Intern Application

You can print this form, fill it out and mail it to NHWN or fill it out online and hit send. If you send by mail, please remember to include: • A cover letter • A current resume • A writing sample (1-3 pages) (You can attache these below:)

Full Name: *

Semester Applying For: *

(e.g. Summer 2012)

School: *

Major and Minor:

Current Street Address: *

City: *

State: *

Zip: *

Email Address: *

Phone Number:

Permanent Street Address:

City:

State:

Zip:

Phone Number:

Availability Start Date: *

End Date: *

How Flexible is your schedule?: *

Why did you choose NWHN for a potential internship: *

What are you hoping to gain from your experience as an intern?:

Describe any activist or political work you may have done, especially as it pertains to women's rights.:

What women’s health topics are you interested in working on? :

Do you have any experience with social media – Facebook and Twitter?: *

What are your future plans? :

Cover Letter: *

Resume: *

Writing Sample: *

1-3 Pages