Intern Application

First name: *

Last name: *

Street address: *

City: *

Zip: *

Home phone: *

Work phone: *

Cell phone: *

Email: *

Emergency contact name: *

Emergency contact relationship: *

Emergency contact phone: *

Volunteer Area of Interest: * ----Birds & MammalsBotanyEntomologyHerpetologyPaleontology

Explain why you have selected the above area(s) of interest: *

If referred by a current volunteer or SDNHM staff member, please provide name:

Highest level of education completed (Must be high school junior or above.): * ----Junior in High SchoolSenior in High SchoolHigh School GraduateEnrolled in CollegeCollege GraduateMasters DegreeDoctorate

Name of school: *

Will you receive course credit for this internship? * ----YesNo

Major or coursework related to natural history: *

Previous work and volunteer experience. Please provide details on duties performed: *

Skills and hobbies related to natural history: *

Teacher Reference: *

Teacher Phone or Email: *

2nd Reference Name: *

2nd Reference Relationship: *

2nd Reference Phone or Email: *

For high school students, provide Parent/Guardian Name:

Parent/Guardian Phone Number:

Additional Comments:

I certify that this information is correct. I understand a background check may be performed. ----Yes

Please type the letters and numbers shown in the image.

Thank you for your application. Our Director of Volunteer/Intern Services will respond shortly.

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