Intern Application

Applicant Information

Fields marked with ' * ' are mandatory

Last Name* :- First Name* :-  
Select Date* :- Select Month* :- Select Year* :-
Street Address* :- State* :- ZIP Code* :-
Telephone Cell Phone    
Your Email        
Have you ever been convicted of a felony?* :-  Yes No If yes please explain:    
How did you hear about our internship program?* :-        


Please check semesters of availability* :- Fall Spring Summer Others  Please Explain
Please check your general availability Sunday Monday Tuesday Wednesday Thursady Friday Saturday
Morning  (approx 9-1)  (approx 9-1)  (approx 9-1)  (approx 9-1)  (approx 9-1)  (approx 9-1)  (approx 9-1)
Afternoon  (approx 1-5)  (approx 1-5)  (approx 1-5)  (approx 1-5)  (approx 1-5)  (approx 1-5)  (approx 1-5)
Evening  (approx 5-9)  (approx 5-9)  (approx 5-9)  (approx 5-9)  (approx 5-9)  (approx 5-9)  (approx 5-9)

Areas of Interest

Please indicate which area interests you* :-
 Conservation Curatorial Development Education Exhibits Events HR Marketing Registration Security Performance Writing Other please explain:

Experience/Education and Skills

Current employment status* :-  Full Time Part Time Not Employed
Current or most recent paid position held
Are you currently a full-time student?* :-

 Yes No
If yes, please indicate school and concentration:

Level* :-
 Freshmen Sophomore Junior Senior Graduate student
  Areas of Study* :-

Do you speak any other languages?

 Yes No
If yes, please list language

 Fluent Semi-Fluent Basic
Computer Skills/Software Used:

Personal Information

Why are you interested in an internship in our organization?* :-

What specific experience would you like to gain through this internship?* :-

Describe your long-term career goals:

Professional References

Name Relationship and contact info (e-mail and/or phone number)

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to an internship assignment, I understand that false or misleading information in my application may result in my release
Signature:* :-

Date* :-