621 Gallery Internship Application
Name (First and Last) *
Preferred Pronouns *
Date of Application *
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Address *
Phone Number *
Email *
Emergency Contact *
Please list name, phone number, and relationship
Date of Birth *
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DD
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YYYY
University, degree, and area of study *
Is this internship for college credit? *
Which semester will you be interning? *
Do you have your own transportation? *
Have you interned with another nonprofit institution? If so, what were your duties? *
Please list special skills, interests, and hobbies *
What career do you hope to pursue in the future? *
Why do you want to intern with 621 Gallery? *
Please indicate areas of interest *
Choose all that apply.
Required
Please list your availability: Monday-Sunday *
Are special accommodations needed for you to participate as an intern? *
If yes, please list those needs in the space below.
How did you hear about 621 Gallery? *
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