Online Internship Application Form

Personal Information

Intern Semester Application
Full Name:*

First NameMiddle NameLast Name
Preferred Name:*
Gender:*

MaleFemale
Birth Date:*

MonthDayYear
Age:*
E-mail:*
Home Number:

Area CodePhone Number
Cell Number:*

Area CodePhone Number
Permanent Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Can you provide proof of eligibility to work in the United States?:*

YesNo
How many hours a week are you willing to work?:*
Education
Name of College:*
School Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
College - Year - Major:*
Other College(s) info:
High School - City - Dates:

Why do you want to intern at a literary agency?
What are your favorite genres to read?
Who are your five favorite creators?
What is your weekly schedule like/what is your availability?
Please list any dates during which you already know you will be gone:
Is there anything else that you would like to add?

Employment
Place - # - Dates - Title:
Place - # - Dates - Title:
References
Name - # - Relationship:*
Name - # - Relationship:*
Acknowledgement
I have read the Aid In Recovery internship job descriptions and I fully understand the requirements, pay if any, and employment start and end dates.*

Yes
Should be Empty: