Administrative use:
Received: ______________
Interview Date: __________
Interview Time: __________
AUTISM RESOURCE CENTRE (SINGAPORE)
PATHLIGHT SCHOOL, EDEN SCHOOL
APPLICATION FORM FOR YFA PROGRAM
Internship period: January to July 2011
Dear Applicant,
Thank you for your interest in our Youths For Autism Internship Program in ARC(S) / Pathlight School / Eden School.
Please complete this application form by typing into the Grey Boxes
After completing it, please save this file in a Microsoft Word document file and send it to
th
yfa.recruit@pathlight.org.sg before 26 September 2010.
If a Column is not applicable to you, please indicate “NA”.
Due to resource limitation, we are sorry to inform you that only shortlisted applicants will be notified.
Please note that this application form is valid for candidates applying for the YFA Internship Program in 2011
only. If you are applying for a Full Time Job position, please send your Resume to
arc_recruit@autism.org.sg
Personal Information
Name : Gender: Attach photo here
NRIC No./ FIN No :
Home Address :
Date of Birth :
Preferred Contact No.:
Citizenship:
Email Address:
Education History
(Please start with most recent and list them chronologically)
Highest standard passed/ Qualification obtained Period of study Name of Schools / Colleges /
From (year) To (year) University attended
Education Results
Results for GCE O Levels / Year 4 Results for GCE A Levels Prelims / IB Final Year Results
Subjects Grades Subjects Grades
Co-curricular Activity (from Sec Sch onwards)
Period Role in CCA
CCA School
From (year) To (Year) (eg: Member , President, etc)
Community Involvement Program / Volunteering Experience
Title and Description of How did you get Frequency Period Please describe your role
Activity / Event / Program involved in it? (eg: ___ hours
Eg: Self searched , a week or ___ From To
CIP, SL days a month)
Skills & Interest
Type of Skill (List your top 3 skills) How frequently is it Level of Skills Projects / products done using
(Eg: Musical , computer application, used? (High, medium, low) skils( If any)
Photography skills, drawing) (Very often, Occasionally,
Seldom)
What do you enjoy doing during your free time?
What are you interested in learning / pursuing?
Eg: Designing work, cooking, gardening, etc
Awards / Scholarship (if any)
Name of Award / Brief Description Year Nominated by? Any other remarks
Scholarship received
Most Recent Previous Work Experience and / or National Service (if any)
Organisation Name: Period of time
worked
Position Held Brief Description of
Responsibilities
What do you consider to be What did you do
your greatest least effectively
accomplishment?
Others
Describe your ideal job?
Describe your plans after A levels / IB
Program?
Over the years, what strengths have your
friends/teachers/parents consistently
observed in you?
What would they identify as your areas of
greatest weakness or development need?
Describe a time in your life where you
were experiencing a challenging situation
at work/home/school?
1. Describe what happened?
2. Describe how you felt
3. What did you do to overcome the
difficulties faced?
4. Describe how this situation was
resolved?
5. What, if anything, would you have done
differently?
6. What did you learn from that
experience?
How did you come to know about this job vacancy?
Via ARC / Pathlight Website
Via School’s email/ notice board / email blitz/ Website
Via friend
VIa Staff at ARC / Pathlight / Eden (Staff Name )
via other means (Please state
Have you ever been convicted of any crime? Yes No
Do you have a relative / friend with special needs? Yes No
If yes: - How are you related to the child/adult with special needs?
- What is the child/adult diagnosed with?
- What is the age of the child/adult?
- Is the child in a special or mainstream school? Name of school:
- Is the child intending to apply to study at Pathlight / ARC EIP / Eden School? Yes No
Do you have relatives or friends working in ARC / Pathlight School / Eden School? Yes No
I hereby declare that all the information given above is true and correct, and agree that any information found to be false shall be
considered sufficient cause for rejection of my application, or if employed, dismissal.
___________________ (to sign during interview if application shortlisted further) _________________
Signature Date (mm/dd/yy)
* delete where applicable