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Internship Application: First Name: _________________ Last Name: __________________ Date: _________ Address: ______________________________ City/State/Zip: ____________________ Occupation: ________________ Date of Birth: ___________ Male/Female: ________ Daytime Phone #: ____________________ Evening Phone #: ____________________ Email Address: _______________________________________ Please indicate which of the following internship opportunities you are applying for: Studio Technician Web/Graphic Designer Advertising/Marketing Intern Strategic Planner Grant Writing If you have any previous work and/or volunteer experience please provide a brief summary: What types of special skills, educational training, and interests do you possess that might assist you in your internship with The Clay Studio of Missoula? Which hours and day(s) of the week would you currently (we understand that schedules change!) be available to fulfill the hours of an internship? Please list two people (non-relatives) who can provide a reference for you: Name: ________________ Address: ___________________ Phone: _______________ Name: ________________ Address: ___________________ Phone: _______________ Applications can be mailed to/dropped off at: 1106 Hawthorne, Unit A, Missoula, Mt 59802