REVOLUTIONARY GOVERNMENT OF ZANZIBAR

MINISTRY OF WATER, ENERGY, AND MINERALS

ZANZIBAR ENERGY SECTOR TRANSFORMATION AND ACCESS PROJECT (ZESTA) INTERNSHIP

PROGRAM

APPLICATION FORM

PART A: INTRODUCTION

The pre-service (internship) program aims at narrowing the gender gap in STEM fields in
the Zanzibar Energy sector by increasing the percentage of women technical staff. It is
intended to attract graduating female students in STEM fields to the Energy Sector, offer
them a hands-on opportunity to work in their fields of qualification, and prepare them for
the labor market in the Energy Sector.

PART B: APPLICANTS’ INFORMATION

This form should be filled in by applicants that are interested in joining the ZESTA project
internship program. Please note that applicants that fail to complete this form will
automatically be disqualified from the selection process. Applicants must attach the
following:

i. A copy of Zanzibar Identity Card;

ii. A copy academic certificate and transcript;
iii. Curriculum Vitae(CV); and
iv. 2 passport-size photos.

PART C: PERSONAL INFORMATION

FULL NAME: ……………………………………………………………………………………………..

DATE OF BIRTH: …………………………….…….. (DD/MM/YYYY)

HOME ADDRESS: ……………………………………………………………………………………….

MOB. NUMBER: …………………………… EMAIL ADDRESS …………………………………..….

ZANZIBAR ID NUMBER: ………………………………….

PART D: INCASE OF EMERGENCY CONTACT

FULL NAME: ……………………………………………… RELATIONSHIP: …………………………….

PHONE: ……………………………………… HOME ADDRESS: ……………………………………….

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FULL NAME: ………………………………………….. RELATIONSHIP: …………………………….

PHONE: ……………………………………… HOME ADDRESS…………………………………..

PART E: EDUCATION BACKGROUND

NAME OF UNIVERSITY/ INSTITUTION ……………………………………………………………………

NAME OF COURSE/ FIELD

……………………………………………………………………………………………………

YEAR OF COMPLETION ………………….. ACCUMULATIVE CGPASCORE

……...……………….

PART F: WORK EXPERIENCE (Tick where applicable)

Have you had any work experience? YES NO

Years of experience

Areas of expertise ………………………………………………………………………………………

Organization’s name ……………………………………………………………………………………

PART G: PREFERENCES

Should you be selected to take part in the ZESTA internship program, which Institution
would be your choice? (Kindly rank in the boxes below in order of priority; 1 being your
first choice; 2 being your second choice and 3 being your last option))

DoEM

ZECO

ZURA

Note: The selection committee will decide on your placement based on your
qualifications and if vacancy is available in that particular institution.

I hereby verify the information provided above is accurate to the best of my knowledge.

SIGNATURE OF APPLICANT DATE OF APPLICATION

…………………………… ……………………………..

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FOR OFFICIAL USE ONLY

PART H – COLLECTORS INFORMATION

This is to be filled by an officer in charge of form collection.

The information above is verified by ……………………………………………………………

POSITION …………………………………….

SIGNATURE ………………………………….. DATE …..…………………………………..

PART I – SELECTION COMMITTEE MEMBER

This is to be filled by a member of the Internship selection committee (select where

applicable)

Has this intern been accepted for the ZESTA Internship Program?

YES NO

If yes, kindly indicate (by a tick), the Institution she will be placed in for internship.

DoEM ZECO ZURA

If no, kindly state why

…………………………………………………………………………………………………………

…………………………………………………………………………………………………………….

NAME ………………………………………….. INSTITUTION ……………………………………….

DATE ………………………………………….. SIGNATURE ………………………………………….

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