Internship Program Application
Legal Name:
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Preferred Name:
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Pronouns:
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Full Address:
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Phone Number:
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Email Address:
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Select type of internship:
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Internal (current OPC employee)
External (non-OPC employee)
Select internship position to which you are applying:
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Care Manager Intern, Bachelors Level
Care Manager Intern, Masters Level
Community Resource Development Intern
Bilingual Community Resource Intern
Human Resources Generalist Intern
Finance Assistant Intern
Office Administrative Intern
Organizational Development & Quality Intern
Other - please indicate your inquiry
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Education Information
Highest Level of Education (completed & in progress):
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Years Completed:
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Years Completed:
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Diploma or Degree:
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Other (Specify)
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Employment Experience
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Employment Experience
Start with your present or last position. Include any relevant military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or disabilities.
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Employer Address:
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Employment End Date
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Position Title:
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Supervisor:
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Responsibilities:
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Employment Experience
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Employer Address:
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Employer Phone:
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Employment Start Date
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Employment End Date
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Type "Present" if still employed
Position Title:
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Supervisor:
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Responsibilities:
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Reason for Leaving:
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Employment Experience
Start with your present or last position. Include any relevant military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or disabilities.
Employer Name:
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Employer Address:
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Employer Phone:
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Please enter a valid phone number.
Employment Start Date
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Employment End Date
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Type "Present" if still employed
Position Title:
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Supervisor:
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Responsibilities:
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Volunteer Experience
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Volunteer Experience
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Agency/Organization:
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Agency Phone:
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Responsibilities:
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Reason for Leaving:
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Volunteer Experience
Start with your present or last position. Include any relevant military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or disabilities.
Agency/Organization:
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Agency Address:
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Agency Phone:
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Volunteer End Date
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Type "Present" if still employed
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Reason for Leaving:
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Volunteer Experience
Start with your present or last position. Include any relevant military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or disabilities.
Agency/Organization:
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Agency Address:
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Agency Phone:
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Please enter a valid phone number.
Volunteer Start Date
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Volunteer End Date
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Type "Present" if still employed
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Reason for Leaving:
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Internship Experience
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Internship Experience
Start with your present or last position. Include any relevant military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or disabilities.
Internship Agency:
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Internship Address:
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Internship Phone:
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Please enter a valid phone number.
Start Date of Internship
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End Date of Internship
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Type "Present" if still employed
Internship Position Title:
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Field Instructor:
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Responsibilities:
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May We Contact?
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School/Program:
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Proctor/Professor:
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Do you have more internship experience to add?
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Internship Experience
Start with your present or last position. Include any relevant military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or disabilities.
Internship Agency:
*
Internship Address:
*
Internship Phone:
*
Please enter a valid phone number.
Start Date of Internship
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End Date of Internship
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Type "Present" if still employed
Internship Position Title:
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Field Instructor:
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Responsibilities:
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0/120
May We Contact?
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Yes
No
School/Program:
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Proctor/Professor:
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Do you have more internship experience to add?
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Please Select
Yes
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Internship Experience
Start with your present or last position. Include any relevant military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or disabilities.
Internship Agency:
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Internship Address:
*
Internship Phone:
*
Please enter a valid phone number.
Start Date of Internship
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End Date of Internship
*
Type "Present" if still employed
Internship Position Title:
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Field Instructor:
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Responsibilities:
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0/120
May We Contact?
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Yes
No
School/Program:
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Proctor/Professor:
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General Information
Why are you interested in an internship at Ocean Partnership for Children? What are your objectives?
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0/700
Do you have any experience related to the position you are interested in?
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0/600
Relevant coursework:
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Please review the following and Sign/Initial where indicated:
Interns will not receive any compensation, including gift cards or something of re-numeration, in exchange for their internship work at OPC, other than college credits, as outlined by their individual educational programs.
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I understand and ackownledge the statement above
Initials:
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An internship at OPC is not to exceed 23 hours/week for a total of 2 semesters (does not need to be consecutive)
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I understand and ackownledge the statement above
Initials:
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What hours are you available? (M-F)
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How long are you available for the internship?
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Please Specify Weeks/Months/Semesters
If offered an internship position, OPC reserves the right to end an internship at any time if it is determined that the internship partnership is no longer benefitting the student intern or the agency’s mission.
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I understand and ackownledge the statement above
Initials:
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Additional Comments:
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Signature:
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Date
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