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 SDMA internship application form
Name:
Date:
College/University:
Expected Graduation Date:
Pursued Degree:
Address:
City:
State:
Zip Code:
Daytime Phone:
Evening Phone:
Fax:
Email:
Click on the following boxes if you want to answer "Yes"
Bilingual
Are you interested in working with children?
Are you interested in working with adults?
Are you willing to be fingerprinted and have a background check performed?
Approximately how many hours per week would you be able to work?
Please identify one academic reference.
Name:
Position:
Phone #:
Please identify one professional or personal reference.
Name:
Position:
Phone #:
Relation:
Years:
Why are you interested in an Education department internship at SDMA?: