EmailMe Form - STRAPS Internship Application

Name

First Last

Email Address *

Mobile Phone

### - ### - ####

Alternate Phone

### - ### - ####

College/University

Expected Graduation Date

MM / DD / YYYY

Major/Field of Study

Minor

Are you applying to fulfill a school requirement?

Yes

No

If yes, what school requirement?

If no, why are you wanting this internship?

Internship Hours Required

Academic Internship Supervisor

First Last

Academic Internship Supervisor Phone

### - ### - ####

Academic Internship Supervisor Email

How did you hear about STRAPS?

Desired Start Date

MM / DD / YYYY

Availability

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Are you planning on holding another job during your internship?

Professional References

Reference 1 Name

First Last

Reference 1 Relationship

Reference 1 Phone

### - ### - ####

Reference 1 Email

Reference 2 Name

First Last

Reference 2 Relationship

Reference 2 Email

Reference 2 Phone

### - ### - ####

Please answer the following questions

What are you hoping to gain from an internship with STRAPS?

List any specific skills or certifications that you have that would enhance your ability to complete a STRAPS internship.

Do you have any previous experience playing or coaching sports? If yes, what sports?

Do you have previous experience with Adaptive or Paralympic Sports? If so, please explain.

Do you have experience with Microsoft Office? (Ex: Excel, Word, Access, Etc.)

Describe your personality.

Attach Resume (Optional)