Internship Application Form

Name (first and last) *

Date of Birth *

Email Address *

Phone Number *

Current Address *

Permanent Address (if different)

Current Academic Standing (select one) *

Freshman Sophomore Junior Senior PostGrad Grad School Other

Current Major

Major (if applicable)

Internship Goals *

What are your personal interests and goals for this internship? (e.g. working with people, designing curriculum, grant writing, etc.)

Estimated Availability *

Select your preferred internship start date below:

Preferred End Date *

Preferred Ending Date:

America/New_York

Preferred Hours *

How many hours per day will you be available?

How did you find out about ACRES?

Resume & Cover Letter *

Upload your resume & cover letter

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Are you Human? *

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