Registration Empowering brilliant but underprivileged youth through digital opportunity. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.SECTION 1: Personal Information - Step 1 of 7SECTION 1: Personal InformationFull Name *FirstLastDate of Birth *Gender--- Select Choice ---MaleFemalePrefer not to sayPhone Number *Email Address *Current Residential Address (Town, Region)NextSECTION 2: Educational BackgroundHighest Level of Education Completed *--- Select Choice ---Junior High SchoolSenior High SchoolDiploma / HNDBachelor’s DegreeOther (Specify)Specify Highest Level of Education CompletedName of InstitutionField of Study / Area of InterestAre you currently enrolled in any academic or vocational program?YesNoSpecify your currently enrolled academic or vocational programNextSECTION 3: Financial NeedBriefly describe your current financial situation.Do you currently receive any form of financial assistance or scholarship?YesNoSpecify source of financial assistance or scholarship.Why do you consider yourself a ‘brilliant but needy’ student? (Short essay, 100–200 words)NextSECTION 4: Motivation & SkillsWhy do you want to be part of the CyberRise Ghana Program? (150–250 words)What digital or technical skills are you interested in learning?--- Select Choice ---CybersecurityNetworkingSoftware DevelopmentData AnalyticsDigital MarketingOtherSpecify the digital or technical skills are you interested in learning.Have you had any prior experience or exposure to technology or IT training?YesNoBriefly describe your prior experience or exposure to technology or IT training.NextSECTION 5: Supporting DocumentsUpload your most recent school results or transcript (PDF, JPG, or PNG) Drag & Drop Files, Choose Files to Upload Upload any recommendation letter Drag & Drop Files, Choose Files to Upload Upload a passport-size photo Drag & Drop Files, Choose Files to Upload NextSECTION 6: Declaration full passport-size or I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that providing false information could disqualify me from the program. I Agree *I AgreeSignature (Type your full name) *NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
