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Name of College or University

Year YearI am a Rising SophomoreI am a Rising Junior

Note: The internship (training) begins on May 29th and ends on August 16th. Note: The internship (training) begins on May 29th and ends on August 16th.

Each week, which two days of the week are you MOST available from 10:00 a.m. – 2:00 p.m. (NY time)? Each week, which two days of the week are you MOST available from 10:00 a.m. – 2:00 p.m. (NY time)? Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Each week, which two days of the week are you MOST available between 7:00 p.m. and 9:00 p.m.? Each week, which two days of the week are you MOST available between 7:00 p.m. and 9:00 p.m.? Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Commitment Statement Commitment Statement By clicking this box, I agree to the rules and regulations of the program, confirm that I will attend group sessions, and promise to complete all required training. I realize that this is part-time ~3 month commitment and can balance this workload with my other responsibilities.