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Jijali Application
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Jijali Form
First Name
*
Second Name
*
Surname
*
Email Address
*
Phone
*
Next of Kin
*
Phone Number of Next of Kin
*
Gender
*
Male
Female
Current Level of Education
*
High School Graduate
College/University 1st or 2nd Year
College/University 3rd or 4th Year
College/University 5th or 6th Year
College/University Graduate
Which country do you reside in?
*
-- Select Country --
Kenya
Uganda
Tanzania
Other
Have you been briefed about the programs?
*
Yes
No
Why do you believe you are fit for the program?
*
Do you have access to a computer, tablet, smart phone or a cyber cafe?
*
Yes
No
Do you have access to internet or data bundles?
*
Yes
No
Which course do you want to join?
*
Entrepreneurship - I want to learn how to start my own business with minimal starting capital
Career Readiness - I want to help understanding how to prepare for my chosen career
How did you know about the programs?
*
Co-operative Bank Foundation
Yusudi
Social Media
Friend/Colleague
Other
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