DRR Research Intern

Personal Information

First Name *

Middle Name

Last Name *

Home Address*

Home Phone*

Personal Contact Number*

Personal Email*

Current Involvement at

Position

Period of Current Position

Address

Phone

Mobile Phone (Optional)

Internship Interest

Internship Request for *

Time & Duration *

Outline what you expect to learn or achieve from volunteering or doing an internship and how does this apply to your career goals? *

Why are you interested in doing internship at NSET? *

Are you doing an internship at NSET under the Memorandum of Understanding (MoU) with your organization?

Yes

Are you doing an internship at NSET with your direct approach?

Yes

If yes, how did you know about NSET?

Are you a student? *

Full Time

Part Time

If student, what program are you in?

Will your internship hours count towards university class credit?

Yes

If so, what is the name of the course or faculty advisor:

Please specify the College/University degrees obtained/expected

What is the source of support to you for volunteer/internship program? – Self support / Institutional support / scholarship / Other (specify)

Volunteer / Internship Experience

List previous experiences (paid or educational) that would be helpful in working with people — Activity, Organization and Dates

Publications

(if any)

Name of Publications

Eligibilities

Academic Qualifications *

Trainings / Skills *

Language Proficiency *

Professional Experience *

List any additional skills, hobbies or interests you have that might be helpful in your work *

Availability

Approximately how much time do you feel you could do Volunteering (per week/month)? *

How many months would you like to do Volunteering at NSET? *

What is your preferred work schedule? * Check all applicable

Daytime

Evenings

Weekdays

Weekly

Monthly

Preferred Schedule (if known):

Monday

Tuesday

Wednesday

Thursday

Friday

Time Commitment Undecided

Other Relevant Information

Have you ever been arrested, summoned to court as a defendant in a criminal proceeding, or convicted, fined, or imprisoned for violating any law? *

Yes

If yes, please give full details below

References

Personal or professional references (please list two persons excluding your relatives, who are familiar with your character and qualifications)
Reference 1

Full Name *

Address *

Organization / Institution *

Contact Number *

Email Address *

Reference 2

Full Name *

Address *

Organization / Institution *

Contact Number *

Email Address *

Emergency Contact Information

Individual to be notified in case of emergency
Primary Contact

Full Name *

Relationship *

Address *

Contact Number *

Email Address *

Secondary Contact

Full Name *

Relationship *

Address *

Contact Number *

Email Address *

The above information is accurate and correct to the best of my knowledge. You approve for us to check your references. The organization is not obligated to provide a placement, nor are you obligated to accept the position offered. Opportunities for volunteers and interns are provided without any regard to religion, race, national origin, age or sex. NSET is not responsible for obtaining internship visa for the international applicant.

DRR Research Intern

Personal Information

Internship Interest

Volunteer / Internship Experience

Publications

Eligibilities

Availability

Other Relevant Information

References

Emergency Contact Information

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