PIMS Internship Application

Section 1: Demographics and Basic Information

This section will give us some information about yourself.

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20% of survey complete.

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* 1. Full Name

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* 2. Preferred Name

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* 3. Gender

Male

Female

Prefer not to say

Other (please specify)

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* 4. Preferred pronouns

They/Them

She/Her

He/His

Other (please specify)

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* 5. Date of Birth

MM/DD/YYYY

Date

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* 6. Email Address

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* 7. Phone number(s)

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* 8. Country of Residence

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* 9. Nationality

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* 10. If from The Bahamas, which island/settlement do you call home?