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Center for Citizen Initiatives
Internship Application

*This information is for internal use only.
We do not share information with anyone outside of CCI.
 

PERSONAL INFORMATION
First Name
Last Name
Address
City         State
Zip
Day (or Primary) Phone
Evening (or Secondary) Phone
Home (or Primary) E-Mail
Work (or Secondary) E-Mail
Profession
Date of Birth ,   (Optional)

For which dates? ,   Starting Date
  ,   Ending Date

  Please tell us how many hours you would be available each week:
Mon Tue Wed Thu Fri
 

REFERENCES
Name
Relationship
Address
City         State
Zip
Telephone
E-Mail
 
Name
Relationship
Address
City         State
Zip
Telephone
E-Mail
 

EXPERIENCE
Please rate your proficiency
in each of the areas listed.
  Not
Skilled 		  Somewhat
Skilled 		  Highly
Skilled
 
Communication
Writing ability      
Russian language (spoken)      
Russian language (written)      
Research
Identifying sources      
Writing reports      
Software programs (please list)
1.      
2.      
3.      
Business Administration
Marketing      
Publications
Page layout      
Illustration      
Editing      
Organizational Skills
Organizing projects      
Being detail oriented      
Other Skills
     
     
 
  Please describe any relevant work experience you've had:
 
 
  Please describe any relevant education you've had:
 
  Is there anything else you would like us to know about you?
 
 
 

ADDITIONAL MATERIALS

Writing Sample
In addition to submitting this form, we ask that you please e-mail us a one page essay on why you would like to be an intern at the Center for Citizen Initiatives, and what you hope to gain from this experience. If you prefer, you can instead send a writing sample that you are particularly proud of -- from class, from work, etc.

You can send your essay in the body of an e-mail message, or an attached Microsoft Word document. Please include your resume as well. Send your e-mail to internccisf.org.