Pacific Students Application Form
Stone for Development Work Integrated Learning
June - July 2024
First Name
*
(required)
Last Name
*
(required)
Date of Birth
*
(required)
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Gender
*
(required)
Male
Female
Other
Email
*
(required)
Mobile Phone (+country code)
*
(required)
Country of citizenship
*
(required)
Select...
Northern Mariana Islands
the Federated States of Micronesia
Fiji
French Polynesia
Kiribati
the Marshall Islands
Nauru
New Caledonia
Palau
Solomon Islands
Tonga
Tuvalu
Vanuatu
Wallis
Futuna
Samoa
Papua New Guinea
Country of residence
*
(required)
Physical Address
University Degree and Field of Study
*
(required)
Type of Qualification
*
(required)
Select...
Secondary School
Diploma/Technical/Vocational
Undergraduate
Postgraduate
Name of Institution
*
(required)
Institution Location (country)
*
(required)
Did you complete this qualification and graduate?
*
(required)
Select...
Yes
No
Year of Completion
Grade point average and max possible (for example in AUS 6.0/7.0)
*
(required)
Please list current and immediate previous job title and years in the role.
English Language Competency
*
(required)
Select...
Very Good
Good
Fair
Weak
Experience
*
(required)
Please list your experience in the following areas: a. Mining and quarrying, construction materials, industrial minerals, agricultural minerals, infrastructure, environment, occupational health and safety. b. International development c. Other areas you think relevant
Please detail why you should be selected to receive the travel grant to attend Stone for Development.
*
(required)
In your answer share how you think that the program could enhance your future career and what you would bring to the course.
We look forward to hearing from you!
Development Minerals Team at SMI, and UNESCO Global Team Leaders
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