Summer Internship Application
Due February 1
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Name:
*
First Name
Last Name
Are you or your parents Farm Bureau members?
*
Yes - Lee County Farm Bureau
Yes - Neighboring County Farm Bureau
No
Birth Date:
*
Please select a month
January
February
March
April
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December
Month
Please select a day
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Day
Please select a year
2024
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Year
E-mail:
*
Phone Number:
*
-
Area Code
Phone Number
Career Goals:
*
How will an internship assist you in your career development:
*
Explain your interest in an internship with the Lee County Farm Bureau:
*
Voluntary Information
LCFB may use the following information in a press release to area media:
Father's Name:
First Name
Last Name
Mother's Name:
First Name
Last Name
For scheduling purposes, please list any dates during which you already know you will be gone or have known conflicts:
Is there anything else that you would like to add?
Acknowledgement
I have read the Lee County Farm Bureau internship job descriptions and I fully understand the requirements. I solemnly declare that the foregoing answers are true and correct to the best of my knowledge and belief. If selected, I authorize the Lee County Farm Bureau and the Lee County Farm Bureau Foundation to use my name and likeness in print, radio, and web publications.
*
Yes
No
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