APPLICATION TO BECOME A KAREN SHEPHERD INTERN

Please print and complete this application and mail or fax it to the address below. Applications are accepted between April 1 and September 1, the earlier the better.
Full Name
Address
City
State
ZIP
Daytime Phone
Cell
E-Mail
School
Sponsoring Department
Contact Person
Phone Number

Please explain, specifically, what you hope to learn from your experience as an intern.