NC Adult Correction Internship Interest Form

NC Adult Correction Internship Interest Form

First Name Last Name*

Email Address*

Contact #

Phone

Education Status*

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School/College/University*

Area of Study/Major*

Interest Type*

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Internship Type*

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Anticipated Graduation Date

Interest Area*

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Internship Enrollment*

Fall -- Seasonal Cohorts 8-10 Week Sessions

Micro Internship - 8 Weeks of Less

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Number of Hours Needed

How did you hear about DAC?*

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Referral Type

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