Lacawac Sanctuary & Field Station

Intern Program Application

REQUIREMENTS

  • Interest in teaching and learning about nature/conservation
  • Enjoy working with people.
  • Good verbal and written skills
  • Knowledge of basic computer skills

Please fill out this Internship application in full (remember to sign and date the application). Mail it to: Dr. Lesley Knoll, Director of Research and Education, Lacawac Sanctuary, 94 Sanctuary Road, Lake Ariel, PA 18436 OR email to Lesley:

Please type or print

Last nameFirst name

Home addressApt

CityStateZip

PhoneE-Mail

School Name

CityState

InternshipAdvisor Phone ___ Email______

(if applicable)

MajorGPA

Career goal

Month/year of graduation:

How many credits will you earn doing this internship?

Are you 18 or older?

Do you have a valid driver’s license?

EDUCATION

SCHOOLNAME/LOCATIONDATES ATTENDED

College(s)

MISCELLANEOUS

Date you are available to start

Are you available: full time? Part time?

If requested, are you available to work (check as many that would apply):

weekendseveningsday

Areas of special interest or study______

CURRENT ACTIVITIES THAT YOU ARE ACTIVELY INVOLED IN:

Activities on campus

Activities in the community

How did you hear of this internship?

PERFORMANCE AND JOB-RELATED FUNCTIONS

Are you able to perform the essential functions of the job for which you are applying No Yes

Is there any reason why you would not be able to fully conform to all attendance requirements No Yes (If you answered yes please explain)

If you are selected as an intern of LSF do you agree to comply with the rules, regulations and procedures of the company? No Yes

EMPLOYMENT HISTORY

(LIST CURRENT/LAST EMPLOYER)

1. NAME & ADDRESS OF PRESENT OR LAST EMPLOYER

Job titleMay we contact your immediate supervisor?

Name & title of immediate supervisorPhone

Description of work:

Was termination voluntary or involuntary?

Reason(s) for leaving

Please answer the following questions.

  1. Please explain why you feel you are a qualified applicant for this position.
  1. What do you expect to gain from participation in this program?
  1. What special qualities or traits can you bring to this program?

Please also include in your application one letter of recommendation. Faculty of your school and extra-curricular directors are preferred.

INTERN CHECKLIST:

□Completed Application □Letter of Recommendation

I certify that the above information is true and correct. I agree to abide by the policies and procedures of the LSF Intern Program during my internship. I also understand that this internship is unpaid

Print Name Date

Lacawac Internship Application – 1