LIAC Student Activity Fund Intern Application

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LIAC Student Activity Fund Intern Application

LIAC Student Activity Fund: Internships That Make a Difference

Email *

First name *

Last name *

Student applicant cell phone number

Please use XXX-XXX-XXXX format for entering phone number.

Birth date *

YYYY

Parent/guardian name *

Parent/guardian phone number

Please use XXX-XXX-XXXX format for entering phone number.

Street address (Example: 123 Maple Avenue) *

Town (Example: Floral Park, Garden City, Farmingdale, etc.) *

Zip code *

Name of school/educational organization (write "gap year" if applicable)

In September 2024, you will be a

high school senior

gap-year student

first-year college student

college sophomore

college junior

college senior

continuing-education student

Which congregation are you or your parent/guardian a member of?
*

First Universalist Church of Southold

North Fork UU Fellowship (NFUUF)

South Nassau UU Congregation (SNUUC)

UU Congregation at Shelter Rock (UUCSR)

UU Congregation of Central Nassau (UUCCN)

UU Congregation of South Fork (UUCSF)

UU Fellowship at Stony Brook (UUFSB)

UU Fellowship of Huntington (UUFH)

UU Society of South Suffolk (UUSSS)

Name or type of nonprofit(s) where you intend to work

(Type "still deciding" if you don't know yet—it is not necessary to have a nonprofit internship lined up in order to apply for an SAF grant.)

(If you would like guidance in choosing where to work, type "seeking guidance.")

SAF interns are permitted to work a maximum of 35 internship hours per week in the summer. How many SAF internship hours would you plan to work this summer?

This is for planning purposes only and has no bearing on your application. Please give your best current estimate; we are aware this number can change.
*

Fewer than 50

50 to 200

More than 200

Are you a returning SAF Intern?
*

Yes

What does being a Unitarian Universalist mean to you personally, and how have you been active in your congregation? *

Membership verification

Once you submit this application, a link will be sent to your congregation's minister or board president to verify your or your family's membership.

I accept

Required

Photo permission

At the end of the internship, SAF interns are required to submit photos of themselves at their internship. Guidelines for submission will be provided.

Do you give SAF permission to post your submitted internship photo on LIACUU.org's SAF webpage?

Yes

Applicant affirmation *

I confirm that all of the information I provided in this application form is true and accurate.

I confirm that I have visited the SAF webpage (at liacuu.org) or read the program brochure in order to learn more about the program and its rules and requirements.

I will periodically check my email and the SAF webpage (at liacuu.org) for important updates.

Required

Thank you for submitting your application!

The SAF Program Director will be in touch soon. Please note: There is a mandatory orientation for accepted applicants that will take place on Sunday, May 19, at 1 p.m. at UU Congregation at Shelter Rock in Manhasset.

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