Internship Application and Questionnaire

Internship Application and Questionaire

Please fill out the form below...
Today's Date

MonthDayYear
Full Name

PrefixFirst NameMiddle NameLast Name
Which session are you applying for? (May apply for more than one)
What do you hope to learn during your internship?
What are your future career goals?
Please briefly describe your personal background and experience with animal handling, veterinary experience, or any other animal care/handling experience.
What do you feel are your best qualifications for the ACS internship?
Do you have additional certifications and/or training?
What skills are you hoping to gain to help achieve animal welfare in your community?
Do you have experience in animal behavior modification training or operant/classical conditioning?
How did you first hear about the ACS internship program?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If you have lived at your current address less than 1 year, please list your previous address.
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Email Address
Upload a photo if you'd like

Upload a File

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Personal Details

Should you become employed by Animal Care Sanctuary (ACS), you will be required to provide documentaion proving your eligibility to work in the USA.
Are you legally authorized to work in the USA?
Since reaching age 18, have you ever been convicted of a felony or misdemeanor crime? (A conviction record will not automatically result in your disqualification from employment. Felony and misdemeanor convictions will be considered only to the extent they relate to the job for which you have applied. However, failure to disclose a conviction automatically will result in your ineligibility for employment and/or termination of employment - even if conviction would not have barred your employment had it been properly disclosed).
Do you have a driver's license? (answer only if it applies to position applied for)
Where/how were you referred to ACS:
Have you been referred by a current employee?
If yes, please indicate name
Education & Training

Tell us about your work schooling
School Name (High School)
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School Name (College/University)
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Major Emphasis
Degree Completed?
Level and Type
School Name (College/University)
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Major Emphasis
Degree Completed?
Level and Type
Licenses and Certifications

Tell us about any professional certifications you might have.
License Type
License/Certification Number
State
Expiration Date

MonthDayYear
License Type
License/Certification Number
State
Expiration Date

MonthDayYear
Employment History

Tell us about your work background. Please complete all appropriate items, even if you have already provided us with a resume.
Position 1
Employer name and address
May we contact?
From

TagMonatJahr
To

TagMonatJahr
Salary
Reason for leaving
Position 2
Address
May we contact?
From

TagMonatJahr
To

TagMonatJahr
Salary
Reason for leaving
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Internship Application and Questionaire

Personal Details

Education & Training

Licenses and Certifications

Employment History

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