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Internship Application
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Email address
*
Your answer
Contact Phone Number
*
Your answer
Mailing Address
*
Your answer
What School Do You Attend?
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Your answer
Please select the best location for you.
*
Arc of Maui - Wailuku
Ka Lima O Maui - Wailuku
Open to either Wailuku location
Easterseals Kauai- Waimea
Oahu - Honolulu
Oahu- Wahiawa
Hawaii Island- Hilo
Hawaii Island- Kona
Required
Please indicate the date and month of when you would like to start the internship
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MM
/
DD
/
YYYY
How many hours of interning would you like to complete?
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20 hours
40 hours
60 hours
Other:
Why do you want this internship?
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Your answer
What do you hope to learn from the internship?
*
Your answer
What is a developmental disability?
*
Your answer
What skills do you have that make you an asset as an intern?
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Your answer
Tell us about a time that you overcame adversity.
*
Your answer
What are your interests and hobbies?
*
Your answer
Do you require any accommodations? If yes, please list them below.
Your answer
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