Internship Application Thank you for your interest in interning with Goodwill Northwest NC. Please complete the application form below and someone will be in touch with you soon. "*" indicates required fields Date* MM slash DD slash YYYY Name* First Middle Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email*This should be an email address to which only you have access and that you check frequently as it may be used to contact you so that you can complete additional information relevant to your application. With whom did you interview for this internship opportunity? Please provide the name of the school at which you are enrolled and program through which you are interning:* Please provide internship location:* Please provide internship supervisor name:* Please provide internship supervisor email, if known: Have you volunteered or interned for or been employed by Goodwill Industries of Northwest NC before?* Yes No If yes, please give dates and department/area:* Are any of your family members employed by Goodwill Industries of Northwest NC?* Yes No On what date would you be available to start interning?* MM slash DD slash YYYY What days of the week are you available to volunteer?* Sunday Monday Tuesday Wednesday Thursday Friday Saturday Areas of interest (check all that apply):* Workforce Development/Career Centers Administrative/General Clerical Special Events Retail Operations Special Projects Supporting Youth Other Please summarize your skills and abilities:*Professional ReferencesPlease list at least two individuals who have worked or volunteered with you and have knowledge of your skills. (No relatives please.)Professional Reference 1: Name* First Last Professional Reference 1: Phone*Professional Reference 1: Email* Professional Reference 1: Relationship to You* Professional Reference 2: Name* First Last Professional Reference 2: Phone*Professional Reference 2: Email* Professional Reference 2: Relationship to You* Professional Reference 3: Name First Last Professional Reference 3: PhoneProfessional Reference 3: Email Professional Reference 3: Relationship to You Why do you feel motivated to intern with Goodwill and what do you hope to gain from the experience?*How did you hear about Goodwill's intern program?* Internet Search Word of Mouth Social Media (Facebook, LinkedIn, etc.) Goodwill website Goodwill employee Other Emergency Contact InformationEmergency Contact Name* First Last Emergency Contact Phone*Emergency Contact Email* Emergency Contact Relationship to You* Applicant's StatementI affirm that the facts set forth are true and complete. I understand that if I am accepted as a volunteer or intern, any false statements, omissions, or other representations made by me may result in my removal from the intern volunteer program. Goodwill is not obligated to provide a placement, nor are you obligated to accept the opportunity offered. All applications are held for 90 days. Please check the box to indicate that you have read the applicant's statement above and agree to its terms.* I agree to the terms of the Applicant's Statement. CAPTCHA