Natural History Internship ApplicationName of Applicant* First Last Email* Enter Email Confirm Email Phone*Address* Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth*Age*Pronouns (i.e. she/her)*Grade Level*If applying over the summer, choose the grade level you are entering.Highschool SophomoreHighschool JuniorHighschool SeniorCollegeHigh School or College you are currently attending*If you are applying during the summer, put the school you are attending after summer.How did you hear about this program? Please check all that apply. Friend/Family Recruiter/HCNH Staff Teacher/Advisor OtherFriend's/ Family Members NameRecruiter/HCNH Staff's NameTeacher's/Advisor's NameOtherHave you ever attended/volunteered at a Highlands Center Program before?* Yes NoPlease list which ones:*What days and times are you available to visit the center to complete your obligations?*Acknowledgement* I have read the internship description and can meet all of the requirements. I agree Essay Questions Answer each question in the boxes below.Please keep each answer to 3 paragraphs or less.1. Describe yourself. What are your interests, how do you spend your free time?*2. Why do you want to be involved in the Highlands Center’s Internship Program? What are you hoping to gain from it?*3. Please describe your interest in moth rearing and how you would like to present your final project?*4. Do you have any prior experience or qualifications that will help you fulfill this role? If so, please explain.*5. This internship will require most work to be done without supervision. Share a time where you took initiative and finished a project.*Cover Letter and Resume*We require a cover letter and resume. If you are having trouble uploading the cover letter and resume, you may email the file to enixon@highlandscenter.orgMax. file size: 256 MB. Reference Provide information about your reference and upload the letter of recommendation.1. Name* First Last Phone*Email Relationship to Applicant:*Letter of RecommendationWe require one letter of recommendation. This letter should not be from a family member. You may also email the file to enixon@highlandscenter.org, especially if you are having trouble uploading.Max. file size: 256 MB. Parent/Guardian InformationPlease have your parent or guardian fill in the following information.Parent/Guardian Name* First Last Email PhoneSecondary Contact Name* First Last Secondary Contact Phone*Consent*I am aware of the requirements of this program and will be available for support through the transportation of the intern as needed. I agree
