INTERNSHIP APPLICATION

Preferred Location

Anniston Museum of Natural HistoryBerman Museum

Name

Date of Birth

Date

Address

Phone Number

Please enter a valid phone number.

E mail

example@example.com

Availability: Most internship hours take place Monday - Friday between 9 a.m. and 4:30 p.m. Write in all hours that apply to your desired schedule for your desired day(s).

Monday

Tuesday

Wednesday

Thursday

Friday

School

Program of Study

Intern Professor

Phone

Internship Hours Required

Please list any physical limitations that should be considered: (some positions require walking, stooping, and lifting)

Professional referneces:

Name

Phone

Name

Phone

By submitting this form I certify that the facts in this application are true, correct, and complete to the best of my knowledge. I understand that I will receive training and supervision from the Anniston Museums and Gardens staff and must abide by the standards and policies of the institution. To perform due diligence in protecting the well-being and safety of those we serve, AM&G reserves the right to perform background checks on any applicant.

Signature

Date