Enrolment form AIS

Candidate information
Name AIS representative
First Last
Confirmation email will be sent to iconnect@ais.ac.nz
Candidate details
Candidate Gender*
- Male
- Female
Candidate First Name*
Candidate Last Name*
Candidate Email Address*
Candidate Phone*
Date of birth*
DD dash MM dash YYYY
Candidate nationality*
Address Candidate
INTERNSHIP DETAILS
Approximate Start Date*
DD dash MM dash YYYY
Approximate End Date*
DD dash MM dash YYYY
Prefered industry*
2nd industry preference
Industry is other
Current study (if any)*
Level of Education*
Notes

Candidate information