Online Internship Application Form

Center For World Indigenous Studies · Fellowship/Internship Program
PMB 214, 1001 Cooper Point RD SW 140 · Olympia, WA · 98502-1107 · U.S.A.

Before filling out this application, please read the CWIS Internship Information Page and the CWIS Background and Information Page. After completing this form, please send a copy of your resume to the address above. Also, please include a two page discussion of the role of development and how efforts toward development harm or benefit indigenous communities.


Completely fill out the application form below. After a review of your application an receipt of relevant fees we will e-mail or send by surface mail a confirmation of your application.

If you are having trouble submitting this form electronically, please Print it Out and mail it to us.

Please Note: Your Registration is complete only after all fees have been paid along with the submission of the Registration form.

   Remember to send in your deposit or tuition right away.



Make checks, money orders or credit cards payable to C.W.I.S.


Center For World Indigenous Studies
Registration
PMB 214, 1001 Cooper Point Road SW 140
Olympia, WA 98502 USA
Telephone: +360-586-0656
 

Interest Area
Broad Interest Area: Traditional Healing Arts and Sciences
Broad Interest Area: Fourth World Studies

Title / Name:
Institutional Affiliation:
Street Address 1:

Street Address 2:
City/Town:
State/Province
Zip or Postal code:
Country:
E-Mail Address:
Home Phone#:
Work Phone #:

Fax Number:

Age:
 
What is your academic, professional, or other background?
 
Please describe your expectations:
 
 
What are your goals for this internship?
 
 
Degrees and/or Training:

(*)Please specify the date you are prepared to begin (MM/DD/YY):
 
 
Have you visited or lived in an indigenous community? Where and When?
 
 
Please describe the project(s) in which you have skills or in which you wish to further develop skills:
 
 
What skills do you bring to the goals of CWIS?
 
Please list two references:
Reference #1
Name:
Phone:
E-mail:

Address:
City/Town:
State/Province
Country:
Nature of Relationship:
   
Reference #2
Name:
Phone:
E-mail:

Address:
City/Town:
State/Province
Country:
Nature of Relationship:
Internet Experience?

Please tell us anything else you think we should know about you and your interests:

Application Fee must be received before your application will be considered.

Application Fee of $35.00 (USD) sent by mail

Application Fee of $35.00 (USD) will be made by Credit Card (via telephone call to 360-586-0656) or see below for instructions to enter payment on-line.
 
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You may enter your payment information above or you may call our office and provide credit card information if you wish.
Check this box if that is what you want to do. After you send this form, then call +360-586-0656 and ask to give your card information for the Certificate Program.
 
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Remember to send in your deposit or tuition right away. Late receipt of tuition payments may result in loss of registration.

Full payment is due upon registration.

Unless otherwise agreed upon, interns are responsible for finding and financing room and board.