HIGH SCHOOL INTERNSHIP (PART-TIME) APPLICATION

Date: ______

CONTACT INFORMATION

First Name / Last Name
Birthday (Mo/Day/Yr)
Street Address
City, State, ZIP code
Primary Phone / Cell Phone
E-Mail Address

EMERGENCY CONTACT

First Name / Last Name
Relationship
Street Address
City, State, ZIP code
Primary Phone / Cell Phone
E-Mail Address

EDUCATION (If you submit a resume, you can skip this section.)

Which year are you in high school?
I am currently a o Freshmen o (Rising)Sophomore o (Rising)Junior o (Rising)Senior
School Name
I will arrange to receive community service hours upon program completion: ______If yes, how many hours?_____

EMPLOYMENT (If you submit a resume, you can skip this section.)

Employer / Position / Date
Responsibility
Employer / Position / Date
Responsibility

VOLUNTEER EXPERIENCE (If you submit a resume, you can skip this section.)

Organization / Length of Service
Responsibility
Organization / Length of Service
Responsibility

AVAILABLILITY

Which session are you available?

o Spring (February – May) o Summer (June-August) o Fall (September -December)

How many hours can you committee to the program every week?

For summer session applicants: o 16 hrs/week o 21 hrs/week o other, please specify: ____

For spring or fall session applicants: o 6 hrs/week o other, please specify: ____

Tell us your availability during the week. (Please place an “x” in the column and tell us hours of your availability)

Mon / Tue / Wed / Thu / Fri
Daytime
Hours / from _ to __ / from _ to __ / from _ to __ / from _ to __ / from _ to __

Please tell us some of your skills and area of interest.

______

______

______

Please list all languages for which you have achieved fluency.

______

Why do you want to intern at the Museum of Chinese in America (MOCA)?

______

______

______

How did you hear about MOCA’s High School Internship Program?

______

APPLICATION INSTRUCTIONS AND REQUIRED MATERIALS

Your application should include:

§  Completed High School Internship Application Form

We recommend you include:

§  Cover Letter: Explain your background, qualifications, and your interest in MOCA. Indicate which program area you are applying for and why you might be a good fit for the position.

§  Résumé: Include any relevant work and volunteer experience.

Please send the materials above as Word or PDF attachments, entitled as “YourNameApplication” “YourNameLetter” and “YourNameResume” to . In the subject line, please include your full name and indicate the session and type of program to which you are applying (e.g. 2016 Fall High School Internship). You can also mail your application to: 215 Centre Street, New York, NY 10013 with attention to “2016 Fall High School Internship Program.”

AGREEMENT AND SIGNATURE

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an intern, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Name (printed)
Signature / Date

Thank you for completing this application form and for your interest in MOCA’s High School Internship Program. Due to the candidate volume, we will only contact potential candidates for interview.

The Museum of Chinese in America is an Equal Opportunity Employer.

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