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Internship Application

"*" indicates required fields

MM slash DD slash YYYY
Name*
Address*
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.
Have you volunteered or interned for or been employed by Goodwill Industries of Northwest NC before?*
Are any of your family members employed by Goodwill Industries of Northwest NC?*
MM slash DD slash YYYY
What days of the week are you available to volunteer?*
Areas of interest (check all that apply):*

Professional References

Please 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*
Professional Reference 2: Name*
Professional Reference 3: Name
How did you hear about Goodwill's intern program?*

Emergency Contact Information

Emergency Contact Name*

Applicant's Statement

I 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.*
Goodwill Industries of Northwest North Carolina, Inc.

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Goodwill Industries of Northwest North Carolina

PO Box 4299
2701 University Parkway
Winston-Salem, NC 27115

phone 336-724-3621

TTY 336-714-3060

info@goodwillnwnc.org

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