INTERNSHIP, VOLUNTEER & STUDY PROGRAMS

APPLICATION FORM
1. Please fill out this application as completely as possible so that we can find or create an internship project or volunteer experience for you that uniquely aligns with your goals. Upon completion, please email the form, together with your CV/resume, to apply@connect-123.com. 2. 3. If we havent yet spoken with you, within one week of receiving your application, we will contact you for an interview. Within four weeks of receipt of your application materials and deposit, we will contact you with specific internship opportunities.

4. If you should have any questions, please visit the FAQs section of our website at www.connect-123.com/faq/ or contact us at info@connect-123.com.

DESTINATION
Barcelona discuss Buenos Aires Cape Town Dublin Shanghai Not sure / lets

PART 1: PERSONAL INFORMATION

First Name Date of Birth: Email Address State or Region Country of Citizenship Cell Phone Postal Code Day Month Last Name Year Gender

Home Street Address City

Country

Home Phone

Primary Language

Other Languages

Spanish or Chinese Proficiency*

Complete this section only for Buenos Aires or Shanghai Programs

Semesters of Spanish or Chinese Completed

* Note: Proficiency in Spanish or Chinese is NOT a requirement for all opportunities

How did you hear about Connect-123?

Please email this application together with your CV/resume to apply@connect-123.com

PART 2: EDUCATION / INTERESTS

Name of Institution City State or Region Country

Graduation Date Field of Study Awards/Achievements Please list your interests/hobbies: Have you travelled abroad previously? If yes, please list countries:

PART 3: ABOUT YOUR INTERNSHIP OR VOLUNTEER PROGRAM

1. From the list below, choose your preferred area or areas for your internship or volunteer program Advertising Education Law Publishing Tourism If you selected more than one area, please rank according to your preference: First Choice: Second Choice: Third Choice: months Animal Science Engineering Marketing Social Work Wine Industry Architecture Finance Medicine Sports Youth Leadership Business Consulting Journalism Photography / Film Sustainable Development Communications/PR Human Rights Public Policy Technology

Other, please specify:

2. Duration of program: 3. Preferred start date:

(note: since housing contracts typically run from the first of the month, its most cost effective to arrive at the start of the month and depart at the end of the month; if this is not possible, please let us know) 4. Do you need to receive credit through your university for this program?

Please email this application together with your CV/resume to apply@connect-123.com

5. Describe your ideal experience. What would you like to do? What do you believe you can contribute and what would you like to learn? What are your goals? Please be as specific as possible.

Please email this application together with your CV/resume to apply@connect-123.com