1) What dates would you like to spend here?

From:     To:

3) What type of transportation will you use?

4) What do you most want to learn or see?

5. Do you have any physical limitations or special needs we should know about?   
Yes    No

If yes, please explain:

6. Do you have any special experience or skills? If so, please list:

7. Have you worked with or volunteered for an animal protection group before? Tell us about it:

8. Have you read "Animal Liberation" by Peter Singer, "Save the Animals!-101 Easy Things you Can Do" by Ingrid Newkirk, or any other book on animal rights/protection?*

Yes    No

* One of these books is required reading to be considered for an internship. If you do not have a copy of either book and would like to receive one, please indicate here:

Yes    No

9. Have you previously been involved in animal movement activism? If so, please summarize your involvement: