|
Personal Profile |
|
Name:
|
|
|
Email Address:
|
|
|
Date of Birth (mm/dd/year):
|
|
|
Current Address:
|
|
|
Current City, ST, Zipcode:
|
|
|
Permanent Address:
|
|
|
Permanent City, ST, Zipcode:
|
|
|
Land Phone:
|
|
|
Cell Phone:
|
|
|
Phone – Alternate:
|
|
|
What is the best way to contact you?
|
|
|
Do you have any physical or medical conditions that ISNA should be aware of?
If so, please describe and attach to application.
|
Yes
No
|
|
Education Information |
|
Year in school as of fall 2008:
|
|
|
Expected year of graduation and major:
|
|
|
Name of your school:
|
|
|
School address:
|
|
|
School phone #:
|
|
|
Scheduled start date for Fall 2008 semester:
|
|
|
If you are not available through the end of August, will you be able to return to help at the Annual ISNA Convention?
|
Yes
No
|
|
Work Experience |
|
Please describe your work experience. List the name of the company/organization, your position, brief description of your work and the number of hours you worked each week.
You may attach a one-page resume, if necessary.
|
|
|
Special Skills or Qualifications
|
|
What languages do you speak, read, write?
|
|
|
List all computer proficiencies:
|
|
|
Summarize any other special skills and qualifications you have acquired from your education, employment, previous internships, or through other activities, including hobbies or sports: (WHERE?? IF SO, PLEASE INDICATE THAT).
|
|
|
Leadership/Community Experience |
|
Are you involved in any extracurricular activities (volunteer, clubs, play an instrument)? List your activities and the number of hours you participate each week.
|
|
|
Essay |
|
Please explain why ISNA should consider you for this internship. What do you hope to gain from this experince? What strengths and skills are you going to bring to ISNA? How do you see this as a step in your career path and personal and/or spiritual development? Also note which position(s) you would like to be considered for. (Please limit to two pages.)
|
|
|
Person to Notify in Case of Emergency |
|
Emergency Contact Name:
|
|
|
Emergency Contact Street Address:
|
|
|
Emergency Contact Phone Number:
|
|
|
Emergency Contact Alternate Phone:
|
|
|
Relationship to you:
|
|
|
Agreement and Signature |
|
I affirm that the facts set forth in this application are true and complete. I understand that if I am accepted as an intern, any false statements, omissions, or other misrepresentations made by me on this application may result in my dismissal. Furthermore, I understand that if I am selected as a finalist, I will be required to undergo a background check. Lastly, I am committing to follow all guidelines pertaining to ISNA’s Samina & Maqbool Ahmad Internship Program – Summer 2008.
|
I Accept
I Decline
|
|
|