University of Minnesota Duluth
Women's Resource and Action Center
Intern Application

Date:_________________________

Name:_____________________________________________

Student ID:__________________________________________

Current Address:___________________________________________________________________________

Home Phone:______________________________________ Work Phone:_____________________________

E-mail Address:_______________________________________________

Summer Address (if different than above):_________________________________________________________

Degree Program:____________________________________ Year in Degree Program:____________________

 

Please type your answer to the following questions on a separate page.