LIIT Learn and Work Program

This is an application form for the LIIT Learn and Work Program, by filling this form you are applying to be a part of history, this Empowers Young Talents, One Innovator at a Time.

Offline Mode

0% Complete

You are in offline mode. Your response will be saved locally and can be synced later.

Full Name: *

Date of Birth (DD/MM/YYY) *

Gender: *

Male Female

Phone Number: *

Email Address: *

Residential Address *

Nationality: *

State of Origin: *

Education & Background *

SSCE OND HND BSC BA Other

Are you currently enrolled in any institution or program,? *

Yes No If so briefly describe:

Motivation and Goals - Why do you want to join the LIIT Learn and Work Program? 100-200 words *

Where do you see yourself in the next 2 years in the innovation and tech industry? *

Program Structure Consent - This is a 3-month immersive program, Participants must: 1. Work on real projects within the LIIT Innova Space. 2.Receive monthly stipends. 3. Commit to working within the LIIT ecosystem for 2 years after program completion before pursuing external full time opportunities. Do you agree to this structure? *

Yes No

Supporting Documents - Please upload the following: A recent passport photo, A valid means of identification (e.g,. National ID, Voter's Card, or Passport, CV or Resume, or send all to [email protected] *

Drag & drop your file here or click to upload

Choose File

File size must not exceed 5MB Allowed: CSV,TXT,PDF,Excel,ZIP,JPG,PNG,GIF,DOCX

Declaration: I .............................................................................., hereby declare that the information provided above is true and correct. I agree to abide by the terms and requirements of the LIIT Learn and Work Program if selected. Date:.............................................. Signature:.......................... *

Never submit passwords through KingsForms.
This content is neither created nor endorsed by KingsForms.