Internship Application

Part One: Applicant Information

First Name*

Last Name*

Date of Birth (YYYY-MM-DD)*

What gender do you identify as?

What are your preferred pronouns?

Contact Info

E-mail address

Cell Phone

Home Phone*

Other Phone

Demographic Information

What ethnicity do you identify as?

Hispanic/Latino

Not of Hispanic origin

What race do you identify as? (Check all that apply)

African or African-American

Asian or Asian-American

Native American

Caucasian

Other (Please specify)

Please list any previous work, school or life experience you would like us to know about.

Please mark the time(s) you would prefer to volunteer/intern*

Questions	Mornings	Afternoons	Evenings	All Day	Not at All
Monday*	Mornings	Afternoons	Evenings	All Day	Not at All
Tuesday*	Mornings	Afternoons	Evenings	All Day	Not at All
Wednesday*	Mornings	Afternoons	Evenings	All Day	Not at All
Thursday*	Mornings	Afternoons	Evenings	All Day	Not at All
Friday*	Mornings	Afternoons	Evenings	All Day	Not at All
Saturday*	Mornings	Afternoons	Evenings	All Day	Not at All
Sunday*	Mornings	Afternoons	Evenings	All Day	Not at All

Please list any times you are NOT available *

Internship Details

What semester(s) are you interested in interning during?

Fall

January Term/Winter Break

Spring

Summer

Explain the terms of your internship. Include required hours and if evaluations are required. *

Current Occupation and/or School Major*

Interests, Skills, and Goals

Check your areas of interest.

Production: graphic design, studio shoots, remote van productions, remote field productions

Post Production: video editing, graphic design, voice over, animation

List any relevant experience for the position(s) that you are applying for.*

What do you hope to gain from your activity at SPNN?*

How did you hear about the opportunities at SPNN?

Background Check Consent

For those working with youth we need to conduct a background check. Are you willing to undergo a background check?

Yes

No

Part Four: Participating Agreement*

I state that I have read this application and it is accurate and complete to the best of my knowledge.
I agree to provide, if requested, documentation necessary to verify the information on this form and I authorize SPNN to verify the information provided if necessary.
I understand that the acceptance of an SPNN internship or volunteer position is my compliance to conform to the organization's policies and regulations.
I understand that this agreement can be terminated by SPNN staff or board at any time, if performance and communication become unsatisfactory.

By signing my name above, I attest that I have read, understand, and agree with the information and statements within this application.