Internship Application s4

Clearwater Marine Aquarium Internship Application

249 Windward Passage, Clearwater FL 33767

To apply for an internship at Clearwater Marine Aquarium, please complete the following application and submit it along with a resume, cover letter, letter of reference, and a $25.00 processing fee to the address above: Attention: Eveanna Ventimiglia, Assistant Volunteer Coordinator

Personal Information (Please print clearly)

Full Name Date of Birth Permanent Street Address City State Zip Phone Number ( ) Cell Number ( )

E-mail

Emergency Contact______INTERN RELEASE:

By signing this application, you (and your parent/guardian if you are under age 18 yrs.) are indicating that Clearwater Marine Aquarium, Inc., assumes no responsibility for any injury suffered by you as a result of your intern work either on or off Clearwater Marine Aquarium premises, and if you are accepted into the Clearwater Marine Aquarium Internship program, neither you, nor your parent/guardian, nor heirs, administrators, executors, and assigns shall ever institute any action at law or otherwise against Clearwater Marine Aquarium as a result of any injury to you or your property resulting from your internship services, and you and your parent/guardian, for yourselves and your heirs, administrators, executors, and assigns HEREBY RELEASE CLEARWATER MARINE AQUARIUM, its Board of Directors, Officers, employees, and agents from and against any and all claims for personal injury to you or loss or damage to your property arising out of your activities undertaken as a volunteer. I understand that CMA will run a background legal check on me since I will or may be in contact with minors.

Executed this ____ day of ______, 20___. ______

Your signature Parent or Guardian (if volunteer under age 18)

Education Information

Name of College or University currently attending (or have recently graduated from)

Declared Major (or degree)

______Are you currently CPR and/or First Aid Certified?

Yes No Are you currently SCUBA Certified?

Yes No Please select the season for which you are applying:

Fall (August - December) Spring (January - May) Summer (May - August)

The Internship positions are: (Please select your top 3 Preferences.) DO NOT select the same position more

than once, and number 1,2,3, with 1 being your first choice. Non-Profit Aquatics/Water Quality Management

Education Marine Mammal

Marketing & Training

Advertising Stranding Team

Hospitality Sea Turtle Rehabilitation

Guest Services Sea Turtle Nesting (Summer Only) HR & Volunteer Management Aquarist

Housing (Please check this box if you need housing during your internship. CMA does not provide housing but does supply a list of local rentals to those accepted into the intern program.)

Today’s Date Signature