INTERNSHIP APPLICATION

(Please print legibly)

Name: __________________________________________________________________

Address: ________________________________________________________________

Telephone: ________________________ Business Telephone: _____________________

Email: ______________________________

1. What dates would you like to spend here? From _____________ to _______________

2. Do you need housing assistance? (Yes/No) ___________

(Simple accommodations with an activist or organization member may be available.)

3. What type of transportation will you use? ____________________________________

4. What do you most want to learn or see? ______________________________________

______________________________________________________________________

______________________________________________________________________

5. Do you have any physical limitations or special needs we should know about? (Yes/No)

(Please Explain)

______________________________________________________________________

6. Do you have any special experience or skills? If so, please list: ___________________

______________________________________________________________________

7. Have you worked with or volunteered for an animal protection group before?

Tell us about it: _____________________________________________________

______________________________________________________________________

8. Have you read "Animal Liberation" by Peter Singer, "Save the Animals!-101 Easy Things you Can Do" by Ingrid Newkirk, or any other book on animal rights/protection? (Yes/No)* ________

What do you agree/disagree with most about these books? _______________________

________________________________________________________________________

________________________________________________________________________

* One of these books is required reading to be considered for an internship. If you do not have a copy of either book and would like to receive one, please indicate here:

(Yes/No) __________ ; Preferred Book: _______________________________________

(Please print legibly)

9. Have you previously been involved in animal movement activism? If so, please summarize your involvement: ________________________________________________

________________________________________________________________________

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10. Please indicate your age (optional): _____________

Please return to: Elisabeth Jennings
Executive Director
Animal Protection Voters
P.O. Box 11651
Albuquerque, N.M. 87192
mail@apvnm.org

______________________________________________________________________

FOR OFFICE USE

Application Received: ____________________

Interviewed: ____________________________

Accepted: ______________________________

General Notes: