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:

Preferred Hours *

How many hours per day will you be available?

How did you find out about ACRES?

Resume

Upload PDF or Word document.

Select File Change Remove

Are you Human? *

Complete the captcha please.

A growing community designed
by adults with autism for adults with autism