Lothan Youth Achievement Center
 "International Internship - 2012"
SECTION 1 :- Personal Details
* Marked fields are Mandatory
Civil ID*
Date of Birth
       
First Name*
First Name in Arabic*
Father's Name*
Father's Name in Arabic*
Family Name*
Family Name in Arabic*
Gender*
Nationality*
Is Your Mother Kuwaiti?*
Marital Status*
Parent / Guardian Profession:
(وظيفة ولي الأمر:)*
SECTION 2 :- Personal Contact Details
Permanent Address*
Governorate*
Student's Email*
Parent's Email*
Student's Mobile Number*
Parent's Mobile Number*
Home Phone No*
Contact Person Name in case of Emergency*
Contact Person Number in case of Emergency*
Contact Person Relation*
SECTION 3 :- Education Details
Current Educational Level*
University / College / Institute Details...
Name of University/College/Institute*
If you can't find the Name, mention here
College/Institute/Department Name*
If you can't find the Name, mention here
Major:-*
Preferred Majors:-[Political Science,Int'l Relations,Media,Graphic Designer,Accounting/Finance,Business Administration,Marketing,Nutrition]
If you can't find your Major, then mention here
Which year are you Studying?:-*    
Public / Private    
Country of Education    
Please fill any one of the following based on your result:-
GPA
Percentage
Grade    
If you are not Studying, what was your last Major / Subject Studied?
SECTION 4 :- Professional Details
Do you have any Work Experience?*
If Yes, Mention your latest Job experience below:-
Where
How Long Was it through LoYAC?
SECTION 5 :- Other Details
How do you know about LoYAC?*
Computer Skills*
Have You attended The 7 habits program?*
If YES , Was it through LoYAC?*
Have You attended any Courses / Seminars?*
If YES , Please Mention it here:-*
Have You attended any Programs of LoYAC?*
If YES , Please Mention it here:-*
Evaluate your English Level*
If you are a student studying abroad, indicate your availability in kuwait:-
Select from below
 1)From Date:-   To Date:- 
 2)From Date:-   To Date:- 
 3)From Date:-   To Date:- 
Upload your CV [only .doc/.pdf format]