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Domestic Internship Application

Name*

First
Last
Address*

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Phone Number*

###		-
###		-
####
Email*
Date*

MM		/
DD		/
YYYY

QUALIFICATIONS

What is your academic status and/or what degrees
have you earned?*
What are your career objectives?*
Do you have any skills opr computer expertise that
you can bring to SHARE?*

What do you expect from your internship with
SHARE?

1.*
2.*
3.*

How long do you expect to intern with The SHARE
Institute?*
What are your available hours?*
When are you available to start?*
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