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Application for Access to Work - 2nd Cohort
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* Indicates required question
Name
Your answer
How old are you?
Your answer
Are you a woman with disability?
Yes
No
Clear selection
What is your highest level of education?
Your answer
Are you currently employed?
Yes
No
Clear selection
Where do you live (indicate town and region)?
Your answer
Which skills are you keen on gaining during Access to Work ?
*
Choose
IT skills
Administrative assistance
Professional Makeup and how to make wigs
Catering
Graphics designing
Option 6
Will you be available for the full duration of the program (5 months)?
*
Yes
No
Which reasonable accomodation do you need? Please indicate your phone number or email address
*
Your answer
How may we contact you if you are retained for the program? Please indicate your whatsapp number or phone number
*
Your answer
How did you hear about Access To Work?
*
Your answer
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