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Name*
Classification*
Relevant Coursework
Please add each course as a new entry.
Campus/Local Address*
Permanent Address
Only applicable if different from campus/local address.
List software with which you are proficient.
Relevant Work or Volunteer Experience
Please add each item as a new entry.

Reference #1

Reference #1 Name*

Reference #2

Reference #2 Name*
Can be developed later in collaboration with office staff.
Include the skills you hope to gain, and what you hope to learn.
Please list the skills that you would bring to an internship placement.*
e.g. public speaking, design, database management, webpage development, tabling, grant writing, evaluation, data analysis, etc.
Drop files here or
Max. file size: 23 MB.