Summer 2022 Middlebury Social Impact Corps Intern Program: Application Questionnaire
 Please complete the required fields.  Each short answer questions should be answered in 1-2 paragraphs.  Please note that host sites may require additional information during the interview process.
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 Name *
Email and Phone *
Please list your graduation year and major, if declared. *
Please list the name of a Middlebury faculty or staff reference who may be contacted on behalf of this application. *
What motivated you to apply for the Social Impact Corps program? *
Please provide a brief explanation of why you are interested in living in and working with the Monterey, California community. *
Describe a situation in which you had to take a leadership role on or off campus? *
Describe a time in which you were part of a successful team. What made it successful? What role did you play? What did you learn from your teammates during this process? *
Tell us about a past immersive learning experience. (If you haven’t had one, tell us about your experience in a new setting or environment.) *
What talents, skills or experiences do you have that could contribute to the mission of a social impact organization? *
What skills would you like to strengthen or develop while working for a social impact organization? *
What knowledge, skills, and dispositions do you have that could strengthen partnerships with a social impact organization? *
Please choose one of the 6 social impact learning pillars (adaptability, commitment, inquiry, narrative partnership, reflection) and describe how and why it has been relevant to your education. *
Is there something else you would like to share? Please do so here. *
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