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General Internship Application
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Are you fluent in Spanish?
*
Yes
No
Phone Number
*
Your answer
Email Address
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
County
*
Your answer
Which College or University do you attend?
*
Aurora University
Northern Illinois University
University of Illinois
Other:
Which degree are you pursuing?
*
Associate's
Bachelor's
Master's
Other:
If you are employed, who is your current employer and what is your job title?
Your answer
Describe any previous work or volunteer experience that you have had.
Your answer
How did you hear about NAMI KDK?
*
Your answer
Are you a NAMI KDK member?
*
Yes
No
Are you willing to become a NAMI member?
*
Yes
No
What is your relationship to mental illness?
*
Parent
Spouse
Professional
Self
Sibling
Friend
Child
Other
Required
Do you have any limitations or need any special accommodations?
Your answer
What is your availability?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
How many hours do you need to complete for your internship?
*
Your answer
Is this internship voluntary or mandatory for your degree?
*
Voluntary
Mandatory
Is there a required length for your internship?
*
Yes
No
Not applicable
How many hours do you plan to work per week? (minimum of 10)
*
10-15
15-20
20-25
Other:
If you selected "other" for the previous question, how many hours do you plan to work each week?
Your answer
When would you want to start your internship?
*
Your answer
What are your areas of interest? (mark all that apply)
*
Accounting/Financial
Fundraising
Grant Writing
Policy
Marketing
Outreach
Recruiting
Presentations
Website
Social Media
Newsletter/Blog
Education
Support Groups
Advocacy
Public Health Data
Required
Tell us about your talents or skills, what do you feel you are good at?
*
Your answer
Professional Reference Name and Phone Number
Your answer
Academic Reference Name and Phone Number
Your answer
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