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| Name: |
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| Address: |
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State: |
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Zip: |
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| Phone: |
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Email: |
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University/ College: |
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Major: |
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Do you plan to receive credit for this internship?
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Courses in Anthropology, Archaeology, History, Education, Museum Studies, or American Studies:
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Brief Proposal of the type of work you
would like to do for your internship:
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How will this internship fit into your
educational/career goals?
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Proposed internship dates
(from-to):
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Proposed hours per week to work:
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Description of previous intern/volunteer experience:
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