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Extern Program Application Form Winter Break 2012

Be thoughtful in your responses. Sponsors will eventually receive this form. PAGE 1 of 2 Complete BOTH pages Application AND Preference Sheet Forms without Extern Sponsor Preferences WILL NOT be processed and is considered incomplete. Name: Major: School Phone: Home Address: Home Phone:
(if different)

College Email Address: School Address:

Year

Winter Break Address

Relevant Coursework:

Experience: (leadership roles, jobs, volunteerism, etc.)

Resumes may also be included as a separate document when you submit your application.

Relevant Skills and Personal Attributes:

I have applied to be an Extern because:

General Housing Plans:

Bryn Mawr College Campus Center, 202 610-526-5174

Career Development Office cdo@haverford.edu cdo@brynmawr.edu

Haverford College Stokes 300 610-896-1181

Extern Program Application Form Winter Break 2012

Bryn Mawr College Campus Center, 202 610-526-5174

Career Development Office cdo@haverford.edu cdo@brynmawr.edu

Haverford College Stokes 300 610-896-1181

Extern Program Application Form Winter Break 2012


Extern Selection Preference Sheet PAGE 2 of 2 YOU MUST COMPLETE ALL FIELDS FOR YOUR CHOICES
Forms without Extern Sponsor Preferences WILL NOT be processed Extern Sponsor Information is Available in the CDO

Student Name: College & Year:

Phone: Email:

1st choice:

Extern Sponsor: Organization: Location: What are you planning on doing for housing?

2nd choice:

Extern Sponsor: Organization: Location: What are you planning on doing for housing?

3rd choice:

Extern Sponsor: Organization: Location: What are you planning on doing for housing?

4th choice:

Extern Sponsor: Organization: Location: What are you planning on doing for housing?

Bryn Mawr College Campus Center, 202 610-526-5174

Career Development Office cdo@haverford.edu cdo@brynmawr.edu

Haverford College Stokes 300 610-896-1181

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