I understand I need to live in Uganda to be considered

Yes, I live in Uganda

Name

First Name

Last Name

Phone

(###)

###

####

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age

Gender

Male

Female

Caregiver Name

First Name

Last Name

Caregiver Email

Caregiver Phone Number

(###)

###

####

When can you start

YYYY

How did you hear about us?

Preferences

Hobbies

Dislikes

Training

Formal education is not a requirement for participation in this program. Please include all formal and informal education, special education, and therapy experiences.

What education and training have I received?

What activities do I thrive at?

Social Skills

This strengths-based program is inclusive to non-verbal fellows, provided they are the right fit for the fellowship. Please provide accurate descriptions of social skills and communication abilities.

I express my needs and wants verbally

Yes

Sometimes

Explanation

I use non-verbal communication

Yes

Sometimes

Explanation

I like being around other people

Yes

Sometimes

Explanation

I can follow directions

Yes

Sometimes

Explanation

What else would you like us to know?

Logistics

To participate in this program, you will need to be timely and show developing responsibility. We ask that all fellows show up to work without the support of Endiro. This means that parents can bring fellows, they can take public or private transportation. We will provide a small stipend for transportation as a part of the fellowship salary.

I am able to get to/and from Nakasero for my shifts (please explain)

I can commit to shifts 3 days a week for 4 hours each

Yes

If no, explain why

I am willing to commit to the 6-month long fellowship program

Yes

If no, explain why

Fellowship Program

Supportive Employment Fellowship Program
(Uganda Locations Only)

Fellowship Program

Supportive Employment Fellowship Program (Uganda Locations Only)

Supportive Employment Fellowship Program
(Uganda Locations Only)