INTERNSHIP APPLICATION

INTERNSHIP APPLICATION
Preferred Location
Preferred Location
Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E mail
example@example.com
Availability: Most internship hours take place Monday - Friday between 9 a.m. and 4:30 p.m. Write in all hours that apply to your desired schedule for your desired day(s).

Availability: Opportunities are scheduled Monday – Friday, 9:00 a.m. – 5:00 p.m. (limited Saturdays available). Select the specific days and times you are available during these hours.

Monday
Tuesday
Wednesday
Thursday
Friday
Internship Hours Required
Area of internship
Program of Study
School
Intern Professor
Phone
Format: (000) 000-0000.
Please list any physical limitations that should be considered: (some positions require walking, stooping, and lifting)
Professional references:
Name
Phone
Name
Phone
By submitting this form I certify that the facts in this application are true, correct, and complete to the best of my knowledge. I understand that I will receive training and supervision from the Anniston Museums and Gardens staff and must abide by the standards and policies of the institution. To perform due diligence in protecting the well-being and safety of those we serve, AM&G reserves the right to perform background checks on any applicant.
Signature
Date
Should be Empty:

Rows	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Morning
Afternoon