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Summer Internship Application
Date of Birth:
Major/Degree and Graduation Date
High School and Graduation Date
Are you legally eligible to work in the United States during the internship term?
I will require a visa
Languages (indicate fluency using r=reading, w=writing and s=speaking):
How did you learn about this program? (check all that apply)
Visit to the Art Base
Art Base Staff
Please specify if other:
Please share your thoughts about the following questions. Please limit your response to 300 words or less.
1. Why are you interested in participating in an internship at the Art Base?
2. What would you hope to achieve by participating in an Art Base internship?
Please list two references:
Phone and Email 1:
Relationship to you 1:
Phone and Email 2:
Relationship to you 2:
Parents or guardian's contact information:
P/G First Name:
P/G Last Name:
P/G Phone Number:
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