Application - AIDA

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Application

You can submit your application online here. Or download the application form and send it to AIDA via fax (505) 842-9652 or email: [email protected]. Incomplete applications will not be reviewed until all required information is provided. Please be sure to include 3 references in your application. Please do not hesitate to contact us if you have any questions.

Submit Application

* Indicates required field

Name *

First

Last

Email *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Date of Birth *

College/University attending *

Major *

Anticipated Year of Graduation *

Current GPA *

Ethnicity/Tribal Affiliation *

Gender *

I am available (check all that apply) *

AM PM

Semester availability *

Spring Fall Summer

Do you have transportation? *

Yes No

Are you able to attend a 12 hr training. Location TBD. *

Yes No

Do you speak a different language other than English? *

Yes No

Language(s) *

Are you able to lift 50lbs *

Yes No

What are you looking for in a student intern placement? *

Are you planning a career in victim services in tribal settings? *

Yes No Unsure

Have you worked with victims of crime before this placement *

Yes No

Education 1: Name of Institution *

Year Attended *

Degree Earned *

Employer 1 *

Position Held *

Duties Performed *

Dates of employment *

Reason for leaving *

Supervisor Name *

Supervisor Phone Number *

Can we contact supervisor? *

Yes No

Employer 2 *

Position Held *

Duties Performed *

Dates of Employment *

Reason for leaving *

Supervisor Name *

Supervisor Phone Number *

Can we contact supervisor? *

Yes No

Reference 1: Name *

Relationship *

Phone Number *

Reference 2: Name *

Relationship *

Phone Number *

Reference 3: Name *

Relationship *

Phone Number *

Please describe in 250 words your interest in the field of Tribal Victim Services: *

I certify the above information to be true. I authorize AIDA to conduct an employment history and background check using the information I provided in this application *

Yes No

Electronic Signature (Insert Full Name) *

Insert Full Name

Submit

American Indian Development Associates, LLC

2401 12th St. NW, Suite 205-207
Albuquerque, NM 87104
Telephone:
(505) 842-1122 or
(505) 842-1964
Fax: (505) 842-9652
E-mail: [email protected]

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Home
About AIDA
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Contact Us