STUDENT INTERN APPLICATION FORM

Name:
Date of birth:
University or College:
College address:
College phone:
College email:
Home address:
Home phone:
Home email:
Hobbies or interests:
Dates available:
Own vehicle? Yes    No

This form may be printed and submitted to: David Shaub, Vice-President, Union historical Society, P.O. Box 154, Union, ME 04862 or the information may be submitted by email to: unionhis@hotmail.com or fill out this form and click the "SUBMIT" button below.

A resume is recommended and may be mailed to the PO box above or sent to unionhis@hotmail.com.

  

UHS 2004-2008