<\/p>

<\/ul><\/div>\n
\n

\n\n\n\n\n\n\n<\/div>\n

\n\t

Please fill all sections\n\t<\/h4>\n\t

Registration Date:<\/label>
\n<\/span>\n\t<\/p>\n\t

1. BENEFICIARY INFORMATION<\/label>\n\t<\/p>\n\t

Full Name\n\t<\/p>\n\t

<\/span>\n\t<\/p>\n\t

Phone Number\n\t<\/p>\n\t

<\/span>\n\t<\/p>\n\t

Email Address (optional)\n\t<\/p>\n\t

<\/span>\n\t<\/p>\n\t

Age\n\t<\/p>\n\t

<\/span>\n\t<\/p>\n\t

Home location (City Suburb)\n\t<\/p>\n\t

<\/span>\n\t<\/p>\n\t

Country\n\t<\/p>\n\t

<\/span>
\nMartial Status<\/label>
\nMarried<\/span><\/label><\/span>Separated<\/span><\/label><\/span>Widowed<\/span><\/label><\/span>Single<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t

Have Children?<\/label>
\nYes<\/span><\/label><\/span>No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t

At what age did you get married or have your first child? (Estimate if not sure)\n\t<\/p>\n\t

<\/span>\n\t<\/p>\n\t

If you select NO, write \"0\" in the number of children section\n\t<\/p>\n\t

Number of Children<\/label>
\n<\/span>\n\t<\/p>\n\t

2. EDUCATION INFORMATION<\/label>\n\t<\/p>\n\t

Highest Level of Education\n\t<\/p>\n\t

Never Went to School<\/span><\/label><\/span>Lower Primary<\/span><\/label><\/span>Upper Primary<\/span><\/label><\/span>Upper Primary Certification<\/span><\/label><\/span>Lower Secondary (O'level)<\/span><\/label><\/span>Post-Lower Secondary Certification<\/span><\/label><\/span>Upper Secondary (A'Level)<\/span><\/label><\/span>Post-Upper Secondary Certification<\/span><\/label><\/span>Diploma<\/span><\/label><\/span>Undergraduate Degree<\/span><\/label><\/span>Postgraduate Degree<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t

Education Details (Optional)\n\t<\/p>\n\t

<\/span>\n\t<\/p>\n\t

3. LIVELIHOOD<\/label>\n\t<\/p>\n\t

What do you as an individual do for a living to support your family?\n\t<\/p>\n\t

<\/textarea><\/span>\n\t<\/p>\n\t<p>How was your livelihood affected by COVID-19?\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"covid19impact\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"covid19impact\"><\/textarea><\/span>\n\t<\/p>\n\t<p><label>4. DIGITAL LITERACY<\/label>\n\t<\/p>\n\t<p><label>Do you have a smartphone\/computer? or have you used a smartphone\/computer before?<\/label>\n\t<\/p>\n\t<p class=\"short\">Select from below options\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pc\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"pc\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"pc\" value=\"Yes, I have used a smartphone before\" \/><span class=\"wpcf7-list-item-label\">Yes, I have used a smartphone before<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"pc\" value=\"I have a smartphone\" \/><span class=\"wpcf7-list-item-label\">I have a smartphone<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><label>What do you use a smartphone\/computer for?(optional)<\/label>\n\t<\/p>\n\t<p class=\"short\">If you don't use or has never used it before, what do you think its used for?\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"phoneuse\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"phoneuse\"><\/textarea><\/span><br \/>\n<label>Have you got a social media (Facebook, WhatsApp, Twitter) account?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"socialmedia\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"socialmedia\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"socialmedia\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p>If you use social media, tell us those that you use (optional)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ssmedia\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"ssmedia\"><\/textarea><\/span>\n\t<\/p>\n\t<p>Have you ever shopped online using the internet or an application? Using which service?(optional)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"internet\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"internet\"><\/textarea><\/span><br \/>\n<label>If we were to teach you something about digital technologies, what would you be interested<br \/>\nin learning about?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"teachme\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"teachme\"><\/textarea><\/span>\n\t<\/p>\n\t<p><label>5. WiT PROGRAM ENROLLMENT<\/label>\n\t<\/p>\n\t<p><label>Would you be interested in knowing how technology would improve your business and quality of life?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"techknowledge\"><select class=\"wpcf7-form-control wpcf7-select selectpicker\" aria-invalid=\"false\" name=\"techknowledge\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\n<label>We shall enroll you and train you on how to use digital technologies safely to improve your entrepreneurial competitiveness. Do you consent to document your participation in the WiT project?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"enroll\"><select class=\"wpcf7-form-control wpcf7-select selectpicker\" aria-invalid=\"false\" name=\"enroll\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Maybe\">Maybe<\/option><\/select><\/span><br \/>\n<label>Anything else you want to share about your livelihood and family wellbeing?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"otherinfo\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"otherinfo\"><\/textarea><\/span><br \/>\n<label>Name\/I.D no. of WiT Team Member collecting the Information:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"volunteer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"volunteer\" \/><\/span>\n\t<\/p>\n\t<div class=\"spacer-10\">\n\t<\/div>\n\t<p><label>6. PRIVACY ACT STATEMENT<\/label>\n\t<\/p>\n\t<p class=\"short\">The collection of this information is relevant and necessary to document and account for WiT activities. Submission of the information requested is voluntary; however, your failure to supply requested information may impede or preclude the beneficiary's enrollment process. The beneficiary must provide the data requested during registration, for example, name, address, and email address. We also record the date and time of registration and the IP address. As part of the registration process, we obtain your consent for the use of the data.\n\t<\/p>\n\t<p>The information collected is maintained in the Privacy Systems of Records. The information collected may be disclosed in accordance with the routine uses referenced in those notices or as otherwise permitted by law. In accordance with those routine uses, Cyber Aware Africa may disclose information collected here to project funding partners as proof of project implementation.\n\t<\/p>\n\t<p><label>7. DIGITAL SIGNATURE<\/label>\n\t<\/p>\n\t<p class=\"italic short\">Read the following statement below, and confirm your agreement by typing your full name below in the box provided:\n\t<\/p>\n\t<p class=\"short\">By digitally signing this document, I affirm that the information I provided is true and accurate to the best of my knowledge. I understand that providing false information could make me subject to discontinuation from the WiT Program.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-183\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-183\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I accept the Privacy terms of this website<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><label>Digital Signature<\/label>\n\t<\/p>\n\t<p class=\"short\">Type beneficiary's Full Names here\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"signature\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"signature\" \/><\/span>\n\t<\/p>\n\t<div class=\"spacer-10\">\n\t<\/div>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-primary\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n\t<div class=\"spacer-10\">\n\t<\/div>\n\t<p class=\"short\">All fields are mandatory\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"Please fill all sections Registration Date: 1. BENEFICIARY INFORMATION Full Name Phone Number Email Address (optional) Age Home location (City Suburb) Country Martial Status MarriedSeparatedWidowedSingle Have Children? YesNo At what age did you get married or have your first child? (Estimate if not sure) If you select NO, write \"0\" in the number of children section Number of Children 2. EDUCATION INFORMATION Highest Level of Education Never Went to SchoolLower PrimaryUpper PrimaryUpper Primary CertificationLower Secondary (O'level)Post-Lower Secondary CertificationUpper Secondary (A'Level)Post-Upper Secondary CertificationDiplomaUndergraduate DegreePostgraduate Degree Education Details (Optional) 3. LIVELIHOOD What do you as an individual do for a living to support your family? How was your livelihood affected by COVID-19? 4. DIGITAL LITERACY Do you have a smartphone\/computer? or have you used a smartphone\/computer before? Select from below options NoYes, I have used a smartphone beforeI have a smartphone What do you use a smartphone\/computer for?(optional) If you don't use or has never used it before, what do you think its used for? Have you got a social media (Facebook, WhatsApp, Twitter) account? NoYes If you use social media, tell us those that you use (optional) Have you ever shopped online using the internet or an application? Using which service?(optional) If we were to teach you something about digital technologies, what would you be interested in learning about? 5. WiT PROGRAM ENROLLMENT Would you be interested in knowing how technology would improve your business and quality of life? YesNo We shall enroll you and train you on how to use digital technologies safely to improve your entrepreneurial competitiveness. Do you consent to document your participation in the WiT project? YesNoMaybe Anything else you want to share about your livelihood and family wellbeing? Name\/I.D no. of WiT Team Member collecting the Information: 6. PRIVACY ACT STATEMENT The collection of this information is relevant and necessary to document and account for WiT activities. Submission of the information requested is voluntary; however, your failure to supply requested information may impede or preclude the beneficiary's enrollment process. The beneficiary must provide the data requested during registration, for example, name, address, and email address. We also record the date and time of registration and the IP address. As part of the registration process, we obtain your consent for the use of the data. The information collected is maintained in the Privacy Systems of Records. The information collected may be disclosed in accordance with the routine uses referenced in those notices or as otherwise permitted by law. In accordance with those routine uses, Cyber Aware Africa may disclose information collected here to project funding partners as proof of project implementation. 7. DIGITAL SIGNATURE Read the following statement below, and confirm your agreement by typing your full name below in the box provided: By digitally signing this document, I affirm that the information I provided is true and accurate to the best of my knowledge. I understand that providing false information could make me subject to discontinuation from the WiT Program. I accept the Privacy terms of this website Digital Signature Type beneficiary's Full Names here All fields are mandatory","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1924","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cyberawareafrica.org\/wp-json\/wp\/v2\/pages\/1924","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cyberawareafrica.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cyberawareafrica.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cyberawareafrica.org\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cyberawareafrica.org\/wp-json\/wp\/v2\/comments?post=1924"}],"version-history":[{"count":2,"href":"https:\/\/cyberawareafrica.org\/wp-json\/wp\/v2\/pages\/1924\/revisions"}],"predecessor-version":[{"id":1927,"href":"https:\/\/cyberawareafrica.org\/wp-json\/wp\/v2\/pages\/1924\/revisions\/1927"}],"wp:attachment":[{"href":"https:\/\/cyberawareafrica.org\/wp-json\/wp\/v2\/media?parent=1924"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}