Application (AI digital marketing program)

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Name

First

Last

Phone Number

Type your Phone Number

National ID or Birth Certificate Number

Type your National ID or Birth Certificate Number

Year of birth

Which year were you born?

County / Constituency / Ward

Example: Laikipia/Laikipia East/Marmanet (Laikipia is county, Laikipia East the constituency, and Marmanet the ward)

Highest Level of Education Completed

Eg. Form 4 or Diploma in Catering

Your last School/College Name

Type the name of the last School/College you attended

Graduation Year

When did you finish your KCSE or Course?

KCSE or other grades (average)/mean

What mean grade did you attain in your KCSE?

Are you currently employed? (Yes/No)

Type yes or no

If no, how long have you been unemployed?

type 1 month, 6 months, 2 years, etc

Do you currently have access to a laptop or smartphone?

Type yes or no

Name Completed or

Why are you interested in AI and Digital Marketing?

Tell us how you want to learn AI skills and other tech skills such as digital marketing (in brief)

How do you plan to use these skills in the future?

Choose one

Name of Chief/Village Elder/Nyumba Kumi Leader we can contact for verification

Type their names- we shall contact them during verification

Phone number of your Chief/Village Elder/Nyumba Kumi Leader(above)

What is their phone number

✅ Declaration

Tick to confirm that you have given us truthful and honest information