International Internship Application

INTERNATIONAL INTERNSHIP APPLICATION – ROATAN

Please complete the following:

Name:______Date of Birth:______

Address______

Gender: ______Phone:______

Name of emergency contact, Phone number & Relationship:______

Phone number of emergency contact:______

Email:______Year in College:______Languages you Speak:______

Have you ever done an international internship or travel internationally? If so, where? ______

This internship will take place on the island of Roatan in Honduras from June, 2016 to August, 2016 and will involve working at an orphanage with boys, 10 to 18 years of age, and doing a fund-raising event to help the orphanage raise funds for food. Please answer the following questions about your interest in the internship:

1. Please share why you are interested in this particular international internship:

______

2. Describe how you feel that this internship will contribute to your education as a human services professional:

______3.Describe what skills, talents and experiences you have that will help you significantly impact the lives of the orphans and the fund-raising effort:

______

4. Please address your maturity level and your ability to adapt to a different culture and country, and to live with a host family during your time in Roatan:

______

5. This internship will cost you about $2,500 for the two months. Please describe your source of these funds and your ability to access them before June, 2016. ______