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STUDENT APPLICATION FORM Add in Subject: "application" and your full name.
Name
First
Surname
Date of birth
Address
Post code
City/town
Country
Tel
Fax
Email
Gender
Gradation of blindness
Language skills
Education
Please give the names of 3 ‘referees’ including their
e-mail addresses and
tel no. who we can talk to, if necessary, about you
and about your idea. We
will assume that they know a lot about you & also
about your vision.
1. For what training period in Kerala would you like
to apply? The first
training will be from Jan 2009 till Jan 2010. The
second from Jan 2010
till Jan 2011 and so on.
2. Please tell us your reason(s) for applying for the
IISE Course in Kerala
in no more than 100
words.
3. Please tell us more about your rough idea or vision
on setting up your
own social project or improving
existing ones? What is your motivation?
4. Where do you plan to set up your project?
5. What target group will benefit?
6. Why do you believe your idea is important? Please
give your reasons.
7. How will you achieve your vision?
8. What help will you need?
- what people can help, what resources do you try to
find, where would you
find funding
9. How long do you think it will take to set up your
idea/vision?
10. What is your current profession?
11. Braille and language skills: Do you read, write
and speak?
what languages: Local Braille, English grade 1,
English grade 2, other
languages. Black
print, regular print, large print.
11. How do you judge your mobility and orientation
skills?
12. Do you use computertechnology? If yes, what are your skills? What programmes do you use?
We are looking forward to hear from you. Contact details project
Kerala: All Contents
Copyright ©2005 Braille Without Borders All Rights Reserved.
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