Education Department Internship Application
First name *
Last name *
Preferred pronouns
Street address *
City/Town *
Zip code *
Date of birth *
MM
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DD
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YYYY
Phone - cell *
Phone - home *
Email address *
Preferred method of communication *
Required
Are you multi-lingual?
If yes, which language(s) do you speak?
PERSONAL REFERENCE #1
First and last name *
Phone number *
Relationship to you *
PERSONAL REFERENCE #2
First and last name *
Phone number *
Relationship to you *
Are you planning to use this volunteer experience to receive school credit? *
If yes, please share the details about the specific requirements you will need to fulfill.
How many hours are required?
Is there a due date? If so, please specify.
MM
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DD
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YYYY
SCHOOL CONTACT/ADVISOR
Please provide the name of a teacher or staff member from your school who will serve as the contact person/advisor.
First and last name
Email address
VOLUNTEER COMMITMENT
This is just to give us a general understanding of your availability. Supervisors work with interns to set a mutually agreeable schedule.
Please fill out the grid below to let us know when you are available.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
PERSONAL REFLECTION
What do you hope to give others or gain yourself from volunteering with the Advocacy Center? *
Please list any relevant experience (i.e. volunteer positions, student clubs, paid work, etc.). *
What do you anticipate might be easiest for you in your role as an intern at the Advocacy Center? Most challenging? *
During your time as a volunteer with the Advocacy Center, would you like to do any of the following? (Check all that apply)
How would you describe yourself in 2-3 words? (Ex: book nerd, enthusiastic leader, eager follower, independent worker)
Please attach your resume.
Is there anything else you'd like us to know?
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