Children, Youth & Family Programs

CYF Internship Pre-Screening Interview Form

 

Date_______________________________________________

 

Name__________________________________________________________________________

Address________________________________________________________________________

_______________________________________________________________________________

Email__________________________________________________________________________

Phone_________________________________________________________________________

 

Best times to meet_______________________________________________________________


Major__________________________________________________________________________

Intern Advisor___________________________________________________________________

Semester Desired_______________________________________

Number of Credits/Hours_________________________________
 

Internship Goals_________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

 

Resumé Attached

r Yes

r No

If no resumé is attached, please list experience/skills:

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

 

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Last updated: March 2, 2006
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