Intern Program Application Form - Leadership Greater McHenry County

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Thank you for your interest in applying for the LGMC Nonprofit Leadership Intern Program.

Before beginning this application form, be sure you have reviewed the information about the program, including eligibility requirements, program dates, and program expectations.

The application deadline for the Summer 2019 program is Thursday, January 31, 2019, at 11:59pm.

First Name*
Middle Name
Last Name*
Email*
Phone*
Permanent Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Temporary School Address, if applicable
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
College/University*
Program of Study*
Anticipated year of graduation*
Current GPA*
High School*
Why is this internship a compelling opportunity for you?*
Please identify 3-4 learning objectives and describe the relevance to this internship opportunity. Your learning objectives could be academic, professional, or personal.*
Please describe any prior community service experience, noting any long-term experiences.
Please rank (1-6) your preferred host organization with 1 being your most preferred option.
Family Health Partnership Clinic*
Hearthstone Communities - Early Learning Center*
Independence Health and Therapy*
Main Stay Therapeutic Farm*
Northern Illinois Special Recreation Association*
Option and Advocacy*
What personal skills and abilities would you bring to your host organization?*
Documents to be submitted:
Please submit two letters of recommendation with your application. Submit recommendation documents to intern@leadershipgmc.org
- Recommendation Letter 1: Educator Reference to be completed by a current or past instructor.
- Recommendation Letter 2: Community/Business Reference to be completed by a community service coordinator, a coach/sponsor, or employer.
Signature - Please check the box below to sign*
- I understand the commitments of the LGMC Nonprofit Leadership Intern Program. If selected, I am available to participate in the full calendar of activities and committed to contributing fully to the program. I understand that if I fail to meet the obligations, I will be asked to withdraw from the internship experience.

Please rank (1-6) your preferred host organization with 1 being your most preferred option.