Rocky Creek / Discovery Trail Internship Application [040416]

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INTERNSHIP APPLICATION

All individuals interested in an ICT Launchpad Inc must complete this application in full.

Items marked with an asterisk require a response.
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PROFILE INFORMATION
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TODAY'S DATE* This field is required.
Date
Month
Day
Year
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Full Name* This field is required.
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Date of Birth* This field is required.
Date
Month
Day
Year
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Gender* This field is required.
Male
Female
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Mailing Address* This field is required.
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Home Phone* This field is required.
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Mobile Phone* This field is required.
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Work Phone
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E-mail Address* This field is required.
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School Attending* This field is required.
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Year* This field is required.Ex. Freshman
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GPA* This field is required.
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Advisor/Counselor's Name:* This field is required.
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Advisor/Counselor's Phone:* This field is required.
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Advisor/Counselor's E-mail Address* This field is required.
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Internship Field of Study Requested [check all that apply]* This field is required.
Early Childhood or Nature-based Education
STEM Related Training
Media Arts
Athletics
Other
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Semester wanted for Internship:* This field is required.
Spring
Summer
Fall
Winter
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What is your availability or desired days/times to work? [check all that apply]* This field is required.
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Saturday AM
Saturday PM
Special Events
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Internship Type [check all that apply]* This field is required.
Day Hours - Part-Time [8-30 hours/week]
Day Hours - Full-Time [30-40 hours/week]
Unsure/Flexible
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Are you seeking a paid internship?* This field is required.
Yes
No
Either paid or school credit
Unsure
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Hourly wage requested [if paid internship]:
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Why do you want to take part in the ICT Launchpad Internship Program? How does it fit into your personal goals now, and your future career goals?* This field is required.
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What specific goals are you hoping to accomplish during your internship? Are there certain areas you would like to focus?* This field is required.
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It is extremely important that we maintain a high level of professionalism when it comes to staff and interns' work ethics, attention to detail, safety and responsibility to the children in our program. What characteristics do you possess that make you qualified to be in our program and trusted with the well-being of our students?* This field is required.
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Since our interns are required to work in such close proximity to staff members and volunteers, what qualities do you possess that will allow you to excel within, and contribute to, the team structure?* This field is required.
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Working in a active environment can be physically strenuous, often requiring heavy lifting, being on your feet long periods of time and being active for long hours. Do you feel you are physically capable of this while still maintaining a positive attitude? What characteristics do you possess that you feel would be an asset to this type of lifestyle? Please explain.* This field is required.
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Is there any other additional information that you would like to share with us? Are there any qualities that you possess that were not addressed in this application that you feel are important to share?* This field is required.
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How did you find out about our internship program?* This field is required.
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BY TYPING YOUR NAME IN THE BOX BELOW, YOU CERTIFY THAT ALL OF THE INFORMATION THAT YOU HAVE PROVIDED ON THIS APPLICATION IS TRUE AND CORRECT.* This field is required.
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Thank you for taking the time to complete our Intern Application!

We will be in touch shortly. If you have any questions, please don"t hesitate to contact us at:

rcdiscoverytrail@gmail.com
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www.ictlaunchpad.com
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