Internships - Kindering

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Today's Date*

Phone Number*

Email*

Age (If under 18)

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Please note any physical restrictions or accommodations needed:

Emergency Contact Name*

Phone Number*

Relationship*

Which school are you enrolled in?*

What degree are you seeking that has you seeking an internship?*

Please provide the name and contact information of your internship coordinator.*

If you live out of state, please indicate why are you applying for a Washington state internship.

Kindering Contact made for internship

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If you’ve contacted anyone at Kindering about an internship, please provide their name.

Please tell us about yourself*

(Why you’ve chosen your field of study, experience working with children who have special needs, personal/professional experiences, skills, hobbies, interests, etc.)

How long does your internship need to be?*

When does your internship need to start?*

When does your internship need to end?*

During your internship, what will be your weekly availability?*

Please be as specific as possible (e.g. Monday 9:00-12:00, Tuesday all day, Wednesday not available, Thursday 10:00-2:00, Friday after 11:00).

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Signature*

Signature (Please type your name to sign)*

Date*

Internship Application

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