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APPLICATION FORM
Application for Earth Team Internship 2023-24
I
f you have any questions, please call or drop us a note at:
Shay Hart, shay@earthteam.net
844-704-4030 (extension #2)
Personal Information
Please capitalize the first letter of your first and last name as in : John Smith
First Name
Last Name
Preferred name/nickname (optional)
Pronouns
Please select...
She/Her/Hers
He/Him/His
They/Them/Theirs
Other (Write in)
If other write in
Mailing Street (This is the address where we will send you important mail)
Apt. Number
Mailing City
Mailing Zip Code
Your Phone Number (this is the number we will use to call you)
Your Email Address (this is the address where we will send you important messages)
Is English the primary language spoken at home?
Yes
No
If No, please indicate the other language(s)
School Information
What school are you attending?
Please select...
Pinole Valley High School
Arroyo High School
Skyline High School
Castro Valley High School
San Lorenzo High School
Graduation Year
Please select...
Class of 2024
Class of 2025
Class of 2026
Class of 2027
Earth Team Familiarity
Will this be your first, second, third or fourth year with Earth Team as an Intern?
First Year
Second Year
Third Year
Fourth Year
How did you hear about Earth Team?
In Class Presentation
Lunch or After-School Tabling
Community or School Event
Club Rush Event
Online Info Session or Webinar
Social Media
Earth Team Website
Teacher or School Staff Recommendation
Friend
Other
Contact Information
