INTERNSHIP APPLICATION FORM

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Birth

YYYY

Age

Languages spoken

Religios Affiliation

Emergency contact #1

(###)

###

####

Emergency contact #2

(###)

###

####

School

Field of Study

Expected graduation date

YYYY

Number of hours required to complete internship

Availability

How many hours per week will you be able to dedicate to the internship?

What are the learning objectives of the internship?

Describe your previous experience (if any) with clientele

Describe your previous volunteer experience

Describe your previous work experience

Why are you interested in completing your internship at the Friendship Circle?

What specific skills and abilities will you bring to your internship?

References (2)

Preferred contact method

Instagram handle

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