THE WORLD BANK IN UKRAINE
INTERNSHIP PROGRAM IN KYIV OFFICE
APPLICATION FORM
I. PERSONAL INFORMATION
1. Last Name(Surname)
3. Gender:
□ Male
□ Female
7. Street Address
2. First Name:
3. Middle (Patronymic) Name:
4. Date of Birth (mm/dd/yyyy)
5. Country of Birth
6. Country of Residence
8. City
9. Zip/Post Code
10. Country
11. Telephone Number
12. Mobile Number
13. Email
15. Year Graduated (or Anticipated
Year of Graduated):
16. Institution Graduated (or current
18. Highest degree obtained (e.g. B.A,
19. Additional courses:
20. Current Employer
21. Current Job Title
22. Total years of experience in your field of
expertise:
23. Area(s) of Expertise:
□ Economics
□ Finance and Private Sector
□ Education
□ Environment
□ Public health
□ Social Protection
□ Engineering
□ Rural Development
□ Infrastructure and Energy
□ Civil Service and Public Administration
24. In which of the following
languages are you fully proficient:
□ English
□ French
□ Spanish
□ Arabic
□ Russian
□ German
□ Italian
□ Chinese
□ Other ____________
25. Indicate your experience in Ukraine's
regions:
28. Have you had internships in the
past?
□ Yes
□ No
29. How did you hear about our Web site?
II. ACADEMIC BACKGROUND
14. Are you currently enrolled as a student?
□ Yes
□ No
17. Degree/Specialization:
M.A. for PhD students):
Educational Institution):
III. PROFESSIONAL BACKGROUND
26. Career interests:
27. Do you have a close relative currently employed at
the World Bank?
□ Yes
□ No
IV. INTERNSHIP STATEMENT
30. Why are you interested in working for the
Bank? (About 450 symbols)
Date:
31. Describe your best qualifications or
experience? (About 450 symbols)
32. What would you like to achieve at the
end of internship and / or what are your
long term plans? (About 450 symbols)