Name
(first and last) |
|
Full Mailing Address
(address, city, state, postal code, country) |
|
| Email |
|
I would be able to arrive in Bulgaria...
(month, year) |
|
I would be able to return from Bulgaria...
(month, year) |
|
| Phone Number |
|
| Country of Legal Residence |
|
Date of Birth
(month/day/year) |
|
| Current Occupation(s) |
|
| Professional Licenses |
|
If student, specify school and level of study
(for possible academic internship credit) |
|
Gender & Marital Status
(for housing assignments) |
|
Emergency Contact Info
Name; Home/Work/Cell phone number; relationship to you (father/aunt/etc) |
|
References
(Name; Telephone Number; Email Address; Nature of Relationship; # of years known) |
|
Language Skills
(Please rate your abilities: 1-basic, 2-fair, 3-fluent) |
English - 1
English - 2
English - 3
Bulgarian - 1
Bulgarian - 2
Bulgarian - 3
Other - 1
Other - 2
Other - 3
|
Community / Volunteer Activities
(Please describe your community/volunteer experience including dates, positions held, number of hours/wk worked, organizations worked for, and duties/achievements.) |
|
| How did you hear about One Heart Bulgaria? |
|
Describe what would set you apart from the other interns—why would you be a good intern?
((What makes you a good fit for One Heart Bulgaria?)) |
|
Describe what made you choose One Heart Bulgaria.
(What makes One Heart Bulgaria a good fit for you?) |
|
Are there any health considerations that might affect your work with OHB?
If so, please explain. |
|
Please describe your international travel experience, including place, length of travel and purpose (study, tourism, professional).
(Please specify if you have traveled / lived in a developing country.) |
|
| Please give a brief description of your experience in cross-cultural settings. |
|
Are there any activities/projects you would not like to be involved in while interning?
(If so, why?) |
|
Are you accustomed to living with only very basic housing?
(Please explain what you anticipate or require for housing / living conditions.) |
|
Applicant’s Statement: I certify that the answers I have given in this application are true and complete to the best of my knowledge. I acknowledge that misrepresentation or omission may be the cause for my rejection from internship service or may result in my subsequent dismissal if I am accepted.
(Please type your full legal name as signature) |
|
|
|
