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* 1. Name

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* 2. What are your areas of interest?

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* 3. Contact Information

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* 4. Will this internship be completed for high school or college credit?

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* 5. What is your current place of employment?

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* 6. When are you interested in interning? 

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* 7. How many hours a week are you available? 

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* 8. What times of day are you available? 

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* 9. Skills

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* 10. Additional languages

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* 11. Please list any other skills, knowledge, or experience that you feel would be relevant to your expressed department of interest at McColl Center (100 word limit).

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* 12. How did you find out about the McColl Center internship program?

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