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American Corner Stip

Internship Application

Student Information
First and Last Name Date of Birth
Gender (please circle or bold it) Male Female Nationality
School/University Grade/Year

Contact Details
Current Address
Telephone (home) Telephone (mobile)
E-mail

Availability
When you are available to start your
internship?
From:
To:

Is this your first time applying for an internship program? (Please circle or bold it)
Yes No

English proficiency (please circle or bold it)
Beginners Intermediate Advanced

Previous Volunteer experience or Employment (if any)
List your most recent employer list.
Dates (month/year) Location/country
Employer Position held
Give a brief description of the
duties



Dates (month/year) Location/country
Employer Position held
Give a brief description of the
duties




Why are you interested in the American Corner Stip internship program?
Please use a maximum of 250 words. Do not send a CV or Resume.















Declaration
I declare that the information I have provided in this application form is, to the best of my knowledge and
belief, correct and complete.
Your signature/name Date

Send to:acshtip@gmail.com

Thank you for applying to the American Corner Stip Internship Program!

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