Internships for Poles: Application Form

Which program are you applying for?
Madrid Brussels Other 

E-Mail:

Today's Date:

Desired start date of internship program:

Name:

Address:

City:

State and Postal Code:

Country:

Home telephone number:

Cellular:

Fax:

Passport (Nº) and country:

Birth Date:

Nationality: 

High School/Year Graduated:

University/Year Graduated:

How did you hear about BEST's Intern Program?

Names, addresses and phone numbers of your parents
and one other contact in case of emergency:

Have you traveled or studied abroad previously?
Yes No

Where and for how long?

Do you have health insurance?
Yes No

Which?

Previous work experience:

Internship Language proficiency level?
Low Intermediate Advanced

Do you speak any other lanuages & at what level?

Do you smoke?
Yes No

Do you have any allergies?
Yes No   if so, please explain below:

Special diet requirements?
Yes No   if so, please explain below:

Preferred internship field:

What are your career plans?

Length of Internship?
2 months with 2 week language course
3 months+ with 2 week language course

Lodging Option? 

lodging in a shared apartment for 2 months
(A month's deposit will be requested upon your entry into the shared apartments.)

lodging in a shared apartment for 3 months
(A month's deposit will be requested upon your entry into the shared apartments.)

I do not wish to apply for the lodging

How does this internship fit into your career plans?

What are your goals and expectations for your internship?

Do you agree to the Terms and Fees of this program?
Yes No

Do you understand that you are responsible
for your transportation and your personal expenses?
Yes No

Do you understand that all fees are due before the commencement of the program and that there is a 50 Euro late charge for payment after arrival?
Yes No

 
  Personal, Academic and Work References:

Name:

Phone:

Email:

Relationship to you:

Length of Relationship:

Name:

Phone:

Email:

Relationship to you:

Length of Relationship:

I, represent that all of the above information is true and is given to induce my placement as an Intern in the BEST´s Intern Program.

I authorize BEST to make such investigations as necessary, including contacting the above references. I have read the terms and conditions stated above and agree to all of these terms and conditions
Yes No

Date:

Have you sent the passport photo, copy of your passport and your application fee (300 Euros)?
Yes No

You can print and send by Priority Mail to the address below or hit the SEND INFO button below for online delivery.

    Jill Arcaro-Gordon, Directora
    BEST Programs
    Calle Solano 11, 3º - C
    Pozuelo de Alarcón
    28223 (Madrid), Spain    

    www.bestprograms.org

    Tel: 34-637-543-900