Speaker FeedBack Form

ING INTERNSHIP APPLICATION FORM

(*) required fields

*Application Date:

*First Name:

*Last Name:

*Home Address:

*City:

*State:

*Zip:

*Home Phone:

*Cell Phone:

*Email:

*Please check which type of internship you would like to apply for.

Summer Full-Time		Summer Part-Time
Year-round Full-Time		Year-round Part-Time
*If Year-Round, what are your preferred Start Date and End Date? Start Date: End Date:
*If Part-Time, approximately how many hours per week are you able to volunteer?
*Are you interested in earning course credit as part of your internship?
Yes	No
*School Name (if student):

*Current Status (Please check all that applies.)

Student	High School	College/University
Full-Time	Part-Time

*Name of person to be notified in case of emergency:
Relationship: Phone:

*Volunteer Areas of Interest (Please check all that applies.)

Marketing Support	Fundraising /Development	Public Speaking
Research	Event Support	Administration
Other

*Your Brief Statement (In 200 words or less, please provide an overview of your skills and why you would like to join ING as an intern.)

*Do you have a disability or medical condition that ING should be aware of? If yes, please describe the condition briefly below.

How did you hear about ING?

Who recommended you to become an ING intern (if anyone)?

Thank you for filling out this form. To complete your application, please be sure to email your resume and two recommendations or references to Saba Siddiqi, ING Human Resources Manager, at saba@ing.org.
For any questions about the ING Internship program, feel free to call Saba at 408-296-7312.




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