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Personal Profile |
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Name:
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Email Address:
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Date of Birth (mm/dd/year):
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Current Address:
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Current City, ST, Zipcode:
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Permanent Address:
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Permanent City, ST, Zipcode:
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Land Phone:
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Cell Phone:
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Phone – Alternate:
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What is the best way to contact you?
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Do you have any physical or medical conditions that ISNA should be aware of?
If so, please describe and attach to application.
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Yes
No
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Person to Notify in Case of Emergency |
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Emergency Contact Name:
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Emergency Contact Street Address:
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Emergency Contact Phone Number:
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Emergency Contact Alternate Phone:
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Relationship to you:
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Availability |
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Semester Available
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Will you be available to help at the Annual ISNA Convention July 3-6, 2009?
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Yes
No
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Please indicate which position (s) you are interested in
(View available positions):
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Leadership Training and Conflict Resolution
Youth Program Development
Interfaith Relations and Community Outreach
Convention and Conference Planning
Membership and Affiliation Promotion
Fundraising and Endowment Building
Management Information Systems
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Education Information |
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Year in school as of fall 2008:
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Expected year of graduation and major:
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Name of your school:
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School address:
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School phone:
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Academic Credit for Internship |
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Does your school provide academic credit for internships?
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Yes
No
Unsure
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School Liaison Name:
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School Liaison Phone:
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School Liaison Email:
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Work Experience |
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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.
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Special Skills or Qualifications
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What languages do you speak, read, write?
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List all computer proficiencies:
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Summarize any other special skills and qualifications you have acquired from your education, employment, previous internships, or through other activities:
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Leadership/Community Experience |
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Extracurricular activities (volunteer work, clubs or other organizations that you are affiliated with. Please list activity and the number of hours per week):
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Essay |
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Tell us why ISNA should consider you for this internship. What do you hope to gain? What strengths and skills will you bring to ISNA? How do you see this as a step in your career path and personal and/or spiritual development?
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Agreement and Signature |
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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.
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I Accept
I Decline
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