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Internship APPLICATION
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Name
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First
Last
Preferred Name (if any)
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Email
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Phone Number
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Date Of Birth
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Address
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Line 1
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City
State
Zip Code
Country
Education
Current School or University (if applicable)
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Major or Area of Study
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Major or Area of Study
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Internship details
Internship Type
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Admin Assistant
Peer specialists
Design/Media Team
Preferred Internship Duration
*
6 Months
12 Months
Part-Time
Availability
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Shift Type
*
7:00 AM -1:00 PM
10:00 AM - 4:00 PM
12:00 PM - 6:00 PM
Do you have any prior experience related to this internship?
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Yes
No
If Yes, please explain
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Why are you interested in interning with ROHA?
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What do you hope to gain from this internship?
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By submitting this form, I agree to participate in the internship program under the terms provided by Restoring One’s Hope of Atlanta, Inc. I also consent to the use of my photo, video, or likeness for promotional purposes.
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