The Newton Wellesley Weston Committee for Community Living, Inc. Make a Donation

UNDERGRADUATE INTERN APPLICATION


** Required Fields

PERSONAL INFORMATION
** First Name:
 **Last Name:
 Nickname, if any:
** Email:

PERMANENT ADDRESS
Street:
 City:
 State:
Zip:
 Telephone:
 Cellphone:

COLLEGE
College:
 Graduating Class:
Street:
 City:
 State:
Hours per week:
 # of Semesters:
Days and times available:

EXPERIENCES AND INTERESTS
Previous experience working with people with intellectual disabilities and developmental disabilities:
Previous volunteer experience:
What are your academic interests?
What are your leisure interests or hobbies?
How did you find out about this internship opportunity?

REFERENCES
As part of the application process, please provide a reference, not including relatives:
Reference:
 Phone:
 Email Address:

CERTIFICATION
By submitting this form, I authorize the NWW Committee to contact the above individual for a character reference, and I attest that my personal information is accurate and correct.