LEEP Internship Application
Thank you for your interest in interning with Leisure Education for Exceptional People (LEEP). After submitting your volunteer application, you will be contacted by our Outreach Coordinator with more information on current volunteer opportunities. Questions? Call our office at (507) 387-5122 or email us at info@mankatoleep.org.
First Name *
Your answer
Last Name *
Your answer
Internship Applying For:
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Phone *
(preferred contact number)
Your answer
Email *
Your answer
Emergency Contact Information
First Name *
Your answer
Last Name *
Your answer
Phone *
(preferred contact number)
Your answer
Relationship *
Demographic Information
Date of Birth *
MM
/
DD
/
YYYY
Gender
Highest Level of Education Completed *
Medical History
(do you have any medical limitations that may affect your ability to intern?)
If yes, please explain:
Your answer
Experience
Expected Graduation Date *
MM
/
DD
/
YYYY
Name of Instructor/Supervisor *
Your answer
College/University Currently Attending *
Your answer
Class/Department/Major *
(please type the class, department, or major this internship would count towards)
Your answer
Hours Needed for Internship
Your answer
Are you interested in coaching Special Olympics?
(if no, skip next question)
If yes, which sport(s)?
(check all that apply)
Skills and Interests
(please list any special skills, sports, or hobbies you have)
Your answer
Certifications
(please list any qualifications you have; i.e. CPR, WSI, First Aid, Lifesaving, etc.)
Your answer
References/Background
Please list a personal or professional reference who is not related to you.
First Name *
Your answer
Last Name *
Your answer
Phone *
(preferred contact number)
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Relationship *
Your answer
Confirm Application
Photo Release *
I give LEEP permission to use my picture in any media coverage of the agency. This may include the monthly newsletter, social media, local media coverage, and other publications.
Required
Confirm Application *
The above information is true and correct to the best of my knowledge. I give my consent to LEEP to contact my references and to conduct any other necessary background checks.
Required
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