusion for Young Women in the Creative Economy
PendingApprovedRejectedConfirmed
Emboozi Teba Nkadde Poetry Scholarship

Kitara Nation
Section 1 - Informed Consent
Given Name*
Use same name as on your National ID
Surname*
Use same name as on your National ID
Date of Birth*

DayMonthYear
Today's Date

DayMonthYear
Age (calculated)
Age group
Important Note for Applicants Under 18:

You are under the age of 18, please note that this application is for selection purposes only. If you are successfully selected to join the program, you will be required to provide a signed Parental/Guardian Consent Form before you can officially begin the program. We encourage you to discuss this application with your parent or guardian now so they are aware of your interest in the program.

You can download and print this parental consent form and have it filled out by your parent or guardian.

If you need help, your activity coordinator will be able to assist you.

If you participate via your school, they will arrange parental consent.
Application Consent Statement

By submitting this application, I confirm that the information provided is true and accurate. I grant the Organisation (ITC and Bayimba) permission to review and verify my details solely for the purpose of assessing my eligibility and selecting participants for the Uganda Creatives program.

I understand that if I am selected, I will be asked to provide a more detailed consent regarding the long-term use of my data for program tracking and impact evaluation.
I agree to the above terms
Section 2 - Basic Information
FemaleMale
National ID Number - NIN*
Enter your NIN number (14 digits); if you do not have one, enter 14 times the letter x
Phone Number*
Please enter a valid Ugandan phone number. If you don't have your own number, use that of your parent or guardian.Format: 000 000 0000.
Email address
Enter a valid email address if you have one.
In which district do you live?*
Select your district from the list
Section 3 - School
I work in a creative businessI work in a non-creative businessI am a student or internI am unemployedOther
What is the name of your school*
What is your Learner Identification Number - LIN
Numbers, 10 digits
What is your position, title or role at school?
YesNoDon't know
YesNo
YesNoDon't know
How many members does the Poetry or Writers Club have?
YesNo
YesNo
Option to upload handwritten poems

You can upload scans or photos of your handwritten poems here. You can also hand then in to the coordinator.
Cancelof
Section 4 - About you
YesNoPrefer not to say
A Person with Disability (PwD) is generally defined as someone with a long-term physical, mental, intellectual, or sensory impairment that, when interacting with various societal or environmental barriers, hinders their full and effective participation in society on an equal basis with others.
- Physical/mobility difficulties
- Vision impairment
- Hearing or speech difficulties
- Chronic pain
- Mental health conditions (e.g. depression, anxiety)
Physical / mobility difficultiesVision impairementHearing or speech difficultiesChronic painMental health conditions (e.g. depression, anxiety)A combination of the challenges mentioned above
To help us ensure the event is accessible to all participants, please let us know if you require any accessibility accommodations
Please explain your requirements
YesNo
YesNo
No formal educationPrimary educationJunior secondary educationSenior secondary educationTechnical or vocational educationDiploma or certificate (tertiary education)Bachelor's degreePostgraduate degree (Master's PhD, etc.)
University / school / education establishmentSMS or text messageRadio broadcastTelevision advertisement or newsLocal community event or meetingFlyers, posters or billboardsEmailWord-of-mouthWhatsAppInstagramFacebookLinkedInX (formerly Twitter)TikTokOther
Section 5 - Application
YesNo
What training(s) have you completed?*
List any trainings you have attended; separate each training with a semicolon (;)
NoneBasicIntermediateGoodAdvanced
Where do you want to be in your creative career in three years?*
CreativeBusinessFinancialOther
Deduplication
Date + time of opening form

DayMonthYear
Date
Hour Minutes
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2-1.1.2b Pre-training application individuals v4

Emboozi Teba Nkadde Poetry Scholarship

Section 1 - Informed Consent

Important Note for Applicants Under 18:

Application Consent Statement

Section 2 - Basic Information

Section 3 - School

Section 4 - About you

Section 5 - Application