DLIA Internship Application

Last Name: *

First Name, MI: *

Current Address (Street, Apt. #): *

City/State: *

Zip Code: *

Home or Cell Phone: *

E-mail: *

Position Applied for: *

Biology Internship

Photography Internship

Date Available to Begin Work: *

May we contact your current employer?: *

Yes

No

If less than 18, do you have certificate of age or employment?: *

Yes

No

I am over 18

Are you eligible to work in the US?: *

Yes

No

Do you have a valid driver's license?: *

Yes

No

Have you ever been convicted of or pleaded guilty to a felony?: *

Yes

No

If you have been convicted of a felony, please give dates and explain:

Are you physically capable of carrying a 30lb backpack for 8-10 mile hike? If NO, explain.: *

What is your major/ title of degree?: *

Name and address of your school: *

Please list the application, program, certifying agency and level, etc. for each of your special skills and qualifications:

Please list the years of experience for each of your special skills and qualfications:

Areas of Expertise: *

	No Experience	Minimal Experience	Some Experience	Significant Experience (can teach)
Data entry
Bird Identification
MS Excel
Data analysis
Insect Identification
MS Word
Field Biology
Insect collecting/pinning
Writing Curriculum
Research methods
Reptile identification
Teach identification
Wildflower identification
Amphibian identification
Evening programs
Mushroom identification
Wilderness survival
Arts activities

What other experience areas do you have to offer?:

Please list any types of living things you would especially enjoy working with or know more about:

You will be working on a number of research projects, much of the time outdoors, and with a variety of animals, plants, and atmospheric phenomena.

List any types of living things that you would prefer NOT to interact with. –Please explain.:

Biology Applicants - Describe any previous research experience. If no prior experience, explain why you want to become involved:

Photo Applicants - Please discuss your experience with nature photography. What do you love shooting?:

Why do you want to work for Discover Life in America and how does it fit with your career goals? : *

What have been three of the most valuable experiences of your life? : *

For All Applicants: *

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space above to include any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Reference 1 - Name, Title/Relationship, Phone #, Occuption: *

Reference 2 - Name, Title/Relationship, Phone #, Occuption: *

Resume: *

Cover Letter: *

Photo Applicants - Sample Work:

Please submit a few (1 to 3) photographs that are representative samples of your work. If you wish to submit multiple shots, please put them in a word file. If not, we accept .gif, .jpg, and .png Max file size 2.5 MB

Submission: *

Yes

No

By clicking "yes" and submitting this form, I hereby certify that the answers and other information on this application are true and correct and that I understand any misrepresentation or omission of facts on my part will be justification for separation from DLIA’s service, if employed. I understand that my employment may be contingent upon receipt of an alien registration number, verification of birth, a criminal and driving record background check and any other pertinent information bearing upon my employment, and that my continued employment depends upon the will of DLIA or me.

	Yes	No
First-Aid
CPR
Lifeguarding
Computer (PC)
Computer (MAC)

Species Count

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