Girls Inc. of Central Alabama Intern Application Form

Girls Inc. of Central Alabama Intern Application Form
Applicant Information
Name*

First NameLast Name
Age*
Gender*

MaleFemaleOther
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date of Internship (Estimated Availability)*

MonthDayYear
Date
End Date of Internship (Projected)*

MonthDayYear
Date
Why are you interested in interning with Girls Inc.?*
Have you worked with school-age youth before? If yes, please elaborate. *
List any goals you have for your internship.*
What are your related skills that can be used for the internship?*
Education Information (Last/Current School)
School Name*
Grade Level/Degree*
Years attendend*
What is your Major/Academic Program?*
Special honors/Achievements*
Are you able to provide a current resume?*

YesNo
If yes, please use the uploader below to upload your file

Cancelof
If no, please indicate the reason why:
References
Name

First NameLast Name
Relationship
Company Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Have you been convicted of a criminal offense? (Background Check required prior to start date.)*

YesNo
Have you joined other internship programs before?*

YesNo
If yes, what was the company/organization name?
Acknowledgment
I hereby certify that all information I provided in this document is accurate and true to the best of my knowledge.

I confirm that I have read and understood the reason why the Personal Information Collection Statement is required.

I understand that data collected from this form will be used for recruitment and evaluation purposes only. All data will be strictly confidential.

I also understand and agree that this agreement is for participation with Girls Inc. of Central Alabama as a volunteer intern and that I will not be compensated for this work now or in the future. I understand I am free to accept or decline any volunteer assignments.
Applicant's Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty:

Girls Inc. of Central Alabama Intern Application Form

Applicant Information

Education Information (Last/Current School)

References

Acknowledgment