JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Impact Africa Global Internship Application
Please answer all questions honestly and completely. If you have any questions please feel free to email
ryan@impactafrica.org
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Preferred Name/Nickname
Your answer
How did you hear about this Internship?
*
Referral
Internship Alumni Referral
Online
Facebook
Instagram
Missions Trip
Other
If you were referred, let us know who referred you!
Your answer
What time zone do you live in? (For interview purposes)
*
Your answer
Phone Number
*
Your answer
Age
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Home Address (Number, City, State)
*
Your answer
Are you a U.S. Citizen?
*
Yes
No
If not, what country are you a citizen of?
Your answer
Do you currently have a valid passport?
*
Yes
No
What trip are you applying for? (Ages 18-24 only)
Check our website for current pricing
*
2027 10-Month Internship - January 20th - November 17th
2027 6-Month Internship Spring - January 20th - August 2nd
2027 Spring Internship - January 20th - April 18th
2027 6-Month Internship Summer Start - June 2nd - November 17th
2027 Summer A Trip (8 Weeks) - June 2nd - August 2nd
2027 Summer B Trip (4 Weeks) - June 2nd - July 1st
2027 Summer C Trip (4 Weeks) - July 7th - August 2nd
2027 Fall Internship - August 21st - November 17th
Next
Page 1 of 13
Clear form
Never submit passwords through Google Forms.
This form was created inside of Impact Africa.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report