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Internship Application
In order to be considered for our internship, please submit the following:
- Completed Application Form
- Resumé
- Two Writing Samples (English and Spanish)
- Contact Information for two references
Refer to our website www.impactivo.com for a complete description of the program.
You may direct any questions to info@impactivo.com (subject line: "Impactivo Internship"). Late or incomplete applications will not be considered.
New Deadline: March 15, 2013
Applications will be reviewed on a rolling basis.
Position
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Please select
Health Impact Intern
Social Impact Intern
Personal Information
Name
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First
Last
Permanent Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
Telephone Number
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Additional Number
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Email
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Confirm Email
What date are you available to begin the internship?
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As soon as possible
Beginning on:
MM
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HIGHER EDUCATION:
Enter most recent education experience. All other post-secondary educational experience should be documented on your resume.
Please indicate the highest level of education you have/will have completed prior to the internship:
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Bachelor's degree
Master's degree
Doctorate degree
Other
College/University
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Degree
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Major/Concentration
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Graduation Year
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Skills, Training, Awards, etc.
List special skills, additional training, awards and other relevant information.
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Extracurricular Activities (clubs, sports, hobbies, etc.)
*
Short Essays
Describe a time you had to overcome a major obstacle. What did you learn from this experience and what impact did it have in you?
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Max. length 500 words
Please explain your interest in this particular internship (i.e. Health Impact or Social Impact)
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Max. Length 250 words
Please list two references
Reference 1
Name
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Position/Organization
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Phone Number
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Email
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Reference 2
Name
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Position/Organization
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Phone Number
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Email
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Resume
Please attach your resume
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The file should be in pdf form and should be named following this template "Last Name_Name_Internship2013
Writing Samples
Please attach a 2-6 page writing sample in English.
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Please attach a 2-6 page writing sample in Spanish.
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How did you hear about the Impactivo internship?
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My university/department
A student organization/club
Idealist.org
Social networks (Facebook, Twitter, LinkedIn...)
Other
I certify that information contained in this application as well as in my resume is true and complete. I understand that false information may be grounds for not accepting my application or for immediate termination of internship at any point in the future if I am accepted. I authorize the verification of any or all information listed above.
Do you agree with the terms and conditions?
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Yes, I agree.
Initial
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Date
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MM
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