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Internship Application/Aplicación para Pasantía
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* Indicates required question
First Name/Primer Nombre*
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Your answer
Last Name/Apellido
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Your answer
Pronouns/Pronombres
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Your answer
Email/Correo Electrónico
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Your answer
Street Address/Dirección
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Your answer
City/Cuidad
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Your answer
State/Estado
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Your answer
Zip Code/Código Postal
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Your answer
Phone/Teléfono
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Your answer
Are you applying for an internship that is a requirement of a degree/professional program? If yes, please list the program.
¿Está solicitando una pasantía que es un requisito de un título/programa profesional? En caso afirmativo, indique el programa.
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Your answer
Have you already been in contact with a staff member at Old Mill Center about an internship opportunity? If so, please list who you have spoken to.
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Your answer
Interest Areas/Áreas de Interés
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Administration/Administración
Child and Family Counseling/Consejería Infantil y Familiar
Community Outreach/Alcance Comunitario
Fundraising & Marketing/Recaudación de Fondos y Mercadotecnia
Healthy Families/Familias Saludables
Intensive Treatment Services/Servicios de Tratamientos Intensos
Occupational Therapy/Terapia Ocupacional
Preschool/Preescolar
Relief Nursery - Corvallis/Guardería de Alivio
Relief Nursery - Monroe/Guardería de Alivio
Other:
Required
Based on the interest areas you have selected above, what relevant experience do you have?
Según las áreas de interés que ha seleccionado anteriormente, ¿qué experiencia relevante tiene?
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Your answer
Special Skills & Qualifications/H
abilidades y Calificaciones Especiales
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Your answer
Availability/Disponibilidad
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Monday/Lunes
Tuesday/Martes
Wednesday/Miércoles
Thursday/Jueves
Friday/Viernes
Weekday Mornings/Mañanas de Lunes a Viernes
Weekday Afternoons/Tardes de Lunes a Viernes
Weekday Evenings/Noches de Lunes a Viernes
Required
Old Mill Center for Children and Families will do our best to provide reasonable accommodations for interns with disabilities. You are not required to disclose any information. Do you require accommodations?
Old Mill Center for Children and Families hará todo lo posible para brindar adaptaciones razonables para los pasantes con discapacidades. No está obligado a revelar ninguna información. ¿Necesita adaptaciones?
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