Internship Application
Name
*
First Name
Last Name
Address
*
Street Address
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City
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Date of Birth
*
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Year
Phone Number
*
Email
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School Name
*
Grade Level
*
Teacher's Name
*
Teacher's Contact Info
*
How did you hear about our internship program?
*
Available Start Date
*
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Month
/
Day
Year
Available End Date
/
Month
/
Day
Year
Please enter the days and time you are available:
*
Monday
Tuesday
Wednesday
Thursday
Friday
AM
PM
What are your areas of interest?
*
Please rank the following areas of interest by dragging them into your order of interest (1 being first, 4 being last):
*
Please list 3 objectives you would like to accomplish through this internship:
*
Please describe any experience you have working with individuals with disabilities.
*
Please describe any experience you have working with horses.
*
References - Please list 3 non-family references and their contact info:
*
Name
Contact
1
2
3
Please upload your resume:
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