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First name: *
Last name: *
Street address: *
Home phone: *
Work phone: *
Cell phone: *
Emergency contact name: *
Emergency contact relationship: *
Emergency contact phone: *
Type of Internship *
----College InternshipHigh School Internship
Area of Interest for Internship *
Explain why you are interested in a science internship: *
Proposed dates of internship *
If referred by a current volunteer or SDNHM staff member, please provide name:
Highest level of education completed (Must be high school junior or above.): *
----Junior in High SchoolSenior in High SchoolHigh School GraduateEnrolled in CollegeCollege GraduateMasters DegreeDoctorate
Name of school: *
Will you receive course credit for this internship? *
Major or coursework related to natural history: *
High school students, have you taken general biology? *
----YesNoI'm in college
Previous work and volunteer experience. Please provide details on duties performed: *
Skills and hobbies related to natural history: *
Teacher Reference: *
Teacher Phone or Email: *
Please provide the name of a former employer, teacher, or supervisor for volunteer work: *
2nd Reference Relationship: *
2nd Reference Phone or Email: *
For high school students, provide Parent/Guardian Name:
Parent/Guardian Phone Number:
I certify that this information is correct. I understand a background check may be performed.
Please type the letters and numbers shown in the image.
Thank you for your application. Our Director of Volunteer/Intern Services will respond shortly.
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San Diego Natural History Museum1788 El Prado, Balboa ParkSan Diego, CA 92101
Mailing Address:P.O. Box 121390San Diego, CA 92112-1390
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