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Internship Application

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Personal Information

Name *

First

Last

Anticipated age at desired start date *

Email *

Preferred Phone *

Other Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Opportunity you are seeking *

Desired Start Date *

	8:30am – 1:30pm	1:30pm – 6:00pm	6:00pm – 10:30pm	10:30pm – 8:30am
Sun	Sun 8:30am – 1:30pm	Sun 1:30pm – 6:00pm	Sun 6:00pm – 10:30pm	Sun 10:30pm – 8:30am
Mon	Mon 8:30am – 1:30pm	Mon 1:30pm – 6:00pm	Mon 6:00pm – 10:30pm	Mon 10:30pm – 8:30am
Tue	Tue 8:30am – 1:30pm	Tue 1:30pm – 6:00pm	Tue 6:00pm – 10:30pm	Tue 10:30pm – 8:30am
Wed	Wed 8:30am – 1:30pm	Wed 1:30pm – 6:00pm	Wed 6:00pm – 10:30pm	Wed 10:30pm – 8:30am
Thu	Thu 8:30am – 1:30pm	Thu 1:30pm – 6:00pm	Thu 6:00pm – 10:30pm	Thu 10:30pm – 8:30am
Fri	Fri 8:30am – 1:30pm	Fri 1:30pm – 6:00pm	Fri 6:00pm – 10:30pm	Fri 10:30pm – 8:30am
Sat	Sat 8:30am – 1:30pm	Sat 1:30pm – 6:00pm	Sat 6:00pm – 10:30pm	Sat 10:30pm – 8:30am

	Morning	Afternoon	Evening
Sun	Sun Morning	Sun Afternoon	Sun Evening
Mon	Mon Morning	Mon Afternoon	Mon Evening
Tue	Tue Morning	Tue Afternoon	Tue Evening
Wed	Wed Morning	Wed Afternoon	Wed Evening
Thu	Thu Morning	Thu Afternoon	Thu Evening
Fri	Fri Morning	Fri Afternoon	Fri Evening
Sat	Sat Morning	Sat Afternoon	Sat Evening

Work Reference

Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Relationship *

Phone *

Email *

Personal or Professional Reference 1 (non-relative)

Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Relationship *

Phone *

Email *

Personal or Professional Reference 2 (non-relative)

Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Relationship *

Phone *

Email *

Emergency Contact

Name *

Relationship *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Main Office & Southeastern Education Center

4200 N. Holton St. Suite 400
Milwaukee, WI 53212
Bus Routes 14 & 15, Red Line

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414.964.2565

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Youth Shelter

1614 E. Kane Pl.
Milwaukee, WI 53202
Bus Routes: Green Line, Gold Line

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414.271.1560

In Crisis?

Call 414.271.1560 or
866.212.SAFE (7233)

Pathfinders is an equal opportunity employer and service delivery organization.
Pathfinders es una empresa no discriminatorio y la organización de la entrega del servicio.

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In Crisis?

Contact Us

Internship Application

Personal Information

Education Information

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Work Reference

Personal or Professional Reference 1 (non-relative)

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Emergency Contact

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