Helping Hands Application

1
What's your name?* This field is required.
First Name
Last Name
2
What is your permanent address?* This field is required.Include Street address, city, state, and ZIP.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
What is your email?* This field is required.
example@example.com
4
What is your minor?If declared.
5
What is your classification?* This field is required.
Freshman
Sophomore
Junior
Senior
6
What is your overall GPA?* This field is required.
7
What is your English GPA?* This field is required.
8
When is your anticipated graduation?* This field is required.Include semester and year.
9
I understand that this internship requires a background check. If I am accepted for this internship, I agree to provide all required information at the link that Helping Hands will send to me well in advance of the beginning of the program.* This field is required.
I understand.
10
Have you completed Apprentice Belton?* This field is required.
YESNO
11
Which year?* This field is required.
12
What is your experience with a professional mentor?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
Full Name* This field is required.
14
Employer/Company/ISD* This field is required.
15
Email* This field is required.
example@example.com
16
Work Phone* This field is required.
Area Code
Phone Number
17
Name of Hiring Entity
18
City
19
Dates of Employment
20
Supervisor
21
Email
example@example.com
22
Phone Number
Area Code
Phone Number
23
Do you have additional work experience you'd like to add?* This field is required.
YESNO
24
Name of Hiring Entity
25
City
26
Dates of Employment
27
Supervisor
28
Email
example@example.com
29
Phone Number
Area Code
Phone Number
30
What is your planned vocation/profession?* This field is required.
31
Keep in mind that your internship is an arrangement between you and Helping Hands. Your experience is meant to help you gain valuable work experience and job-related skills based on the length of your internship, your curriculum requirements, as well as your interests. If you choose to work with Helping Hands, you will be assisting the staff in carefully matching your responsibilities to your strengths and interests. Interns work under the supervision of professional staff and carry out a variety of tasks as needed.
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