Regional Conference Graduate Intern Application
Title
Name
Graduation date
Which NACA Region are you in?
Central
Mid America
Mid Atlantic
Northeast
Northern Plains
South
West
Institution
Address at School
City
State
Zip
Phone # at school
Email at school
Phone # during summer
Email during summer
Do you have a graduate assistantship?
Yes
No
If yes, what's your title?
Supervisor's name and email address
Rank the Following Options:
Please rank the areas of the Conference that you'd be most interested in to least interested. The scale is from 1 to 4, with 1 = most interested and 4 = least interested. All available areas must have a ranking number.
Block Booking
1
2
3
4
Marketplace
1
2
3
4
Volunteer Center
1
2
3
4
Educational Sessions
1
2
3
4
Special Meal Instructions
Vegetarian
Vegan
None
If you have food allergies, please explain below
Please provide contact information for your supervisor/advisor.
The following information is
ONLY
collected for the purpose of sending a letter to your supervisor recognizing your involvement in NACA and thanking them for allowing you to volunteer:
Name of Supervisor/Advisor
Title of Supervisor/Advisor
Mailing Address of Supervisor/Advisor:
Email Address of Supervisor/Advisor
Please submit the following material:
A 500-word summary of your experience in activities/student affairs and how this involvement will assist your professional growth. Also explain what you hope to gain from a graduate internship experience.
List of prior NACA leadership experiences.
Attachment 1