Internship/ Volunteer Application

Internship/ Volunteer Application

EduFusion Institute
1400 Mercantile Ln

Largo, MD 20774

Phone: 240-716-9536 ext 3
Position Applying for:

InternshipVolunteerCommunity Service Hours
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Home Phone Number*

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
High School/ GED*
College/Univ/Trade School*
How many community service hours are you applying for?*
Do you plan on being employed during your internship/volunteer program ?*

YesNo
Available Start Date*

MonthDayYear
Availability*
Special Skills:*

Graphic DesignCraftsCommunity OutreachOffice SkillsLeadership SkillsData EntryArtOther
FOR INTERNSHIP APPLICANTS ONLY:
Will your internship gain credit towards your degree? If so, please provide your school's requirement(including # of hours)
Date*

MonthDayYear
Should be Empty: