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Pasado's Safe Haven Internship Application

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 legislative activities before? YES  NO
If yes, please explain: 

Interns are asked to do just about anything and everything to help us during a legislative session. 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 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 at Pasado's, 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 Internships 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 on-site at Pasado's!
NO - I'm afraid I may not be able to commit.
Yes! I can work full-time as a Pasado's Legislative Intern from January, 2007 through April 1, 2007
Please note exact dates that you can serve:
From   To:

 

Contact us here             Copyright © 2008 Pasado's Safe Haven             Pasado's Safe Haven is a 501(c)( 3) non-profit organization.

Charity Navigator, America's premier evaluator of charities, has awarded Pasado's Safe Haven its highest rating, receiving
a 4-Star Rating - for three consecutive years!