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Chillum Internship Program
Name: Email :
Social Security Number: Major:
Campus Address: Permanent Address:
Permanent Phone: Campus Phone:
Current Academic Standing:
Hobbies:
1. Why are you interested in the Chillum Internship Program?
2. What specific topics would you present to 1st through 6th graders?
3. Will your semester schedule accomodate Mon/Wed OR Tues/Thurs visits to an elementary school between 2:00 and 4:30 p.m.? Which combination of days would you prefer?
Date: (mm/dd/yyyy)
   

 

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College of Arts and Humanities
1102 Francis Scott Key Hall
University of Maryland
College Park, MD 20742-7311
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