Internship Application
Association for Community Empowerment Solutions
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Applicant Information
Full Name
*
First Name
Middle Initial
Last Name
Status
Please Select
No Response
Phone Screen
Interview
Not Hired
Offer Mail Sent
Hired
Offer Declined
Interview Score
Please Select
Not Acceptable
Maybe/Acceptable
Good Candidate
Excellent Candidate
Interview Date
-
Month
-
Day
Year
Date
Resume Highlights
Time Commitment (hrs) and months
Interviewer Feedback
City, State of Residence
*
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Date Available
*
-
Month
-
Day
Year
Date
Position Applied For
*
Please Select
Gender Equality Data Collaborative Intern
Communications Intern
Program Management Intern
Other
If "other," please list here
Do you plan to do this internship for credit?
*
Yes
No
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Education
Most Recent/Current College
*
College CEEB Code
*
Look up code here: https://tinyurl.com/acesceeb
Start
*
-
Month
-
Day
Year
Date
End
*
-
Month
-
Day
Year
Date
Degree type
*
Please Select
Bachelor's
Master's
PhD
None
Other
If '"other," please list here
Previous College
College CEEB Code
Look up code here: https://tinyurl.com/acesceeb
Start
-
Month
-
Day
Year
Date
End
-
Month
-
Day
Year
Date
Degree type
Please Select
Bachelor's
Master's
PhD
None
Other
If '"other," please list here
References
Please list the name of one professional reference
Email
Chcek all that apply
Eligible for rehire
Verification (duration)
Please list the name of a second professional reference
Email
Check all that apply
Eligible for rehire
Verification of employment (duration)
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Upload Files
Please upload a resume
*
Browse Files
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Please upload a cover letter
*
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Please upload a writing sample
*
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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, I understand that false or misleading information in my application or interview may result in my release.
Signature
*
Date
*
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Month
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Day
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Date
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