College Corps Connecticut 2022

Student Application

Name

Mailing Address

Email

Phone

Current College or University

Expected graduation year

2022

2024

2026

2023

2025

Please write in your race/ethnicity (optional)

Please write in your gender (optional)

Which Connecticut county or counties would you be willing to work in?

Fairfield

New Haven

Hartford

New London

Litchfield

Tolland

Middlesex

Windham

Transportation availability

Interns are responsible for securing their own transportation to their community host site each day they are scheduled to work. We will seek to place interns no more than a 30-minute commute from their home address. Please indicate your transportation status below, as this will assist us in placing you.

I have my own vehicle and will be driving myself

I will be dropped off at my host site daily by another person

I will be using public transportation

What languages besides English do you speak at a conversational level, if any?

Please list two to three areas of strength and two to three areas in which you hope to grow.

Tell us about any additional skills or interests you may have that would be relevant to this work.Possible examples could include arts, STEM, sports, technology, etc.

Briefly describe any experience you have working with children

Did you work for College Corps CT last summer (2021)?

Yes

If Yes, what location were you assigned to?

Please upload a copy of your resume (optional)This upload will only accept DOC, DOCX, PDF, TXT, and ODT files

Delete all uploads

Choose files or drag here

Please provide the names and email addresses of two professional references (professors, supervisors, etc.) These individuals will receive an email with a link to a web form to fill out in support of your applicaiton.

Reference #1 Name

Reference #1 Email Address

Reference #2 Name

Reference #2 Email Address

From/reply to

Fairfield University is coordinating the College Corps Connecticut recruitment and training process, so please be aware that you may receive communications from Fairfield professors and administrators. These should be considered official College Corps Connecticut communications.

College Corps CT will respond to all applicants regarding acceptance status on Friday, June 3.

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