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LIAC Student Internship Application
Application to participate in the 2023–2024 Student Activity Fund Internship Program
* Indicates required question
Email
*
Your email
First name
*
Your answer
Last name
*
Your answer
Student applicant cell phone number
Please use XXX-XXX-XXXX format for entering phone number.
*
Your answer
Birth date
*
MM
/
DD
/
YYYY
Parent/guardian name
*
Your answer
Parent/guardian phone number
Please use XXX-XXX-XXXX format for entering phone number.
*
Your answer
Street address
(Example: 123 Maple Avenue)
*
Your answer
Town
(Example: Floral Park, Garden City, Farmingdale, etc.)
*
Your answer
Zip code
*
Your answer
Name of school/educational organization
(write "gap year" if applicable)
*
Your answer
In September 2023, 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 members 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 the Great South Bay (UUGSB)
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."
Your answer
Do you plan to work full-time during this summer's internship?
This is for budget planning only; please give your best guess.
*
Yes
No
Are you a returning SAF Intern?
*
Yes
No
What does being a Unitarian Universalist mean to you personally, and how have you been active in your congregation?
*
Your answer
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
Applicant affirmation
*
I confirm that all of the information I provided in this application form is true and accurate.
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
Thursday, May 25, 2023 at 7 p.m.
via Zoom.
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