REGISTRATION FOR OUTREACH360'S SPANISH AND TEACHING INTERNSHIPS THIS FALL IS NOW CLOSED.

The deadline to register was September 28th. We will be announcing our spring internships shortly. Thank you for your patience and understanding.
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Intern's First Name *
Intern's Last Name *
Intern's Nickname/Preferred Name
From whom did you hear about this internship? *
Intern's Cell Phone *
Intern's Email Address (please use a non-school address) *
Street Address 1 *
Street Address 2
City *
State *
ZIP Code *
Country *
Country of Passport *
Birth Date *
MM
/
DD
/
YYYY
If under 18, fill out the following four questions about your parent/guardian.
Parent/Guardian's First Name
Parent/Guardian's Last Name
Parent/Guardian's Phone Number
Parent/Guardian's Email
If you are currently a student, what is the name of your school?
Which internship are you registering for? *
Preferred Session (All times EDT) *
Mark the box below if you are on a Health & Science track.
Clear selection
Spanish Speaking Level (if registering for Spanish Internship)
Clear selection
What is the name of your Spanish instructor (if applicable)?
What is your primary motivation for volunteering for this internship? (Brief Answer) *
What prior volunteering experience do you have, if any? (Brief Answer) *
What prior teaching experience do you have, if any? (Brief Answer) *
Outreach360 takes the safety and security of the children we serve very seriously. Because of this, Outreach360 performs random background checks on our volunteers. Please check the box below to authorize Outreach360 and its designated agents and representatives to conduct a comprehensive review. *
Required
Check the boxes if you agree to the following statements to complete your registration.
I commit to attend the 8 internship sessions at the time that I have signed up for. *
Required
I understand I may miss two sessions without making them up. *
Required
If I need to miss a session, I will communicate that to Outreach360 as soon as I can. *
Required
I understand that a minimum of 6 completed Saturday sessions are required to successfully complete the internship. *
Required
I understand that a $100 deposit is due upon registering and that the remaining minimum program donation of $300 is due to Outreach360 by September 28th. I understand that any donation made by me or others to my fundraising page is non-refundable. If I am not able to participate in this internship for ANY reason, the funds that I have donated or raised will be available for me to use in a future Outreach360 volunteer program. *
Upon completing this form, you will see a link to create a fundraising page. To complete your registration, you need to create a personal donation page and submit your $100 deposit.
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