Allen Neighborhood Center: Internship Form
Thank you for your interest in interning with the Allen Neighborhood Center! Complete the following form to be considered for an internship. In addition to this form, please submit a cover letter and resume/CV to volunteer@allenneighborhoodcenter.org. After its submission and review, the Volunteer Coordinator, Pa Vang, will contact you regarding the results.
Today's Date
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First Name *
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Last Name *
Your answer
Gender *
Your answer
Birthdate *
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Email Address *
Your answer
Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Secondary Phone Number
Your answer
Emergency Contact and Phone Number *
Your answer
Please list any hobbies, talents, skills, etc.
Your answer
Internship Requirements
Are you seeking an internship for credit? *
If yes, how many credit hours?
Your answer
Which semesters? *
Required
Program Interests
Below is a list of possible volunteer opportunities with the Allen Neighborhood Center. To learn more about these programs, please see our website at allenneighborhoodcenter.org.
Please check any and all that you think may interest you: *
Required
How did you hear about us? *
Required
Reference
Please list two references with phone numbers and e-mail addresses; employment, school, previous volunteer references preferred.
Name *
Your answer
Relationship *
Your answer
Phone *
Your answer
E-mail *
Your answer
Reference 2
Name *
Your answer
Relationship *
Your answer
Phone *
Your answer
E-mail *
Your answer
Background Check Consent Form
On April 28th, 2008 the ANC Board of Directors approved the following procedures for screening all those who are applying to volunteer with Allen Neighborhood Center.

1. All Volunteer and staff (with the exception of Michigan State University students, who are screened by MSU Service Learning Center) will be screened through the Michigan State Police I-Chat System.

2. Confidential files are kept on all applicants and results.

3. When the I-Chat System reveals a criminal background, the Volunteer Program Coordinator, in consultation with the Executive Director, will make a determination whether this person's offer of volunteer service will be accepted.

I understand and accept the terms listed above for participation as a volunteer at the Allen Neighborhood Center. By submitting my electronic signature, I verify this represents my actual signature and hereby gives my consent to Allen Neighborhood Center to conduct a criminal background check using the information I have provided.

Full Legal Name *
Your answer
Race/Ethnicity (This is helpful for background checks)
Your answer
Electronic Signature *
Your answer
Date of Birth *
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