*PLEASE COPY THE
REQUIRED INFORMATION BELOW AND PASTE INTO THE BODY OF THE EMAIL.
**PLEASE COMPLETE THE FORM AND EMAIL IT TO ehirsch@artistsspace.org
PERSONAL INFORMATION:
First name:
Last name:
Address:
Telephone: Day
Telephone: Evening
Email:
Emergency contact:
Name
Phone
STATEMENT OF INTEREST:
I am interested in participating as: an Artists Space volunteer OR an intern for academic credit (Sponsoring institution name:
Briefly describe why you are interested in a position at Artists Space: Which areas of the internship program interest you the most? What kind of work would you like to be doing? What do you hope to accomplish through this internship?:
EDUCATIONAL BACKGROUND:
Please list institutions attended and major areas of study.
List degrees or programs completed, if any, with year completed.
Additional training or areas of interest (include computer experiences, installation experiences, and hobbies):
REFERENCES:
Academic/Professional Reference:
Name:
Telephone:
Relationship:
Personal Reference:
Name:
Telephone:
Relationship:
AVAILABILITY:
Please include the days and hours you are available to work
Which term are you applying for? [Fall/ Spring/ Summer]
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Average total numbers of hours per week I would like to devote to internship: