Intern/Volunteer Application
Name
*
First Name
Last Name
Email
*
example@example.com
Best Phone Number
*
-
Area Code
Phone Number
College/University (if applicable)
Major (s) (if applicable)
Please describe why you are interested in an intern/volunteer position with The Autism Program
*
Please list any interests or skills that you wish to highlight
*
What is one thing you hope to learn as a result of participating in this internship?
Please indicate language fluency
Please briefly share any personal or professional experiences working with individuals on the autism spectrum (Note-this is not a requirement)
Will you be completing this placement for academic credit?
Yes
No
Still undecided
Specify when you are interested in a placement with our program (check all that apply)
Summer
Fall
Spring
Approx. how many hours per week are you hoping to work with the Autism Program
Specify Availability
Monday
Tuesday
Wednesday
Thursday
Friday
How did you hear about our program?
Please upload resume
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