The C4 GroupCATALYSTINTERNSHIPEXPERIENCEAPPLICATION
Name: ______
What internship position are you applying for?
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The C4 Group, PO Box 2727, Issaquah, WA
Community Engagement
Office Management & Administration
Marketing, Social Media, & Design
Organizational & Nonprofit Leadership
Military Families
Caring for Foster Youth
CompleMentorCoaching
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The C4 Group, PO Box 2727, Issaquah, WA
What level of internship are you applying for?
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The C4 Group, PO Box 2727, Issaquah, WA
3 month
6 month
9 month
School Semester
School Quarter
Other
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The C4 Group, PO Box 2727, Issaquah, WA
How many hours a week can you give to the internship?
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The C4 Group, PO Box 2727, Issaquah, WA
5 hours
10 hours
15 hours
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The C4 Group, PO Box 2727, Issaquah, WA
If accepted, what date can you begin the internship? ______
In general, what days/times are you available to work (please check all that apply)?
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The C4 Group, PO Box 2727, Issaquah, WA
Monday
Tuesday
Wednesday
Thursday
Friday
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The C4 Group, PO Box 2727, Issaquah, WA
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The C4 Group, PO Box 2727, Issaquah, WA
Morning
Afternoon
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The C4 Group, PO Box 2727, Issaquah, WA
List jobs, activities, hobbies or clubs you have participated in which would benefit your internship.
______
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The C4 Group, PO Box 2727, Issaquah, WA
PERSONALINFORMATION
Name ______
Address ______
Phone Number ______Birthday ______
Email ______
EDUCATION
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The C4 Group, PO Box 2727, Issaquah, WA
School: ______
Degree or Major: ______
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The C4 Group, PO Box 2727, Issaquah, WA
Scholastic honors, clubs: ______
EDUCATIONCREDIT
Will this internship count towards education credits or requirements for your major? Yes _____ No _____
If yes, please attach requirements to the application.
If yes, please provide the following:
Name of school: ______
Phone: ______
Department requiring internship: ______
Course name: ______
Credits: ______
Advisor Name: ______
Advisor Phone Number: ______
Advisor Email: ______
Please understand that you are responsible for turning in and submitting any and all documentation required for your internship. If any references, official letters, or documents are needed from The C4 Group, please discuss this in your initial interview. Requests for documentation must be submitted to the appropriate staff members through email seven working days prior to the required due date.
It is not the responsibility of The C4 Group to ensure that you receive credit but we will be more than willing to work with your school to provide all documentation with appropriate notice.
CURRENT EMPLOYMENT
Are you currently employed? Yes ______No ______
If Yes, please complete the below current employment information:
Employer Name______Phone______
Position______Duration______
How many hours do you work each week? ______
PAST EMPLOYMENT
Employer Name ______
Position ______Dates Employed ______
Employer Name ______
Position ______Dates Employed ______
PAST VOLUNTEER EXPERIENCE
Please provide information regarding past volunteer experience:
REFERENCES
Please provide 3 references (please do not include family references):
Name ______
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The C4 Group, PO Box 2727, Issaquah, WA
Phone ______
Email ______
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The C4 Group, PO Box 2727, Issaquah, WA
Relationship ______
Name ______
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The C4 Group, PO Box 2727, Issaquah, WA
Phone ______
Email ______
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The C4 Group, PO Box 2727, Issaquah, WA
Relationship ______
Name ______
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The C4 Group, PO Box 2727, Issaquah, WA
Phone ______
Email ______
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The C4 Group, PO Box 2727, Issaquah, WA
Relationship ______
GENERALQUESTIONS
Please answer the following questions to the best of your ability:
What do you hope to gain from your Catalyst internship experience?
How can The C4 Group help sharpen your leadership skills?
What unique experiences can The C4 Group provide for you?
Why do you think accountability is important in a professional environment?
Is there a specific area of your professional life that you would like to develop?
What kind of working environment do you thrive in?
What are some gifts/talents/abilities that you will bring to The C4 Group?
What weaknesses are you currently working on to improve?
How did you hear about the Catalyst Internship Experience?
All information provided on this application is true and was completed by me. This information was provided freely and I understand that any information provided that is proven false will result in my dismissal from The Catalyst Internship Experience.
Signature ______Date ______
Please email to or mail to The C4 Group; PO Box 2727; Issaquah, WA 98027
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The C4 Group, PO Box 2727, Issaquah, WA