|
Print and complete form and return to: Girls Learn International, Inc. For more in-depth replies to some questions, please use extra sheets of paper.
|
|
|
|
Name: |
|
|
Email:
|
|
School/Temporary Address |
|
|
Street Address
|
|
|
Address2:
|
|
|
City:
|
State: ZIP: |
|
Telephone:
|
Cell Phone: |
|
Fax:
|
|
How did you learn about Girls Learn International? |
|
|
Best Way To Reach You:
|
|
Permanent Address |
|
|
Street Address:
|
|
|
City:
|
State: ZIP: |
|
Telephone:
|
|
|
Fax: |
|
|
Education
|
|
|
High School:
|
|
|
Street Address:
|
|
|
City:
|
State: ZIP: |
|
Year of Graduation:
|
|
|
College:
|
|
|
Street Address:
|
|
|
City:
|
State: ZIP: |
|
Intended Degree:
|
|
|
Anticipated Graduation Date: |
|
|
Major(s):
|
|
|
Minor:
|
|
|
Languages [Please indicate your level of proficiency
in reading, writing and speaking.]
|
|
|
Extra-curricula Activities |
|
| Personal and Professional References (LIST
3) [Please provide at least one reference from a college professor.] |
|
|
Name:
|
|
|
Title:
|
|
|
Address:
|
|
|
Telephone:
|
|
|
Email:
|
|
|
Name:
|
|
|
Title:
|
|
|
Address:
|
|
|
Telephone:
|
|
|
Email:
|
|
|
Name:
|
|
|
Title:
|
|
|
Address:
|
|
|
Telephone:
|
|
|
Email:
|
|
|
I am interested in the following Girls Learn International
Internship(s):
|
|
Chapter Facilitation Internship
|
|
Chapter Site Visit Internship
|
|
Girls' Education Research Internship
|
|
| GLI College Chapter | |
| Summer Internship | |
|
Personal Statement 1. Describe your interest in human rights and/or global girls' education. |
|