Project Break Free Internship Application Form

Project Break Free
Internship Application
Thank you for your interest in the Project Break Free Internship! The application process includes two phases: the internship application and an interview. Please complete the application below and we will get back to you shortly. Please contact Betsy (bsambrano@kyccla.org) or Hilcia at (hguerra@kyccla.org) if you have any questions regarding this application or internship opportunity.
Name: *

First Name Last Name
Phone Number: *

Area Code Phone Number
E-mail Address: *
Birthday: *

Month Day Year
Date
How did you hear about this internship?: *
Are you currently enrolled as a college student? *

Yes No Not yet, but I will soon.
If yes, what college do you attend? *
I am able to commit at least 100 hours total. *

Yes No
What do you hope to gain from this internship opportunity? *
Upload Resume *
Upload Cover Letter (Optional) :

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