Projects - The Sierra Leone Association of Journalists (SLAJ)

PERSONAL DATA
Name *

First

Last
Residential Address *
Name of Institution/Current Employer *
Address of Institution *
Designation (Editor/Station Manager/Presenter/Reporter/etc) *
Mobile Phone Number *

eg: +232 76 123456
Email Address *
Date of Birth *
Sex *
Years of Practice
From *
To

Present
Affiliate Membership
Please select

SWASAL SLRU WIMSAL
Others
Not Affiliated
EDUCATIONAL BACKGROUND
1. Institution *
Date *
Qualification (Degree / Dip. / Cert. / O’Levels / WASSCE *
Result Obtained *
2. Institution (Optional)
Date
Qualification (Degree / Dip. / Cert. / O’Levels / WASSCE
Result Obtained
3. Institution (Optional)
Date
Qualification (Degree / Dip. / Cert. / O’Levels / WASSCE
Result Obtained
REFEREES/SPONSORS
1. Name *

First

Last
Position *
Address *
Mobile Phone Number *

eg: +232 76 123456
Email Address *
2. Name *

First

Last
Position *
Address *
Mobile Phone Number *

eg: +232 76 123456
Email Address *
NOTE: Applicant who is a member of an affiliate body of SLAJ MUST submit an attestation from that body.

PERSONAL DATA