The Wolfsonian Internship Application

All applicants for a Wolfsonian internship are required to submit this form. For questions please contact the internship coordinator at academic@thewolf.fiu.edu [1] or 305.535.2649. You may also submit this application by email to academic@thewolf.fiu.edu [1] or by fax to 305.531.2133.

If you do not submit this application online, you may instead print and send by fax to 305.531.2133 or by mail to:
Internship Supervisor
The Wolfsonian–Florida International University
1001 Washington Avenue
Miami Beach, FL 33139

NAME: *

PROPOSED INTERNSHIP DATES AND TIMES:

FROM: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year20112012201320142015

TO: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year20112012201320142015

HOURS PER WEEK: *

LOCAL ADDRESS:

STREET: *

CITY : *

STATE: *

ZIP: *

HOME PHONE:

WORK PHONE:

MOBILE PHONE: *

E-MAIL: *

PERMANENT ADDRESS:

STREET: *

CITY: *

STATE: *

ZIP: *

EMERGENCY CONTACT INFO:

NAME: *

RELATIONSHIP: *

HOME PHONE:

WORK PHONE:

MOBILE PHONE: *

FAX:

E-MAIL: *

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