Online Internship Application

All potential interns are required to send in a cover letter, complete an application, agree to release information leading to a criminal history and reference check, and attend an interview at our 125 Providence Street location. Each accepted intern will be provided with a training session/s, project description, and all resources needed prior to beginning their assignment. Girls Inc. of Worcester reserves the right to decline a internship applicant for any reason, at any time.

Personal Information

Please Upload Cover Letter *

Files must be less than 800 bytes.
Allowed file types: txt rtf html odf pdf doc docx ppt pptx xls xlsx xml.

Is this internship for academic credit? *

Yes

First Name *

Last Name *

Middle Initial

Maiden Name (if applicable)

Date of Birth *

Month

Day

Year

Ethnicity

Full Address

City, State

Zip Code

Home Phone

Work Phone

Cell Phone

Email Address *

Current Place of Work

Current Job Position

Education and Training

Please include information from college, and/or other educational training.

First Institution

Institution Name *

Area/Major *

Years Studied *

Second Institution

Institution Name

Area/Major

Years Studied

Third Institution

Institution Name

Area/Major

Years Studied

Previous Volunteer Experience

Please include information from your most current volunteer experiences.

First Institution

Institution Name *

Position Held *

Dates *

Second Institution

Institution Name

Position Held

Dates

Third Institution

Institution Name

Position Held

Dates

References

List two persons unrelated to you who can speak about your volunteer or work experience.

First Reference

Name *

Relationship *

Phone

Email Address

Second Reference

Name *

Relationship *

Phone

Email Address

Permission to Complete Background Check

I give permission for Girls Incorporated of Worcester to perform a check of my background, including: criminal record, past employment and volunteer history, educational and professional status and personal references. I understand that I do not have to agree to this background check, but that refusal to do so may exclude me from acceptance into the Girls Incorporated of Worcester internship program. I understand that information collected during this background check will be limited to that which is appropriate to determining my suitability for particular types of internship projects and that all such information collected during the check will be kept confidential. I understand that Girls Incorporated of Worcester provides equal internship opportunities to all qualified applicants without regard to race, religion, color, sex, gender, age, disability, marital status, sexual orientation, socioeconomic status, veteran status or national origin. I hereby also extend my permission to those individuals or organizations contacted for the purpose of this background check to give their full and honest evaluation of my suitability of the described internship project and such other information as they deem appropriate.

Applicant Electronic Signature *

Date *

Month

Day

Year

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Online Internship Application