Roulette Internship Program Application

Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Emergency Contact*

Area CodePhone Number
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please specify for which Season you are applying:*

Winter (January - March)Spring (May - June)Summer (July - August)Fall (September - December)
Please indicate which programs are of interest to you:*

Non-Profit AdministrationMarketing & Online CommunicationsDevelopment & FundraisingArchivingOther
Education History. Please list degree, major and graduation dates.
Relevant Experience*
Special Skills*
How did you learn about Roulette's Internship Program?*
Please upload your current resume.

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Please answer one of the following questions. The essay should be no longer than 500 words and should contain specific information as to what would make you a valuable addition to Roulette's staff.

1. Why are you interested in participating in an internship with Roulette?

2. Describe an individual or experience that has influenced your perception of the arts.
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