Intern Questionnaire

Please fill out this questionnaire to the best of your ability and consider it a chance to honestly introduce yourself to us. You will be working alongside our staff in many different facets, and we are genuinely interested in hearing how we can help you reach goals and expectations with your internship experience. It is our hope that this process helps you self-question what it is about the CIOGC that excites you, and why you want to intern.

*Name:	name is required.Name is required. Name required.
Address:
City:
State:
*Zip:	A value is required.Invalid format.Zip code is required.Invalid format.Zip code required.Minimum number of characters not met.Exceeded maximum number of characters.Invalid format.
Phone:	A value is required.Invalid format.A value is required.Invalid format.NO-dash-spaces, only numbers.Minimum number of characters not met.Exceeded maximum number of characters, NO space and dash.10 digit numbers only.
*E-mail Address:	A value is required.Invalid format.A value is required.Invalid format.A value is required. Invalid format.
School and Major:
Year in School:
Days available for internship:
Do you have any health issues we should be aware of?	YES NO
If yes, what?
Any allergies?
Any Special Needs?

INTERNSHIP GOALS
What are your goals in participating in this Internship program?
What skills do you bring to the CIOGC?
Is there anything you specifically want to learn?
What if any are some of your concerns?
Volunteer and Internship Experience?


Name three (3) areas of interests at the CIOGC (Youth Development, Communications, Crescent, Human Services, Advocacy, Philanthropy, Education, Media, Inter-faith, Refugee Services, Social Media, Website Development, Graphic Design, and Outreach) Exceeded maximum number of characters.
A B C



We appreciate the time you have taken in thoughtfully answering these questions. We will use your responses to personalize your internship. These questions are designed to help us know you a little more before you arrive so that we may better anticipate your needs and fully serve you.