Summer Internship 2013
Giving youth, teens and families the opportunity to empower themselves and achieve success in school, at home, and in their community!
Cesar Chavez Foundation – Education Fund
Summer Internship 2013 Application
Applicant InformationFirst Name: / Last Name:
Current Address:
City: / State: / Zip Code:
Home Phone: / Work Phone:
Cell Phone: / E-Mail Address:
Permanent Address:
City: / State: / Zip code:
Best way to reach you
(check one): / Phone, Best time:
Email:
Academic Information
List all current and previous colleges and universities you have attended:
College/University / Month/Year Attended / Major /Degree / Year received / GPA
1.
2.
3.
Other professional certifications:
Language Skills (Check all that apply):
Spanish / Other / Other
Speak / Speak / Speak
Read / Read / Read
Understand / Understand / Understand
Write / Write / Write
General Information
How did you hear about the summer internship position?
What do you hope to gain from doing service at the Si Se Puede! Learning Center?
Have you ever been convicted of a felony or misdemeanor?
No Yes If yes, please explain:
Experience working with children
Summarize an opportunity you have had to teach children or youth, i.e. summer camp, church, volunteer program, athletics. You must include a description of what you did, number of students you worked with, duration of the experience, something you learned about teaching from this experience, and how it influenced you. (500 word limit)
University/College Activities and Community Leadership
Based on the activities you have participated in college (cultural, service, athletic, political, volunteer, employment) and/or leadership roles both on campus and in the community you have held. Please share your most memorable experience and how that experience has influenced you. (500 word limit)
References
Please list below 3 people that have known you for more than a year, to complete a reference form. They should know you well enough to judge your character, motivation, and evaluate your qualifications. Don't include any family members, and one reference must be a university/college faculty. Reference Form: We will be emailing your references a form to complete. We will email you to inform you when we will be sending your references the form.
Name: / Relationship:
Phone Number: / Email:
Name: / Relationship:
Phone Number: / Email:
Name: / Relationship:
Phone Number: / Email:
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete, to the best of my knowledge. I understand that if I am accepted as a fellow, any false statements, omissions, or other misrepresentation made by me on this application may result in my immediate dismissal. I understand that the Cesar Chavez Foundation retains full and final authority for the acceptance of fellows and retains the right to decline or accept the service of any individual. In addition, any changes to the above information (i.e. personal information or criminal record) must be reported to the Cesar Chavez Foundation.
Initial: / Date:
Checklist
Please submit all documents with your application. We will not accept any incomplete applications.
Completed Application / Photo of yourself / Resume
Send Application
Please send your completed application electronically to , subject line: SUMMER INTERNSHIP. When saving document please save as First Initial, Last Name.
Application Deadline
Must be submitted by April 26, 2013;
Si Se Puede! Learning Center Location Preference
Select which site you would prefer to do your summer internship, as well as listing your two alternate sites:
(Please note housing will NOT be provide.)
New Mexico
Albuquerque, NM - Plaza David Chavez
Albuquerque, NM - La Vida Nueva
Albuquerque, NM – Sandia Vista
California
San Francisco, CA - Vista del Monte
Gilroy, CA - Gilroy Apartments
Hollister, CA - Villa Luna
Fresno, CA - Casa Velasco
Bakersfield, CA - Govea Gardens
Shafter, CA - Casa Amelia Cadena
1st Alternate Site:
2nd Alternate Site: / Arizona
Somerton, AZ - Hacienda Manuel Chavez
Phoenix, AZ - Glenbrook Terrace
El Mirage, AZ - Plaza Manuel Ortega
Texas
Pharr, TX - Jardines de la Fuente
Mercedes, TX - Casa Saldana
Edcouch, TX - Casa Messina
Temple, TX - Village at Meadowbend
San Antonio, TX - Aguila Oaks