Intern/Volunteer with NORAPC

Internship/Volunteer Application

Please in interning or volunteering with the Planning Council, please fill out this application and staff will be in contact as soon as possible with the next steps. Thanks!

Name *

First

Last

Date

Street Address

City/State/Zip

Phone Number

E-mail Address

Emergency Contact

Name, Phone Number, E-mail

Anticipated Start Date

Availability

Short-term (less than 3 months)
Intermediate-term (3 -6 months)
Long-term (6 months to 1 year)

Please indicate if this internship is to fulfill an academic requirement

If so:

Undergraduate requirement
Graduate requirement
Other

Please indicate the days of the week and times during those days when you are available

How many hours per week would you like to volunteer/intern?

Please describe your current/previous work or occupation

Organizational affiliations, if any (include your school, if applicable)

Languages spoken, other than English (include level of proficiency)

Please describe any computer/software skills (please include specific programs)

Please describe any quantitative and/or qualitative research experience

Please describe any HIV experience

Please describe any current or previous volunteer experience

What do you hope to gain from your experience with the Planning Council?

Please let us know if you have any other needs or interest areas you may have

Please list 2 professional references (with contact information), other than family members

I understand that I am not an employee of the New Orleans Regional AIDS Planning Council (NORAPC), and that any duties that I perform are as a volunteer. I agree to abide by the procedures set forth by NORAPC for my assigned work duties. I also agree to abide by the Code of Conduct as adopted and distributed by NORAPC. *

First

Last

Date *

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