Personal Information:
Your Name:
E-mail address:
Address:
No P.O. boxes please
City/St/Zip
Hm Phone:
Cell:
Date
of Birth:
Who can we call in case of an emergency?
Their phone number:
Medical Insurance carrier:
Do you have a valid driver's license?
YES NO
Personal reference (non-relative
only):
Name:
Phone:
Education/Professional
Information:
Place of employment (if applicable):
School/university
(if applicable):
Year: Freshman
Sophomore
Junior Senior
Graduate School
Your major:
Educational or Work Reference #1:
Name:
Phone:
Educational or Work Reference #2:
Name:
Phone:
Internship
Information:
Do
you smoke?
YES
NO
Why do you want to intern at Pasado's Safe Haven?
Have you assisted in
animal-related activities before?
YES NO
If yes, please explain:
Interns are asked to do just about anything and everything to help
during a cruelty investigation. This can mean office work, data
entry, making phone calls, running errands. Would you have
a problem with this?
YES NO
Let us know which
computer programs you are comfortable working in: (MS Word, Excel,
Powerpoint, Outlook ,etc.)
Please describe your
personality. Are you an extrovert? Introvert? What are you
comfortable doing? What makes you feel uncomfortable. Can you lead a
team? Can you talk with legislators and feel at ease?
Have you ever been
arrested?
YES
NO If
yes, describe circumstances and charges:
Have you ever been a plaintiff in a lawsuit?
YES
NO If yes,
please explain:
Pasado internships are
unpaid. Are you capable of paying for your own living expenses for a
three-month period?
YES
NO
(If living on-site, living quarters are provided at no charge to
interns.)
What other information would be helpful to us in getting
to know you better?
Those who work for Pasado's Safe Haven do not
practice "selective compassion". Therefore Pasado's sanctuary is an
"animal product-free" zone. If you were accepted as our intern, and
while you worked on-site at the sanctuary, would you have a problem
with not eating animal products?
No, not at all
Yes, I would not want to eat vegan.
Pasado I nternships require a 3-month commitment.
You are also required to live on-site (unless you can commute
easily). Confirm that these arrangements are
amenable to you:
YES - I
can commit to a solid 3-month commitment and would love to live at Pasado's!
NO - I'm
afraid I may not be able to commit.
Yes!
I can work full-time as a Pasado's Cruelty Investigation intern:
Please note exact dates that you can serve:
From
To: