KYEOP – Kenya Youth Employment Opportunities Project

KYEOP APPLICATION FORM

In which county would you like to undertake the project? Select county to start the application.

SECTION 1: PERSONAL INFORMATION

First name *

Middle name

Surname *

Gender/Sex *

Date of Birth *

Identification Document *

National ID Number *

National ID Number Confirmation *

Passport No *

Passport No Confirmation *

County of Residence *

Sub-county *

Ward *

Marital Status *

Do you have children under 4 years old? *

If Yes, how many? *

Disabilty Section:

Do you have a disability? *

Do you have a card from the National Council for Persons with Disability (NCPWD)? *

If yes, indicate your NCPWD membership no: *

If you have a disability, what type of disability? *

If Other please Specify *

Does this disability affect your ability to work? *

How does it affect you *
200 Character(s) Remaining

Disclaimer: I acknowledge that if I do not have the NCPWD card, or if the NCPWD does not find me eligible to receive a card, or if KYEOP finds that my disability is not genuine, I will be excluded from the project.

SECTION 2: CONTACT DETAILS

Applicant Contact Information

Location *

Sub Location *

Village/Estate *
Street/Road Name *

Landmark near your location (building name, school, market, church, shrine, shopping centre)
*

Postal Address (P.O Box Number)

Postal Code

Email

Do you have a mobile phone?. *

If Yes, is it a Smartphone? *

Which phone number can you be reached on: *

+254

Confirm phone number: *

+254

KYEOP will communicate with you via SMS. Please confirm that the phone number entered is accurate and that the SIM card will be active throughout the next 8 months. This is mandatory to continue with the application. *

Alternative Contact

Name of alternative contact person; Full Names *

Contact Person Mobile number *

+254

Relationship to applicant *

Contact Person Email

SECTION 3: OCCUPATION STATUS

i) Are you in School or college or university? *

ii) If No, which year were you last in school/college? (Select Never if you have never been to school/college) *

iii) Are you employed? *
(meaning are you currently working for someone, can be even just a few hours a week, and can be for your family?)

iv) If Yes, What kind of employment? *

v) Are you self-employed (Do you have your own business)? *

If yes, for how long? *

Is your business registered? *

Do you keep a written record of your purchases and sales? *

Have you ever run your own business in the past? (that is currently not operational) *

If you ever run your own business in the past, for how long was it operational

If yes to running own business, why did you stop owning/running it? *

If Other, exlain why? *

If Not employed and not self-employed, for how many months have you not been working? (Count from when you have stopped school - Select 0 if you just finished school; and from 18 years of age if never been to school.) *

Do you intend to start a business? *

Are you available for training through the next 8 months? *

Do you have plans to join any College/University in the next 8 months? *

SECTION 4: EDUCATION & SKILLS BACKGROUND

Have you been to school? *

What is your Highest Level of education attained? *

When did you finish your form 4 certificate(KCSE)

Can you read? *

Select the language you can read? *

Can you write? *

Select the language you can write? *

SECTION 5: AREA OF INTEREST

Interest Type *

SECTION 6: CONFIRMATION

I confirm that the information provided here above is true and accurate.
I accept that the decision made shall be in line with the eligibility requirements and guided by the regulations governing the KYEOP selection process.

Intake County		Edit
Names		Edit
ID number		Edit
Date of Birth		Edit
Gender		Edit
Phone Number		Edit
Disability Status		Edit
Currently Employed?		Edit
Currently in School?		Edit
Have you been to school?		Edit
Education level		Edit
Currently Self-Employed?		Edit
Interest Type		Edit
I Agree