Butterfly Village Inc. Internship Application
Please complete the entire form for qualification.
Email *
Cannot pre-fill email
Full Name* *
Date of Birth *
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Phone Number
Email Address
Social Media Names *
Please provide social media name for Instagram, Facebook and any other social media platform that you use regularly.
Race/Ethnicity
Current School Enrolled *
Anticipated Graduation (Month / Year) *
Current GPA *
Current Major/ Intended Major *
Future Academic Goals *
Will you seek course credit for this internship? *
Current Academic Advisor
Academic Advisor Email Address
Emergency Contact Name *
Emergency Contact Phone Numer *
Please specify any allergies, special requirements, or accommodation needs. *
When are you able to begin internship? *
Do you consent to a background check? *
Please indicate your availability (day and times). *
List 3 goals you would like to achieve during this internship experience. *
Please upload your resume. *
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