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Personal Information
Personal Information
Guardian’s First Name
Date of Birth
Date of Birth
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Telephone number
Role
YA Student - YA center attached to
Non YA Student - YA center or organisation linked toEstudante não YA - centro YA ou organização vinculada a
Non YA Student - Not linked to any center or organisation
Teacher/Trainer
If you select Non YA Student - YA center or institution linked to, Please tell us institution you are attached to
Advocates for Child Justice - Zambia
Bethany Project - Zimbabwe
Bethel Hospitality Training Institute - Zimbabwe
Calvary Church Musengezi - Zimbabwe
Calvary Church Mutoko - Zimbabwe
Council of Churches of Zambia - Zambia
Family Action for Community Empowerment - Zimbabwe
Fountain of Hope - Zambia
Herbet Chitepo Trust - Zimbabwe
Hillview International School Domboramwari - Zimbabwe
Hillview International School Epworth - Zimbabwe
Hillview International School Hopley - Zimbabwe
Kingdom Culture - Zambia
Kundai Rutendo Trust - Zimbabwe
Lusaka Business and Technical College - Zambia
Multi-Aid Support Organisation - Zimbabwe
Life Empowerment Support Organisation - Zimbabwe
SOS Children’s Villages Ethiopia - Ethiopia
SOS Children’s Villages Malawi - Malawi
Simukai Child Protection Programme - Zimbabwe
Positive Movement - Zambia
Robina Times Trust - Zimbabwe
Volunteers Welfare for Community Based Care of Zambia
Girls and Women Empowerment Network - Zimbabwe
Kwakha Indovha - Eswatini
Simukai Africa - Zimbabwe
Child Development Fund - Tanzania
Ney Royal VCT - Tanzania
Kuitakwashe Support Organisation - Zimbabwe
Mutasa Youth Forum - Zimbabwe
Kubatana Community Trust - Zimbabwe
Teleza Charity Foundation - Malawi
NextUp - South Africa
Pimai Christian Care Trust - Zimbabwe
Save African Muslim Foundation - Uganda
Rosa Care Organisation - Zimbabwe
Location
Location
Skills Centre attached to:
ZW: Beitbridge
ZW: Bonda
ZW: Chirundu
ZW: Chitungwiza
ZW: Epworth
ZW: Hauna
ZM: SoS
ZM: Lusaka
BW: Botswana
MZ: Beira
MZ: Cabo Delgado
MZ: Dondo
MZ: Ressano Garcia
MZ: Manica
MZ: Chimoio
MW: Malawi
NG: Nigeria
NA: Okahandja
NA: Otjiwarongo
NA: Walvis Bay
Other Specify
If Other, Specify:
Disability
Disability
Do you have any form of disability?
No
Yes
If yes, please specify
Vision
Hearing
Thinking
Learning
Movement
Mental health
Remembering
Communicating
Social relationships
Highest level of education
Highest level of education
Academic level
Completed Primary School
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Completed Third Level/University
I don’t know
No formal education
I did not complete Primary School
I dropped out of Secondary School
Completed AS
Employment status
Employment status
Employment status
Currently Employed by Someone else
Currently Self-employed
Currently not employed
Economic activity
Economic activity
At the time of enrolling at Young Africa, were you involved in any form of economic activity that earns you income?
Yes
No
What was/is your average monthly income?
Overall, would you say you are/were economically independent at the time of enrollment?
Yes
No
I do not know
Source of Information
Source of Information
How did you learn about Young Africa International and/or this course?
Facebook
Friend or family member
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YouTube
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People/Outreach
Another organization
Current or former YA Student
Other
If you have selected "Another organization", "Current or former YA Student", or "Other", please specify:
Required