BAC - Bukalasa Agricultural College

OFFICE OF THE ACADEMIC REGISTRAR

STUDENT INTERNSHIP APPLICATION FORM

Applicant Name *

Name of Institution *

Telephone Contact *

District *

Email *

Study Programme *

Proposed Date of Commencement *

Duration of Internship *

Area of Interest 1 *

Area of Interest 2

Area of Interest 3

Area of Interest 4

Yes

I have to attach the institution letter to this application

I will comply by college regulations/instructions governing this activity

I will be fully responsible for my upkeep including feeding and accommodation throughout the internship period

I have to return this form at least one month before commencement of the internship to allow for proper planning

I will be fully responsible for my upkeep including feeding and accommodation throughout the internship period

I have to return this form at least one month before commencement of the internship to allow for proper planning

I further declare that all the information provided in this form is correct and I take full responsibility for its use for this activity.

Date *

Bukalasa Agriculture College | Agriculture Is Wealth and Health