Online System

ISN Internship Program Application Form

Terms and condition :

Malaysia Citizenship
Student of IPTA or IPTS
CGPA Result > 2.80
"ISN Internship Program Application" must be apply 1 month before your expectation period of internship

Any enquiry or details information please contact Miss Kamanorashikin Kamarulzaman at 03-899209821 / 03-899209766 or at kashikin@isn.gov.my

1. Intern Information
Name *	alphabetic character only
Identification No. *	ex: 890202061050
Matric No. *
Gender	Male Female
Age *
Contact. No *	ex: 0389929600 or 0121234567
Email *:	ex: user@yahoo.com

2. Academic Information
University/ Institute *
University/ Institute Address (Faculty) *
Field of Study *
Specialization *	ex: Physiotherapy
CGPA *	ex: 3.00
Supervisor Name *	alphabetic character only
Supervisor Contact *	ex: 0389929600 or 0121234567
Supervisor Email *	ex: user@yahoo.com
Have you received any scholarship?	Yes, please specify No

3. Internship Duration :
Start Date *	ex: yyyy-mm-dd
End Date *	ex: yyyy-mm-dd
Duration *	8 weeks 12 weeks Other (specify): weeks

4. Preferred Centre Placement
First Choice *
Second Choice *

5. Question About Your Interest

1.What were your reasons for choosing to study in your field? *

2. Regarding your 1st choice of placement at ISN, why do you want to be attached to this Centre? *

3.When you graduate from your university program, what do you plan to do next?

a) Continue your studies Yes, why?
No

b) Work Yes, in what area and why?
No

c) Do something else Yes, what?
No

4. Career-wise, What would you like to be doing 5 years from now? *

5.What sport, if any, do you participate in? *

Reference :

* required

Laman Web Rasmi ISN | Maklum Balas | Info ISN

Perkhidmatan Atas Talian ini dibangunkan oleh Unit ICT, Bahagian Khidmat Pengurusan, Institut Sukan Negara Malaysia.
Untuk maklum balas, sila hubungi talian 603 8992 9951 atau email info@isn.gov.my.