Chesapeake Wildlife Sanctuary Environmental Science Internship Application

NAME: _______________________________________________________________ ADDRESS: ____________________________________________________________ ______________________________________________________________________ PHONE: (H) _______________________ (W) _______________________ BIRTH DATE: ______________________ NAME OF COLLEGE/UNIVERSITY: _____________________________________ How did you learn about the CWS internship program? ________________________________________________________________________ DO YOU NEED HOUSING? ___Y ___N WILL YOU HAVE A VEHICLE AT CWS? ___Y ___N WHAT IS YOUR MAJOR/CAREER AREA? ________________________________________________________________________ EDUCATIONAL LEVEL(i.e., freshman, grad student, etc.) _______________________ Special skills that you feel will be an assest, if yo are accepted: ______________________ _________________________________________________________________________ Person to contact in an emergency: ____________________________________________ Their phone number(s), include area code: ______________________________________

TERM: APPROXIMATE DATES Spring: March - June Summer: May - August Summer/Fall: July - October Fall: September - December Winter: January - April

TERM FOR WHICH YOU ARE APPLYING FOR THE INTERNSHIP (circle one):

Spring - Summer - Summer/Fall - Fall - Winter From: ___/___/___ to ___/___/___, 19____

Please check one: ___Full-time - minimum of 40 hours/week for 12 weeks. ___Part-time - less than 40 hours/week and or 12 weeks or less.

The following current material is needed to complete the application file. Indicate which are being sent and which are enclosed: ___ Resume ___ Recent Educational Transcript (Xerox Accepted) ___ Two-page essay describing goals if chosen to perform an internship at CWS ___ Two letters of recommendation

Internship desired (please indicate your 1st, 2nd & 3rd choices): ___ Avian ___ Small Mammals ___ Large Mammals (summer only) ___ Administrative ___Veterinary ___ Wildlife Education If you have any questions please call 301-390-7010. Signature of Applicant: ______________________________________ Date: _______________

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