Immigration Project Internship Interest Form
211 Landmark Drive, Suite B3A, Normal IL 61761

Thank you for taking the time to complete this form for our records. Our Volunteer Coordinator, Genesis Marie, will contact you within 5-8 days of receiving this form. Please email gbuendia@immigrationproject.org for additional questions.

Date
MM
/
DD
/
YYYY
First Name
Last Name
Date of Birth
MM
/
DD
/
YYYY
Email
Phone
Can we text you?
Which location are you interested in?
Home Address
School Address
Major
Graduation Date
What languages do you speak, and what is your proficiency in these languages?
(B) Beginner
(I) Intermediate
(A) Advanced
(F) Fluent
English
Spanish
French
Lingala
If other, please specify with proficiency (e.g., Creole (F))
Internship Information. Please upload a copy of the program requirements, if able. (Please format file name: LAST NAME First Name - Program Requirements - YearMonth#. E.g., "SMITH John Program Requirements 201708")
Program Requirements
Which Internship roles Interest you? (For more information please refer to our website listing at http://www.immigrationproject.org/volunteer/.)
Class/Program requiring Internship
Total Hours needed
Semester
Internship Advisor
Advisor Phone
Advisor Email
Is there an evaluation required?
If the answer is yes, when is the evaluation required?
Availability. Please check ALL that apply (e.g., 10am-12pm = check "10-11am" and "11am-12pm").
10-11am
11am-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
Monday
Tuesday
Wednesday
Thursday
Friday
Why would you like to intern at The Immigration Project?
What skills do you wish to gain from this experience?
Please share any other information with us (special talents or skills)
Background Information
Do you have or have you had any criminal charges against you?
If yes, what for?
Is the case closed?
Would you be willing to submit to a background check if requested?
Documents (Please format file name: LAST NAME First Name - Resume or Signed Confidentiality - YearMonth#. E.g., "SMITH John Resume 201708")
Please upload a copy of your current resume, if available. You MUST upload a signed copy of the Rights & Duties as to Client Confidentiality. You can download the form to e-sign here:

http://www.immigrationproject.org/wp-content/uploads/client-confidentiality.docm

Updated Resume
Signed Client Confidentiality *
Required
Please list any additional comments here.
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