Pathfinders Intern Application
To become an intern please fill out and submit the following form.
PERSONAL INFORMATION
Full Name
Your answer
Date of Birth
Your answer
Email
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Opportunity you are interested in
Your answer
Desired Start Date
MM
/
DD
/
YYYY
EDUCATION INFORMATION
Highest Level Of Education Completed
College Degree or Major
Your answer
Are you seeking an internship?
How many hours are needed per week?
Your answer
Please list all licenses and certifications:
Your answer
Please list all languages you speak other than English:
Your answer
EMPLOYMENT INFORMATION
Current Employer Name
Your answer
Position
Your answer
Current Employer Address
Your answer
Current Supervisor
Your answer
Current Supervisor Phone Number
Your answer
Current Supervisor Email
Your answer
EXPERIENCE
Describe any experience you have working with vulnerable youth and young adults aged 11-25 (please include start/finish dates with each experience):
Your answer
Describe any other volunteer experience you have had (please include start/finish dates with each experience).
Your answer
ADDITIONAL INFORMATION
What hobbies or interests do you have?
Your answer
How did you hear about Pathfinders?
Your answer
Why have you chosen Pathfinders for your internship?
Your answer
REFERENCES
List references of three people, one that has supervised you (present supervisor preferred) and two non-relatives you have known for at least one year. Please include full addresses.
Work Reference
Name - Work Reference
Your answer
Complete Address - Work Reference
Your answer
Relationship - Work Reference
Your answer
Phone - Work Reference
Your answer
Email - Work Reference
Your answer
Personal Reference 1
Name 1
Your answer
Complete Address 1
Your answer
Relationship 1
Your answer
Phone 1
Your answer
Email 1
Your answer
Personal Reference 2
Name 2
Your answer
Complete Address 2
Your answer
Relationship 2
Your answer
Phone 2
Your answer
Email 2
Your answer
AVAILABILITY
If you are interested in volunteering at the youth shelter, please list your availability below. This will not commit you to those shifts. This is for discussion purposes only.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
8:30am - 1:30pm
1:30pm - 6:00pm
6:00pm - 10:30pm
10:30pm - 8:30am
For all other volunteer opportunities, please indicate the days and times you are available:
Your answer
How many shifts are you willing to work per week?
Your answer
In case of emergency, please notify:
Emergency contact name
Your answer
Emergency contact relationship
Your answer
Emergency contact phone number
Your answer
Emergency contact complete address
Your answer
Date
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms