It takes a village.

Intern at QWOCMAP!

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QWOCMAP offers internships in different areas that are shaped to your strengths, skills, and interests. Please indicate what might be of interest to you.

INTERNSHIPS (check areas that are of interest to you) *

Communications
Development
Film Distribution
Film Editing
Film Festival
Film Production
Research & Archives

AVAILABILITY

When are you available to start your internship?

Start Date *

End Date *

Which days are you available? *

Mondays
Tuesdays
Wednesdays
Thursdays
Fridays

Please specify hours of availability (ie. Mondays: 1pm-6pm) *

ASSESSMENT QUESTIONS

What do you hope to gain from your internship experience? *

What can you offer to your internship experience? What are your strengths? *

What allows you to do your best work?

What do you struggle with and how do you overcome those challenges?

How would you describe yourself?

Cordial
Diligent
Fabulous
Focused
Friendly
Giving
Hard-Working
Humble
Organized
Prompt
Respectful
Collaborative

ACADEMIC INFORMATION

University/School (Most Recent) *

Major *

Area of Study *

Date of completion *

website/portfolio url

PERSONAL INFORMATION

First Name *

Last Name *

Address *

State *

Email *

City *

Zip *

Phone *

Birth Date *

// (mm/dd/yyyy)

What was your first language? *

Country of Birth *

Are you of Latinx origen? *

With which of the following regions do you identify in terms of race, ethnicity, and nationality? (please select all that apply) *

African Descent (diaspora)
Caribbean (Bahamas, Puerto Rico)
Central Africa (Chad, Congo)
Central America (Guatemala, Honduras)
Central Asia (Kazakh, Uzbeki)
East Africa (Kenya, Eritrea)
East Asia (China, Korea)
First Nations/Native American/Indigenous people of North and South America
Hawaiian and Pacific Islands/Oceania - Melanesia, Micronesia, Polynesia
North Africa (Egyptian, Moroccan)
North America
Southern Africa (Angola, Zambia)
South America (Chile, Peru, Venezuela)
South Asia (Sri Lanka, Pakistan)
Southeast Asia (Thailand, Vietnam)
Southwest/West Asia (Afghan, Turkish)
West Africa (Ghana, Nigeria)
White/European descent

Please note specific race, ethnic and national groups and tribal/band affiliations with which you identify: (ie, Chiricahua Apache; Honduran & Garífuna; Iranian & Azeri/Persian; Singaporean & Teo Chew/Hokkien; Jewish & Peruvian, etc.) *

How do you identify your gender? *

With which of the following sexual orientations and romantic affiliations do you most identify? *

Are you part of the disability community? *

Yes
No

Please indicate any access accommodations that support you in your work.

EMERGENCY INFORMATION

Emergency Contact First *

Emergency Contact Last *

Emergency Contact Phone *

Emergency Contact Email *

Relationship To You *

Friend
Parent
Partner
Sibling
Other Relative
Other relationship

SCHEDULE AN INTERVIEW

Please indicate your availability for an in-person, phone, online, or skype interview.

Tuesdays

3-4pm
4-5pm
5-6pm

Wednesdays

2-3pm
4-5pm
5-6pm

Thursdays

1-2pm
2-3pm

ONE LAST THING...

Anything else you would like us to know about you? *

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