Application for

Veterans’ Memorial Hall & St. Louis County Historical Society Internships

Current Status of applicant (check one)

[ ] High School [ ] Undergraduate [ ] Graduate [ ] Other (specify)

1. Name (surname in capitals): ______________________________________________

2. Mailing Address (Where you may be reached during application period.)

Street _____________________________________________________________

City ______________________________________________________________

State ________ Zip Code __________

3. If temporary, add permanent address:

Street _____________________________________________________________

City ______________________________________________________________

State ________ Zip Code __________

4. E- Mail Address: (Where you may be reached during application period.)

5. Telephone Numbers:

Current (___)___________(where you may be reached during application review period.)

Permanent (___)__________ Fax (___)_____________

6. Date of Birth ___/___/_______

7. Place of Birth: ______________________________________

8. Citizenship (specify visa type if not U.S. Citizen): _______________________

10. Dates you are available for your internship:
(earliest start to latest finish.)

1. ________________________

11. Do you have a preference to learn any aspects of the museum community?
(Ex. collections, fundraising, marketing, etc)

____________________________________________________________

12. Since this is a history related internship, who is your favorite President?

_____________________________________________________________

13. How many hours per week will you be available during this internship?_________

14. Do you speak and read English fluently? [ ] Yes [ ] No

15. If a student, current academic status (year and major) and name of college, university
or institution.

________________________________________________________

Cumulative grade point average: ________

Grade Point Average in major field of study: _______

16. Degree expected, institutions, and anticipated dates of degree conferral:

____________________________________________________________

17. All degrees held, institutions, and dates each degree conferred:

_____________________________________________________________

_____________________________________________________________

19. Work experience (attach a resume)

20. Please list special skills, such as language, office, computer, public speaking, etc,
that you bring to an internship:

_______________________________________________________________
_______________________________________________________________

21. What areas of history interest you the most?

_______________________________________________________________

21. Names and telephone numbers of two references (preference for academic)
1. ________________________________________

2. ________________________________________

22. How did you learn about VMH / SLCHS Internship programs?

_______________________________________________________________

24. Applicant Signature __________________________

Date __________________