Internship Application
Summer Session:  June 10, 2023 - July 29, 2023
Space is limited.
Thank you for your interest.

The Internship Orientation is scheduled for Saturday, June 10th, 9:00 AM - 11:00 AM via Zoom.

For more info:
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First Name (please type the first name that you want us to refer to you as) *
Last Name *
Are you a current HIM member? *
Create a HIM account at
Cell Phone *
Please use dashes for example: 415-143-9198
Text Messaging *
What is your Instagram url? *
Gmail *
Please create a Gmail account if you do not have one.  Do not provide your school email
School *
Class of *
For the school year 2022 - 2023
Tell us about yourself. *
We are better equipped to help you succeed in this program if we know more about you.  We would love to hear about your interests, goals, challenges, family, school and work life.  This will be kept confidential.
How did you hear about Heart in Motion? *
Example:  Google Search, Club fair, School, Facebook, HIM Member, HIM Officer, Friend, etc.   Please provide their name(s) if it's through an individual.
What do you know about our organization? *
Describe one of your favorite or most memorable volunteering experiences with HIM. *
If you haven't been to any events yet, describe what you are looking forward to when you volunteer with us.
Why do you want to intern here?  What are your expectations of the internship program? *
How much time are you willing to allocate each day for the Internship program? *
All training will be done in the evening, online via Zoom
How often can we expect you to be on online? *
Since most of the training and work are done online, it is essential that you are online on a regular basis.
What skills do you wish to gain from this experience? *
What skills can you offer to us? *
Please check any skills you have.
What describes you best? *
Help us get to know you a little better
Will your parents support your decision to join this internship program? Please describe any conflicts which may occur, if there are any. *
An example of support may be that your parents will be okay with you volunteering at events at 5AM, or they can give rides to events.
What distinguishes yourself from other possible internship candidates? *
Commitments *
Please list all clubs, sports and other extracurricular activities you are involved with and the time you have to be there. Specify if it is during school, summer, or year round and if you are a member or what position you hold.
What HIM Gear do you currently own? *
Leadership Crew Neck & lanyard / name badge are required when volunteering with Heart in Motion. You will be receiving it at your next volunteering event. Kindly bring exact change.  Order Form: 
Will you be able to attend the MANDATORY Internship Orientation? *
Provide a detailed explanation if you can't make the mandatory orientation.
Which laptop do you have? *
Select all that applies
If you selected "Other" in the previous question, what type of electronic device do you have that you can use for our virtual (Zoom) lessons?
References *
Please list two friends that are currently part of Heart in Motion, preferably those who are in Leadership and how you know them. If you do not know any, put N/A.
Questions or Comments *
Let us know if you have any questions or comments.  
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