Today's Date *
Email *
Preferred Method of Contact * Phone Email
Total Hour Requirement: *
Total hours required/desired per week: *
Are there requirements for your internship supervisor? i.e. credentials (list here) *
What College/University/Program are you completing your internship through? *
Major *
Graduation year: *
If you selected other, above, please explain here.
Briefly describe your internship purpose *
Briefly describe your internship goals *
How does BraveHearts mission meet your internship goals? *
How did you hear about BraveHearts? *
How would you rate your PUNCTUALITY? * Select One Unacceptable Needs Improvement Average Good Excellent
How would you rate your RESPONSIBILITY? * Select One Unacceptable Needs Improvement Average Good Excellent
How would you rate your PROFESSIONALISM? * Select One Unacceptable Needs Improvement Average Good Excellent
How would you rate your FOLLOW THROUGH? * Select One Unacceptable Needs Improvement Average Good Excellent
How would you rate your INTEGRITY? * Select One Unacceptable Needs Improvement Average Good Excellent
How would you rate your INITIATIVE/SELF-STARTER? * Select One Unacceptable Needs Improvement Average Good Excellent
What strength do you bring to the workforce? *
Do you need assistance with housing during your internship? * Select One Yes No
Do you have experience working with horses? * Select One Yes No
Do you have experience working in a barn setting? * Select One Yes No
Do you have experience instructing equine-assisted services? * Select One Yes No
Are you comfortable working with Microsoft Office Suite, GoogleDocs, Adobe and common tech programs? * Select One Yes No
If you answered "YES" to any of the above, please briefly explain your need, concern, or level of experience:
Do you have any further questions for us that we may follow-up with you on?
