Internship Application Form

Shaver's Creek Environmental Center

Items with an asterisk (*) are required.

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Applicant Information

Season you are applying for:

Year you are applying for:

Name*

E-mail address*

Present address
(no. and street/box no.)*

City*

State*

ZIP code*

Primary phone*

Cell phone*

Permanent address
(no. and street/box no.)

City

State

ZIP code

Permanent phone

How did you hear about this internship opportunity?

Are you a U.S. citizen?

Yes No

If not, in which country do you have legal citizenship?

Personal and Professional Background and Goals

A. What contributions do you feel you can make to the center? Specifically, how do your educational and professional experiences qualify you for an internship with Shaver's Creek?

B. What personal and professional goals do you wish to achieve through an internship at Shaver's Creek?

C. Please describe your personality.

D. Please describe your teaching philosophy.

Experience Level

Please indicate for each item below your level of experience, using the following rating system:
1—activities in which you are qualified to teach, lead, or supervise
2—activities in which you are qualified to assist
3—activities in which you have participated
4—activities you want to learn

Natural History Knowledge

aquatic ecology

astronomy

bird watching

birds of prey

endangered species

field ecology

forest ecology

mammal study

reptiles and amphibians

tree identification

wildflower folklore and ID

other

Adventure Skills

canoeing

caving

hiking and backpacking

orienteering

outdoor cooking

rappelling

rock climbing

swimming

other

Program Skills

campfire programs

cultural history

drawing or sketching

editing

musical instruments

nature crafts and games

photography

program development

program publicity

staff and volunteer training

storytelling

teambuilding

other

References

Provide three professional references below:

Reference One

Name*

Phone*

E-mail address*

Relationship to you*

Reference Two

Name*

Phone*

E-mail address*

Relationship to you*

Reference Three

Name*

Phone*

E-mail address*

Relationship to you*

Résumé

Please upload your résumé here