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Shefa: Teen Internship Application Summer 2018
Please fill out this form and send it back to us! We look forward to hearing from you!
First Name
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Last Name
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Preferred Pronouns
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Home Mailing Address
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Cell Phone Number
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Email Address
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What is your preferred method of contact?
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Parent/Guardian #1 First Name
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Parent/Guardian #1 Last Name
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Parent/Guardian #1 Email Address
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Parent/Guardian #1 Cell Phone Number
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Parent/Guardian #2 First Name
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Parent/Guardian #2 Last Name
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Parent/Guardian #2 Email Address
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Parent/Guardian #2 Cell Phone Number
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Student lives with:
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Current School?
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What grade will you be entering next year?
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How did you hear about this Internship?
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What interests you about this Internship?
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What would you hope to bring to this Internship that would be of benefit to the group?
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How do you identify in terms of religion and/or spirituality? (Shefa is for people of all religious and spiritual identities!)
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This Internship will ask you to deeply engage your mind, body and spirituality. Which of these types of engagement do you anticipate coming most easily and which will be the most challenging? Why?
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We are looking for Interns who will make a real commitment to this experience and who will act professionally by showing up on time and being consistent and respectful in their participation. Please comment.
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Which session are you applying for?
Are you aware of any dates when you will be unavailable to participate in the Internship this summer? If so, when?
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Anything else you would like to let us know?
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