KRC INTERNSHIP FORM
This is a questionnaire for potential interns for both long-term and short-term commitments with  Karnataka Rehabilitation Centre which involves gathering essential information about the interns and understanding their skills, availability, and motivation. 
Email *
Full Name *
Email Address
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Phone Number
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Date of Birth
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Address
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Emergency Contact (Name and Phone Number)
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Interns Preferences
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Required
Preferred Start Date
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Preferred End Date (if applicable)
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Availability
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Time of Day Available
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How many hours per week can you commit? (please specify time)
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What skills or expertise can you offer? (e.g., teaching, administrative work, event planning, social media management, fundraising, etc.)


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Do you have any previous interns experience? If yes, please describe
Are you fluent in any languages other than English? If yes, please specify
Do you have any certifications or special training relevant to interning? If yes, please specify
Why do you want to intern with our NGO?
What areas of our work are you most interested in?
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Do you have any specific goals you hope to achieve through this interning experience?
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Do you have any health conditions or special needs we should be aware of?
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Do you have reliable transportation to and from our intern sites?
Please specify mode of transportation and if needed
Are you willing to undergo a background check?
Is there anything else you would like us to know about you?
How did you hear about our NGO and the internship opportunities?
Do you consent to us using your personal information for intern coordination purposes?
Do you agree to adhere to our NGO’s internship policies and code of conduct?
A copy of your responses will be emailed to .
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