Internship Form

Full Name*

FirstLast

SSN

Home Phone

Work Phone

Address

Street AddressAddress Line 2CityStateZip Code

Email*

Are you over 18 years old?

Have you ever been employed at Project Turnabout?

Start Date

End Date

Education History

High School

Name/Address of School

Course of Study/ Years Completed

Diploma/Degree

Undergraduate School

Name/Address of School

Course of Study/ Years Completed

Diploma/Degree

Graduate Professional

Name/Address of School

Course of Study/ Years Completed

Diploma/Degree

Other (Please Specify)

Name/Address of School

Course of Study/ Years Completed

Diploma/Degree

Employment History

Please fill out completely. A resume may be attached, but will not be accepted in place on any information required on this form.

Upload Resume

Employer #1

Name of Employer

Address

Phone

Start Date

End Date

Job Title

Supervisor Name/Title

Reason for Leaving

May We Contact this Employer?

Employer #2

Name of Employer

Address

Phone

Start Date

End Date

Job Title

Supervisor Name/Title

Reason for Leaving

May We Contact this Employer?

Employer #3

Name of Employer

Address

Phone

Start Date

End Date

Job Title

Supervisor Name/Title

Reason for Leaving

May We Contact this Employer?

Employer #4

Name of Employer

Address

Phone

Start Date

End Date

Job Title

Supervisor Name/Title

Reason for Leaving

May We Contact this Employer?

Describe any specialized training, apprenticeship, skills, licensure, and extra-curricular activities.

Describe any job-related military experience or training.

Describe any special job-related skills you have acquired from previous employment or other experience.

Specialized Skills

Terminal
PC/MAC
Word Processing
Spreadsheet

WPM

Please list any professional, business, civic activities, and offices held

(You may exclude any that would reveal any Affirmative Action protected status, such as gender, race, religion, national origin, age, ancestry, or disability.)

Have you ever been convicted of a felony as an adult?

If yes, please explain

I certify that the answers given in this application are true and correct and that I have not knowingly withheld any facts or circumstances. I understand that all answers given on my application for internship are subject to verification and that should I be accepted at Project Turnabout, any misrepresentation or omission of facts on this application may be sufficient reason for termination or internship.

References

Name

FirstLast

Phone

Email

Name

FirstLast

Phone

Email

Authorization for reference and release of reference from liability

To: Project Turnabout
Address: PO Box 116
City/State/Zip: Granite Falls, MN 56241
Phone: (320) 564-4911
Fax: (320) 564-3122

In consideration of the receipt and evaluation of my application for internship by:

PROJECT TURNABOUT
I agree and represent that:
I authorize any references, schools, current or former employers, current or former supervisors, or any other person or organization, whether or not identified in this application, to give your any information regarding my character and fitness for internship. I hereby release any individual, employer, reference, or any other person or organization, including record custodians, both collectively and individually, and whether identified in this application or not, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding release which I have read and understand.

I have read and understand the above provisions and agree to them.

Applicant's Signature

Date

Application for internship housing

Name

FirstLast

SSN

Home Phone

Work Phone

Address

Street AddressAddress Line 2CityStateZip Code

Please state your need for Project Turnabout housing

Project Turnabout offers a limited number of room and board stipends for interns to temporarily relocate to the area if they are beyond a reasonable driving distance. The stipends include part or all of the cost of house and daily meals provided at Project Turnabout.

To qualify for these stipends, the individuals must make application for the stipend. Factors taken into consideration on the awarding of stipends are as follows:

Stated need through written request of intern
vailability of funds (Generally limited to no more than two stipends per year)
Project Turnabout's determination by consensus of three staff members, including the Executive Director and Manager of Human Resources, that the individual may by education, experience, and stated intent be a strong candidate for a future position at Project Turnabout.*

This room and board stipend arrangement can only be used at Project Turnabout's designated sites. They are not meant to supplement current residence, but rather, to allow a person to move temporarily into this area.

* Employment with Project Turnabout will be determined on a case-by-case basis if an opening for a position is available, the candidate is suitable for employment with Project Turnabout as determined by hiring decision makers, the candidate